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1 The Man with No Face (About Face)Michael S. Vaphiades, MD, University of AlabamaA 61-year-old man presented with one week history of decreased vision OS. Past medical historyincludes asthma and amblyopia OD, but with complete visual loss OD 18 years prior. He takes nomedications. He is retired but worked for 21 years in social science research. The remarkable thingupon meeting ...
2 Growing SuspicionAngela M. HerroA 44 year-old man presented to the emergency department in July 2011 for progressive painless visionloss in the right eye for 3 months. On presentation, vision was 4/200 in the right and 20/20 in the leftwith an afferent pupillary defect on the right. His visual field was full to confrontation but a...
3 Three Weeks in FloridaAndrew R. CareyA 36 year-old man presented with severe headaches, bilateral leg numbness, and bilateral decreasedvision. He was born in Ecuador where he received BCG vaccination and immigrated to US at age 19. In2005 he enrolled in nursing school and volunteered in homeless shelters. PPD was positive with anegativ...
4 Under PressureNathan H. KungA 29-year-old woman was referred to neuro-ophthalmology clinic for 1 year of headaches andpapilledema discovered 2 months earlier. She complained of recently blurred vision but no positionalheadache, pulsatile tinnitus, transient visual obscurations, or other neurologic issues. She used nomedication...
5 Hiding and Out of SightMichael L. MorganA 75-year-old white woman presented with a history of biopsy-proven giant cell arteritis (GCA)presented with recurrence of severe left sided headaches and left global ophthalmoparesis for 4 days.GCA had been diagnosed 4 months prior by biopsy. Left eye vision loss occurred when an outsidephysician t...
6 A Shot in the DarkJoshua PasolHistory & ExamA 74 year-old man with a chief complaint of difficulty with night time driving for several years as wellas difficulty going from a lighted room to a dark room. PMH of high cholesterol, BPH, hypothyroidism,GERD, glottic squamous cell cancer without recurrence, and a prior history of alc...
7 Requim for a Cabinet MakerJennifer I. DoyleA 54-year-old white male presents with 3 weeks of painless horizontal nystagmus and 6 months of leftsided forehead numbness. He reports a 20 lbs weight loss. Medical history includes a renal transplant 30years prior. He takes prednisone 30 mg QOD and azathioprine. Visual acuity is 20/20 OU, color vi...
8 Shady Double CrosserFrancine WeinA 62-year-old woman presented with a one-month history of severe light sensitivity and headache, and atwo week history of diplopia. Her photophobia was severe enough for her to wear sunglasses indoors.Her past medical history was significant for a cholecystectomy and Crohns disease, for which she ha...
9 Using MuscleNagham Al-ZubidiA 30- year-old Saudi female student with no past medical history presented an eight month history ofprogressive blurred vision primarily at near, anisocoria OS, and periocular discomfort with eyemovements. Neuro-Ophthalmologic examination revealed best corrected visual acuity of OD 20/20 andOS 20/30...
10 Who Deserves a Second Chance?Lina NagiaAn 81-year-old woman presents with a one-month history of blurred vision OS, acutely worse in thepast 5 days. She reports pain with left gaze, left sided forehead tenderness and some weightloss. Medical history includes hypertension, borderline diabetes, cerebral vascular accident and basalcell carc...
11 A Weak PresentationReuben M. ValenzuelaAn 82-year-old right-handed man with myasthenia gravis presented in May 2014 with double vision andright facial numbness and weakness. He was first seen in 1998 with horizontal diplopia. He had anabduction deficit of the right eye, and right nasolabial fold flattening. He was diagnosed withmyastheni...
12 Star Spangled BanneDara M. BierA 12-year-old girl with a history of bilateral optic nerve enlargement, enterovirus meningitis, seizures,and bilateral hygromas, presented with acute onset chronic vision loss in her left eye. Two years prior,she presented to an outside hospital with headaches, intermittent speech arrest and right-s...
13 Nobody's PerfectAlexander KsendzovskyIn June of 2006 an 8 year old patient was referred for evaluation. Apparently at age 1she haddeveloped headaches and was found to have a posterior fossa tumor. In El Salvador she was treatedwith shunting and chemotherapy plus radiation therapy for presumed medulloblastoma. She underwenta shunt revis...
14 I Can't See StraightSteven A. NewmanIn May of 2014 this 30 year old right handed patient was referred for consultation regarding diplopiaand dizziness. The patient relates that she had been told that she had tired eyes as a child. Two and ahalf years ago she began to have intermittent exodeviation. She was seen locally and diagnosed a...
