NOVEL - AAO-NANOS Clinical Collection
 
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TitleDescriptionSubject
51 Neuro-Ophthalmic Consequences of TherapyAn elderly woman was first seen in 1991, after being on Plaquenil (Hydroxychloroquine Sulfate) for 5 to 6 years, with a new symptomatic disturbance in her reading. Because her blue/yellow color perception was disturbed, and because she had symptoms, the medication was stopped. However the fundi and ...Plaquenil Toxicity
52 Neuro-Ophthalmic Consequences of TherapyAn elderly woman was first seen in 1991, after being on Plaquenil (Hydroxychloroquine Sulfate) for 5 to 6 years, with a new symptomatic disturbance in her reading. Because her blue/yellow color perception was disturbed, and because she had symptoms, the medication was stopped. However the fundi and ...Plaquenil Toxicity
53 Neuro-Ophthalmic Consequences of TherapyAn elderly woman was first seen in 1991, after being on Plaquenil (Hydroxychloroquine Sulfate) for 5 to 6 years, with a new symptomatic disturbance in her reading. Because her blue/yellow color perception was disturbed, and because she had symptoms, the medication was stopped. However the fundi and ...Plaquenil Toxicity
54 Neuro-Ophthalmic Imaging-MRIA 59-year-old untreated hypertensive man had a sudden onset of vomiting, gait ataxia, dysarthria, and left-sided weakness. The eyes were deviated downward and to the left. (Note position of gaze in 94_11). Extraocular motility was full. There was rotary nystagmus with the fast phase to the left; the...Wallenberg Syndrome; Lateral Medullary Syndrome; Posterior Inferior Cerebellar Artery
55 Trochlear Motility DisturbancesThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.Trochlear Palsy; Fourth (Trochlear)
56 Motility DisturbancesThis is a 60-year-old albino woman with chronic progressive external ophthalmoplegia and strabismus fixus. Her extreme bilateral esotropia caused her acuity to be 20/400 OU, no view of fundus could be obtained except for the far periphery. CPEO is the most common manifestation of mitochondrial myopa...Chronic Progressive External Ophthalmoplegia; Mitochondrial Disease; Myopathy; Ptosis; MRI
57 Isolated Hereditary Optic Neuritis/NeuropathyLeber's hereditary optic neuropathy is a mitochondrial hereditary optic neuropathy that usually affects young males but may occur at any age and in males or females. The clinical features are usually acute bilateral simultaneous or sequential visual loss with a central acuity and central visual fiel...Leber's Optic Neuropathy
58 Isolated Hereditary Optic Neuritis/NeuropathyLeber's hereditary optic neuropathy is a mitochondrial hereditary optic neuropathy that usually affects young males but may occur at any age and in males or females. The clinical features are usually acute bilateral simultaneous or sequential visual loss with a central acuity and central visual fiel...Leber's Optic Neuropathy
59 Isolated Hereditary Optic Neuritis/NeuropathyLeber's hereditary optic neuropathy is a mitochondrial hereditary optic neuropathy that usually affects young males but may occur at any age and in males or females. The clinical features are usually acute bilateral simultaneous or sequential visual loss with a central acuity and central visual fiel...Leber's Optic Neuropathy
60 Ocular Manifestations of Congenital/Inherited DiseasesThis 22-year-old woman has neurofibromatosis, type 2. Acuity, color plates, pupillary responses, slit-lamp examination, IOP, fields, and funduscopy are all normal. There is a 3 mm proptosis OS. The patient has recently undergone gamma knife for the acoustic tumor, and she has residual facial nerve p...Neurofibromatosis Type 2
61 Neuro-Ophthalmic Manifestations of Brain TumorsChordomas of the clivus may result in diplopia due to a sixth nerve palsy. The sixth nerve runs up the clivus and may be the presenting manifestation of the lesion. Pair with Images 97_33, 97_34, and 97_35.Chordoma
62 Ocular Manifestations of Congenital/Inherited DiseasesThis 22-year-old woman has neurofibromatosis, type 2. Acuity, color plates, pupillary responses, slit-lamp examination, IOP, fields, and funduscopy are all normal. There is a 3 mm proptosis OS. The patient has recently undergone gamma knife for the acoustic tumor, and she has residual facial nerve p...Neurofibromatosis Type 2
63 Neuro-Ophthalmic Vascular DiseaseArteriovenous malformations are dysplastic vascular channels. They may result in neuro-ophthalmologic findings from direct compressive effects, secondary hemorrhage, or secondary seizure disorder. CT and/or MRI may demonstrate the lesion, but cerebral arteriography is usually required to better defi...Arteriovenous Malformation
