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Title | Description | Type |
51 |
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Central Retinal Artery Occlusion | Video of central retinal artery occlusion. | Image/MovingImage |
52 |
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Dissociated Nystagmus | Example of a patient with dissociated nystagmus. Demonstrates difference in movements between each eye. | Image/MovingImage |
53 |
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Measuring Visual Acuity | Demonstration on self of visual acuity exam, using a standard card. | Image/MovingImage |
54 |
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Ocular Myotonia | Example of patient with ocular myotonia. Patient is led through instructions for direction of gaze and opening and closing of eyes. Right eye is shown to be stuck in position after held gaze to the left and right, with very slow relaxation back into forward gaze. | Image/MovingImage |
55 |
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Tour of the Fundus | This clip demonstrates the funduscopic examination technique. | Image/MovingImage |
56 |
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Abducting (Dissociated) Nystagmus | Example of a patient with abducting (dissociated) nystagmus. Patient has a subtle internuclear ophthalmoplegia. Right eye has right-beating jerk nystagmus, with smaller oscillations in the left eye. Disease/Diagnosis: Abducting Nystagmus | Image/MovingImage |
57 |
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Brun's Nystagmus | Observation of patient with Brun's Nystagmus. Shows patient gazing to the right and the nystagmus beating in the direction of the gaze. | Image/MovingImage |
58 |
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Cogan's Lid Twitch | Example of a patient with Cogan's lid twitch, with discussion of how to detect it in an exam. | Image/MovingImage |
59 |
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Congenital Ocular Motor Apraxia | Two examples of congenital ocular motor apraxia. Patients have trouble initiating saccades, and compensate with head movement. Discussion of how to distinguish this condition from simply not seeing well. | Image/MovingImage |
60 |
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Downbeat Nystagmus | Example of patients with downbeating jerk nystagmus. Demonstrates how oscillations grow more prominent when the patient gazes down or laterally. Discusses some causes, including Arnold-Chiari malformation, infarction, and demyelination. | Image/MovingImage |
61 |
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Fourth Nerve Palsy | Demonstration of examination of patient who experienced blurry vision and pain in the left eye. Demonstrates checking of eye movements, focusing on object while each eye is covered and uncovered, turning head both ways and repeating. Shows limitation of depression in adduction of left eye, left hype... | Image/MovingImage |
62 |
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How to Use the Direct Ophthalmoscope in an Exam | Demonstration of using the direct ophthalmoscope to examine the optic disc. Covers hand placement , which eye to use, and distance from patient. | Image/MovingImage |
63 |
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Physiologic (End-Gaze) Nystagmus | Demonstration of physiological nystagmus, where oscillations do not represent pathology, but occur when the patient's gaze is drawn too far laterally. | Image/MovingImage |
64 |
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Pulsating Exophthalmos | Example of a patient with neurofibromatosis with an absent sphenoid wing. Shows left eye pulsating back and forth with the pulse from front and side views. | Image/MovingImage |
65 |
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RAPD Present | This clip demonstrates the technique used to determine that Relative Afferent Pupillary Defect (RAPD) is present in a patient. | Image/MovingImage |
66 |
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Rotary Nystagmus | Example of a patient with rotary nystagmus, showing occasional counterclockwise rotary movements of both eyes. Seen more in intrinsic disorders of the brainstem. | Image/MovingImage |
67 |
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Square Wave Jerks | Example of patient with square wave jerks. Discussion of difference between square wave jerks (saccadic oscillations) and horizontal nystagmus. | Image/MovingImage |
68 |
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Testing the Visual Fields | Demonstration of various methods of testing visual fields, including counting fingers, motion, and color of several objects. | Image/MovingImage |
69 |
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Tour of the Direct Ophthalmoscope | This clip describes the parts and operation of the ophthalmoscope as an ocular examination tool. Includes adjustment of aperture size and adjustment of lenses. | Image/MovingImage |
70 |
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Transillumination - Ciliary Body Neurofibromas | Example of transillumination on a patient with neurofibromatosis, but without Lisch nodules. Shows suspected neurofibromas in the ciliary body. | Image/MovingImage |
71 |
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Upbeat Nystagmus | Example of a patient with upbeat nystagmus. Shows vertical jerk nystagmus with fast phases in the up direction. Localizes to brain stem, and occurs with strokes, demyelination, and tumors. | Image/MovingImage |
72 |
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Vestibular Nystagmus | Discussion of vestibular nystagmus. Seen with peripheral disorders and central disorders, and in two varieties: spontaneous and positional. Horizontal jerk with small amplitude. | Image/MovingImage |
73 |
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Voluntary Nystagmus | Example of patient with voluntary nystagmus. Discussion of how a lack of uniform, patterned movement of the eyes along with associated lid movements suggests that activity is voluntary. | Image/MovingImage |
74 |
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Wall-Eyed Bilateral Internuclear Ophthalmoplegia (WEBINO) | Example of patient with horizontal binocular diplopia. Demonstration of exam, which shows alternating exotropia in cover test. As patient follows object, right eye does not pass the midline as the object moves to the left, while left eye go slightly past the midline, but does not abduct completely. ... | Image/MovingImage |
75 |
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Aberrant Regeneration of Third Nerve, Bilaterally (1 degree OD, 2 Digrees OS) | Example of patient with bilateral aberrancy of the third nerve. Shows lids popping up (synkinetic) with adduction. Patient had bilateral internal carotid artery aneurisms with third nerve compression. | Image/MovingImage |