15 Lights OutJohn J. BrinkleyA 78 year-old man presented with a one-month history of progressive painless binocular vision loss. Hehad sustained head trauma without loss of consciousness three days prior to the onset of vision loss. Onthe morning of his presentation to us, he had awoken with complete binocular vision loss and h...
16 It's Not Just a FAD, (EHR Fatigue Syndrome)Jacqueline A. LeavittA 29 year-old female nurse, nine months postpartum, presented with an inability to see her computerwell for the past two months. She denied eye pain, diplopia, numbness, tingling or weakness. Therewere no changes in vision in bright vs. dim lighting. She also had a headache at the back of her head f...
17 Now you see it. Now you don't.Prem S. SubramanianA 70 yo RH African American female presented to our institution with sequential, severe vision loss inthe preceding 4 months. Her past medical history included well-controlled hypertension andhyperlipidemia, CAD s/p coronary stent placement x 2 after MI, and stroke. She had no prior history ofvisual...
18 Some Like it HotAhmara G. RossHistory & ExamA 71 year old Caucasian man with a past medical history of hypertension, hyperlipidemia, Type 2 DM,ESRD status post renal transplant, facial melanoma, currently on ASA for a stable left sided putaminalhemorrhage presented with new right sided ptosis and lower extremity weakness. Brain ...
19 SpeakeasyJoseph G. ChackoA 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touchedthe inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had startedone month ago. He also complained of foreign body sensation and discomfort in the right eye f...
20 Joe & Jerry Flew the CoopLulu L. C. D. BursztynA previously healthy 13-year-old girl presented to a local hospital with fever and myalgia, followed oneday later by lethargy and vision loss. Past medical history was significant only for acne, for which shehad been treated with doxycycline 40 mg/day intermittently starting 2 months prior to sympto...
21 Growing SuspicionAngela M. Herro, Norman J. Schatz, MD, Bascom Palmer Eye Institute, Linda L. Sternau, John R. Guyloss in the right eye for 3 months. On presentation, vision was 4/200 in the right and 20/20 in the left with an afferent pupillary defect on the right. His visual field was full to confrontation but automated perimetry revealed a central scotoma. The remainder of the exam was normal with the except...
22 Under PressureNathan H. Kung, Collin M. McClelland, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineA 29-year-old woman was referred to neuro-ophthalmology clinic for 1 year of headaches and papilledema discovered 2 months earlier. She complained of recently blurred vision but no positional headache, pulsatile tinnitus, transient visual obscurations, or other neurologic issues. She used no medicat...
23 The Relationship Between PDE-5 Inhibitors and NAIONHoward D. Pomeranz, MDSildenafil was first synthesized by pharmaceutical chemists working at Pfizer. It was initially studied for use in hypertension and angina. Phase I clinical trials suggested that the drug had little effect on angina but could induce penile erection. Sildenafil (Viagra®) was patented in 1996 and app...
24 The Relationship Between PDE-5 Inhibitors and NAIONHoward D. Pomeranz, MDSildenafil was first synthesized by pharmaceutical chemists working at Pfizer. It was initially studied for use in hypertension and angina. Phase I clinical trials suggested that the drug had little effect on angina but could induce penile erection. Sildenafil (Viagra®) was patented in 1996 and app...
25 Hiding and Out of SightMichael M. Morgan, Sumayya J. Almarzouqi, Patricia Chevez-Barrios, Amina I. Malik, Andrew G. LeeA 75-year-old white woman presented with a history of biopsy-proven giant cell arteritis (GCA) presented with recurrence of severe left sided headaches and left global ophthalmoparesis for 4 days. GCA had been diagnosed 4 months prior by biopsy. Left eye vision loss occurred when an outside physicia...
26 Who Deserves a Second Chance?Lina Nagia, Jennifer I. Doyle, Lanning B. KlineAn 81-year-old woman presents with a one-month history of blurred vision OS, acutely worse in the past 5 days. She reports pain with left gaze, left sided forehead tenderness and some weight loss. Medical history includes hypertension, borderline diabetes, cerebral vascular accident and basal cell c...
27 A Weak PresentationReuben M. Valenzuela, Bradley J. Katz, Alison V. Crum, Kathleen B. Digre, Nick Mamalis, Hans C. Davidson, Judith E. A. Warner, MD, Moran Eye Center, University of UtahAn 82-year-old right-handed man with myasthenia gravis presented in May 2014 with double vision and right facial numbness and weakness. He was first seen in 1998 with horizontal diplopia. He had an abduction deficit of the right eye, and right nasolabial fold flattening. He was diagnosed with myasth...