64 Ocular Manifestations of Congenital/Inherited DiseasesThis 22-year-old woman has neurofibromatosis, type 2. Acuity, color plates, pupillary responses, slit-lamp examination, IOP, fields, and funduscopy are all normal. There is a 3 mm proptosis OS. The patient has recently undergone gamma knife for the acoustic tumor, and she has residual facial nerve p...Neurofibromatosis Type 2
65 Ocular Manifestations of Congenital/Inherited DiseasesThis 22-year-old woman has neurofibromatosis, type 2. Acuity, color plates, pupillary responses, slit-lamp examination, IOP, fields, and funduscopy are all normal. There is a 3 mm proptosis OS. The patient has recently undergone gamma knife for the acoustic tumor, and she has residual facial nerve p...Neurofibromatosis Type 2
66 Ocular Manifestations of Congenital/Inherited DiseasesThis 22-year-old woman has neurofibromatosis, type 2. Acuity, color plates, pupillary responses, slit-lamp examination, IOP, fields, and funduscopy are all normal. There is a 3 mm proptosis OS. The patient has recently undergone gamma knife for the acoustic tumor, and she has residual facial nerve p...Neurofibromatosis Type 2
67 Neuro-Ophthalmic Manifestations of Brain TumorsChordomas of the clivus may result in diplopia due to a sixth nerve palsy. The sixth nerve runs up the clivus and may be the presenting manifestation of the lesion. Pair with Images 97_34, 97_35, and 97_36.Chordoma
68 Neuro-Ophthalmic Manifestations of Brain TumorsChordomas of the clivus may result in diplopia due to a sixth nerve palsy. The sixth nerve runs up the clivus and may be the presenting manifestation of the lesion. Pair with Images 97_33, 97_34, and 97_36.Chordoma
69 Neuro-Ophthalmic Manifestations of Brain TumorsChordomas of the clivus may result in diplopia due to a sixth nerve palsy. The sixth nerve runs up the clivus and may be the presenting manifestation of the lesion. Imaging: MRI, T-1 axial with contrast. Pair with Images 97_33, 97_34, and 97_36. Anatomy: Clivus, Sixth nerve. Pathology: Sixth nerve p...Chordoma
70 Pupillary SyndromeIntermittent dilation of the pupils may occur as a benign phenomenon in healthy young adults. In the absence of other third nerve signs, (eg, ptosis, diplopia, ophthalmoplegia), an isolated transient dilation of the pupil in an otherwise healthy adult is unlikely to represent a third nerve palsy. Tr...Tadpole Pupils
71 Pupillary SyndromeIntermittent dilation of the pupils may occur as a benign phenomenon in healthy young adults. In the absence of other third nerve signs, (eg, ptosis, diplopia, ophthalmoplegia), an isolated transient dilation of the pupil in an otherwise healthy adult is unlikely to represent a third nerve palsy. Tr...Tadpole Pupils
72 Isolated Congenital Optic Disc AnomaliesThis 8-year-old boy presented with a 2-week history of decreased vision in the right eye. He had undergone a normal MRI and CSF examination, including intracranial pressure, before neuro-ophthalmologic assessment. The fundus photographs and fluorescein angiograms show subretinal neovascularization a...Pseudopapilledema; Edema; Papilledema; Retinal Neurovascularization
73 Neuro-Ophthalmic Consequences of TherapyThe patient is a 38-year-old woman with oligodendroglioma of the left cerebral hemisphere. The patient received intracarotid BCNU and developed BCNU retinopathy, optic neuropathy, and partial ophthalmoplegia. Image 92_21is from 1 month later and demonstrates hemorrhagic swelling of the disc, retinal...BCNU Retinopathy
74 Neuro-Ophthalmic Consequences of TherapyThe patient is a 38-year-old woman with oligodendroglioma of the left cerebral hemisphere. The patient received intracarotid BCNU and developed BCNU retinopathy, optic neuropathy, and partial ophthalmoplegia. Image 92_22 Shows late changes, with more severe retinal ischemia, vascular attenuation, an...BCNU Retinopathy
75 Pseudopapilledema With Subretinal Neovascularization on Fluorescein AngiogramThis 8-year-old boy presented with a 2-week history of decreased vision in the right eye. He had undergone a normal MRI and CSF examination, including intracranial pressure, before neuro-ophthalmologic assessment. The fundus photographs and fluorescein angiograms show subretinal neovascularization a...Pseudopapilledema; Edema; Papilledema; Retinal Neurovascularization; Fluorescein Angiogram
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