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TitleDescriptionSubject
1 Isolated Congenital Optic Disc AnomaliesThis patient has known pseudoxanthoma elasticum (an uncommon elastic tissue disorder characterized by plaque-like skin folds [plucked chicken skin] and degeneration of collagen fibers involving multiple systems, including the GI tract and heart), angioid streaks, and optic disc drusen.Angioid Streaks; Pseudoxanthoma Elasticum; Retinal Dystrophy
2 Ocular Manifestations of Congenital/Inherited DiseasesImage shows a patient with the Laurence-Moon-Biedl syndrome, an autosomal recessive syndrome characterized by obesity, mental retardation, retinitis pigmentosa (see Image 91_07), polydactyly, and hypogonadism. Pair with 91_07.Laurence-Moon-Biedl Syndrome; Hypertelorism
3 Ocular Manifestations of Congenital/Inherited DiseasesImage shows a patient with the Laurence-Moon_Biedl syndrome, an autosomal recessive syndrome characterized by obesity, mental retardation, retinitis pigmentosa, polydactyly, and hypogonadism. Pair with 91_06.Laurence-Moon-Biedl Syndrome; Bardet-Biedl Syndrome; Retinitis Pigmentosa
4 Isolated Congenital Optic Disc AnomaliesThis patient demonstrates bilateral tilted optic discs. Patients with this congenital optic disc anomaly may be asymptomatic or have bitemporal visual field defects that do not respect the vertical midline. Disease/Diagnosis: Tilted Discs.Tilted Disc
5 Isolated Congenital Optic Disc AnomaliesThis patient demonstrates bilateral tilted optic discs. Patients with this congenital optic disc anomaly may be asymptomatic or have bitemporal visual field defects that do not respect the vertical midline. Disease/Diagnosis: Tilted Discs.Tilted Disc
6 Isolated Congenital Optic Disc AnomaliesThis patient demonstrates bilateral tilted optic discs. Patients with this congenital optic disc anomaly may be asymptomatic or have bitemporal visual field defects that do not respect the vertical midline. Disease/Diagnosis: Tilted Discs.Tilted Disc
7 Isolated Congenital Optic Disc AnomaliesThis patient demonstrates bilateral tilted optic discs. Patients with this congenital optic disc anomaly may be asymptomatic or have bitemporal visual field defects that do not respect the vertical midline. Disease/Diagnosis: Tilted Discs.Tilted Disc
8 Isolated Congenital Optic Disc AnomaliesThis patient demonstrates bilateral tilted optic discs. Patients with this congenital optic disc anomaly may be asymptomatic or have bitemporal visual field defects that do not respect the vertical midline. Disease/Diagnosis: Tilted Discs.Tilted Disc
9 Isolated Congenital Optic Disc AnomaliesThis patient demonstrates bilateral tilted optic discs. Patients with this congenital optic disc anomaly may be asymptomatic or have bitemporal visual field defects that do not respect the vertical midline. Disease/Diagnosis: Tilted Discs.Tilted Disc
10 Ocular Manifestations of Congenital/Inherited DiseasesNeurofibromatosis, type 1, is an autosomal dominant phakomatosis characterized by Lisch nodules of the iris (hamartomas) plexiform neurofibromas, café-au-lait spots on the skin, and axillary freckling. Intracranial tumors such as optic pathway gliomas may occur. Disease/Diagnosis: Neurofibromatosis...Neurofibromatosis, Type 1
11 Ocular Manifestations of Congenital/Inherited DiseasesTuberous sclerosis is an autosomal dominant phakomatosis characterized by astrocytic hamartomas of the retina or optic nerve, adenoma sebaceum of the face, periungual fibromas, and astrocytic hamartomas of the brain, with secondary seizures and mental retardation. Disease/Diagnosis: Tuberous Scleros...Tuberous Sclerosis
12 Ocular Manifestations of Congenital/Inherited DiseasesTuberous sclerosis is an autosomal dominant phakomatosis characterized by astrocytic hamartomas of the retina or optic nerve, adenoma sebaceum of the face, periungual fibromas, and astrocytic hamartomas of the brain, with secondary seizures and mental retardation. Disease/Diagnosis: Tuberous Scleros...Tuberous Sclerosis
13 Ocular Disease With Retinal FindingsChoroidal folds may result from choroidal tumors, compression on the eye wall from thyroid ophthalmopathy, orbital pseudotumor, orbital tumor, posterior scleritis, hypotony, scleral laceration, retinal detachment, marked hyperopia, or secondary to papilledema. Intraocular pressure measurements, refr...Acquired Hyperopia
