Seeing Past the Disc

UPFRONT Cases Section Editor: Larry Frohman, MD Acute Diplopia After Vitrectomy: A Revealing MRI 20Case%2024%20-%20Acute%20Diploma%20After% 20Vitrectomy%20A%20Revealing%20MRI.pptx. A middle-aged woman complained of sudden-onset painless diplopia after an uneventful pars plana vitrectomy for epiretinal membrane removal. An MRI revealed diffuse thickening and contrast uptake of the lateral rectus. Her history, physical examination, and imagery were consistent with direct trauma to the involved muscle. She experienced a full spontaneous recovery within a week. The case is available to download through the following link: https://journals.lww.com/jneuro-ophthalmology/Documents/JNO%20Upfront%20Cases/UPFRONT% Francois Kirouac, MD, Fannie Nadeau, MD, Ananda Kalevar, MD, Francois Evoy, MD Bartonella Neuroretinitis ments/JNO%20Upfront%20Cases/UPFRONT%20Case% 2025%20-%20Periorbital%20Pain%20and%20Difficulty% 20Reading.pptx. A 30-year-old woman presented with a two-month history of periorbital pain and difficulty reading. She was found to have optic disc edema with a macular star in the right eye and positive Bartonella henselae immunoglobulin G and M antibodies in serum. She was treated for Bartonella neuroretinitis with doxycycline, rifampin, and prednisone with clinical improvement. The case is available to download through the following link: https://journals.lww.com/jneuro-ophthalmology/Docu- Seeing Past the Disc O ur UPFRONT presentation discusses a case that traverses the fields of neuro-ophthalmology, neuromuscular disease, and internal medicine. Teaching points include how to think through a headache differential and how to determine which parts of the neurological examination are most pertinent based on presenting symptoms. Discussion points include disc edema, idiopathic intracranial hypertension, and POEMS syndrome. The case is available to download through the following link: https://journals.lww.com/jneuro-ophthalmology/Documents/JNO%20Upfront%20Case- UPFRONT Cases: J Neuro-Ophthalmol 2023; 43: e355 Division of Ophthalmology (FK, FN, AK), Department of Surgery, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Canada; and Division of Neurology (FE), Department of Medicine, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Canada. The authors report no conflicts of interest. Address correspondence to Francois Kirouac, MD, Division of Ophthalmology, Department of Surgery, Faculty of Medicine and Health Sciences, University of Sherbrooke, 580 Bowen S Street, Sherbrooke, QC J1G 2K8, Canada; E-mail: [e-mail] Sojung Kara Park, DO, Aileen A. Antonio, MD Trinity Health Grand Rapids (SKP), Hauenstein Neuroscience, Grand Rapids, Michigan; and Neuro-Ophthalmology (AAA), Trinity Health Grand Rapids, Hauenstein Neuroscience, Grand Rapids, Michigan. The authors report no conflicts of interest. Address correspondence to Sojung Kara Park, DO, Trinity Health Grand Rapids, Hauenstein Neuroscience, 220 Cherry Street, SE, Grand Rapids, MI 49503; E-mail: [e-mail] s/UPFRONT%20Case%2027%20-%20Seeing%20Past %20the%20Disc.pptx. Amalie Chen, MD, Jeffrey A. Gluckstein, MD, John W. Gittinger, MD Department of Neurology (AC), Massachusetts General Hospital, Brigham & Women's Hospital, Boston, Massachusetts; Department of Ophthalmology (JAG), Keck School of Medicine of USC, Los Angeles, California; and Department of Neuro-Ophthalmology (JAG, JWG), Massachusetts Eye and Ear Infirmary, Boston, Massachusetts. The authors report no conflicts of interest. Address correspondence to Amalie Chen, MD, Department of Neurology, Massachusetts General Hospital, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115; E-mail: [e-mail] e355 Copyright © North American Neuro-Ophthalmology Society. Unauthorized reproduction of this article is prohibited.