14 Traumatic Internal Carotid Atery DissectionTraumatic dissection of the carotid artery may result in neck pain, an ipsilateral Horner's syndrome (disruption of the pericarotid sympathetic fibers), or ipsilateral arterial occlusions from embolic disease. Pair with images 91_19 and 91_20.Carotid Dissection
15 Traumatic Internal Carotid Artery DissectionTraumatic dissection of the carotid artery may result in neck pain, an ipsilateral Horner's syndrome (disruption of the pericarotid sympathetic fibers), or ipsilateral arterial occlusions from embolic disease. Pair with images 91_18 and 91_20.Carotid Dissection
16 Traumatic Internal Carotid Artery DissectionTraumatic dissection of the carotid artery may result in neck pain, an ipsilateral Horner's syndrome (disruption of the pericarotid sympathetic fibers), or ipsilateral arterial occlusions from embolic disease. Pair with images 91_18 and 91_19.Carotid Dissection
17 Neuro-Ophthalmic Case With Notable Field ChangesThis 28-year-old woman presented with a 4-week history of bilateral visual loss. She had a known history of multiple sclerosis. Her vision was 20/60 OD and 20/40 OS, with an RAPD OS and optic pallor OU. Her fields and MRI are shown. Optic tract lesions usually result in an incongruous homonymous hem...Optic Tract Lesions
18 Magnetic Resonance Imaging in Detection of Extracranial Internal Carotid Artery DissectionThis 28-year-old woman presented with a 4-week history of bilateral visual loss. She had a known history of multiple sclerosis. Her vision was 20/60 OD and 20/40 OS, with an RAPD OS and optic pallor OU. Her fields and MRI are shown. Optic tract lesions usually result in an incongruous homonymous hem...Optic Tract Lesions
19 Neuro-Ophthalmic Imaging-Cerebral AngiographyEhlers-Danlos syndrome is a connective tissue disorder that may affect blood vessels and predispose some affected patients to development of carotid cavernous fistula. Most patients with high-flow direct carotid cavernous sinus fistulas have suffered acute traumatic tears in the internal carotid art...Ehlers-Danlos Syndrome
20 Neuro-Ophthalmic Consequences of TherapyRadiation causes a vascular retinopathy that may mimic diabetic or hypertensive retinopathy. It does not develop until many months or several years after radiation therapy to the eye, orbit or head.Radiation Retinopathy
21 Neuro-Ophthalmic Consequences of Therapyradiation retinopathy may mimic diabetic or hypertensive optic neuropathy. A history of irradiation to the eye, orbit, or head is mandatory. Radiation retinopathy usually occurs many months after radiation therapy.Radiation Retinopathy
22 Neuro-Ophthalmic Consequences of Therapyradiation retinopathy may mimic diabetic or hypertensive optic neuropathy. A history of irradiation to the eye, orbit, or head is mandatory. Radiation retinopathy usually occurs many months after radiation therapy.Radiation Retinopathy
23 Neuro-Ophthalmic Consequences of Therapyradiation retinopathy may mimic diabetic or hypertensive optic neuropathy. A history of irradiation to the eye, orbit, or head is mandatory. Radiation retinopathy usually occurs many months after radiation therapy.Radiation Retinopathy
24 Systemic Disorders With Optic Nerve and Retinal FindingsSarcoidosis is an inflammatory multisystem granulomatous disease that may result in an inflammatory or infiltrative optic neuropathy, papilledema from increased intracranial pressure due to meningeal inflammation or intracranial granuloma, or may present with an optic disc granuloma. Pair with 91_32...Sarcoidosis; Optic Disc Granuloma
25 Systemic Disorders With Optic Nerve and Retinal FindingsSarcoidosis is an inflammatory multisystem granulomatous disease that may result in an inflammatory or infiltrative optic neuropathy, papilledema from increased intracranial pressure due to meningeal inflammation or intracranial granuloma, or may present with an optic disc granuloma. Pair with 91_31...Sarcoidosis; Optic Disc Granuloma
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