28 I Can't See StraightSteven A. Newman, T. Ben AblemanIn May of 2014 this 30 year old right handed patient was referred for consultation regarding diplopia and dizziness. The patient relates that she had been told that she had "tired eyes" as a child. Two and a half years ago she began to have intermittent exodeviation. She was seen locally and diagnos...
29 Star Spangled BannerDara M. Bier, Jeffrey P. Greenfield, Marc K. Rosenblum, Joseph P. Comunale Jr., Cristiano Oliveira, Marc J. DinkinA 12-year-old girl with a history of bilateral optic nerve enlargement, enterovirus meningitis, seizures, and bilateral hygromas, presented with acute onset chronic vision loss in her left eye. Two years prior, she presented to an outside hospital with headaches, intermittent speech arrest and right...
30 Three Weeks in FloridaAndrew R. Carey, J. Antonio Bermudez-Magner, Sander R. Dubovy, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Linda L. Sternau, Byron L. LamA 36 year-old man presented with severe headaches, bilateral leg numbness, and bilateral decreased vision. He was born in Ecuador where he received BCG vaccination and immigrated to US at age 19. In 2005 he enrolled in nursing school and volunteered in homeless shelters. PPD was positive with a nega...
31 Nobody's PerfectAlexander Ksendzovsky, Steven A. Newman, MD, University of Virginia School of MedicineIn June of 2006 an 8 year old patient was referred for evaluation. Apparently at age 1 ½ she had developed headaches and was found to have a posterior fossa tumor. In El Salvador she was treated with shunting and chemotherapy plus radiation therapy for presumed medulloblastoma. She underwent a shun...
32 A Shot in the DarkJoshua Pasol, Ricardo J. Komotar, Faisal YamaniA 74 year-old man with a chief complaint of difficulty with night time driving for several years as well as difficulty going from a lighted room to a dark room. PMH of high cholesterol, BPH, hypothyroidism, GERD, glottic squamous cell cancer without recurrence, and a prior history of alcoholism. POH...
33 Some Like it HotAhmara G. Ross, Islam M. Zaydan, Gabrielle R. Bonhomme, Ellen B. Mitchell, Tarek A. Shazly, Deborah C. ParishA 71 year old Caucasian man with a past medical history of hypertension, hyperlipidemia, Type 2 DM, ESRD status post renal transplant, facial melanoma, currently on ASA for a stable left sided putaminal hemorrhage presented with new right sided ptosis and lower extremity weakness. Brain MRI obtained...
34 Requiem for a Cabinet MakerJennifer I. Doyle, Michael S. Vaphiades, MD, University of Alabama, James R. Hackney, Lanning B. Kline, Lina NagiaA 54-year-old white male presents with 3 weeks of painless horizontal nystagmus and 6 months of left sided forehead numbness. He reports a 20 lbs weight loss. Medical history includes a renal transplant 30 years prior. He takes prednisone 30 mg QOD and azathioprine. Visual acuity is 20/20 OU, color ...
35 Using MuscleNagham Al-Zubidi, John E. Carter, Bundhit Tantawongski, Patricia Chevez-Barrios, Lyndon Tyler, Constance L. FryA 30- year-old Saudi female student with no past medical history presented an eight month history of progressive blurred vision primarily at near, anisocoria OS, and periocular discomfort with eye movements. Neuro-Ophthalmologic examination revealed best corrected visual acuity of OD 20/20 and OS 20...
36 Lights OutJohn J. Brinkley, John J. Chen, Patricia A. Kirby, Reid A. Longmuir, Matthew J. ThurtellA 78 year-old man presented with a one-month history of progressive painless binocular vision loss. He had sustained head trauma without loss of consciousness three days prior to the onset of vision loss. On the morning of his presentation to us, he had awoken with complete binocular vision loss and...
37 It's Not Just a FAD (EHR Fatigue Syndrome)Jacqueline A. Leavitt, John J. Chen, Diva R. SalomaoA 29 year-old female nurse, nine months postpartum, presented with an inability to see her computer well for the past two months. She denied eye pain, diplopia, numbness, tingling or weakness. There were no changes in vision in bright vs. dim lighting. She also had a headache at the back of her head...
38 SpeakeasyJoseph G. Chacko, MD, University of Arkansas, Marcus W. Moody, Harry H. Brown, Sarkis M. NazarianA 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touched the inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had started one month ago. He also complained of foreign body sensation and discomfort in the right eye...
39 Shady Double CrosserFrancine B. WeinHistory & Exam A 62-year-old woman presented with a one-month history of severe light sensitivity and headache, and a two week history of diplopia. Her photophobia was severe enough for her to wear sunglasses indoors. Her past medical history was significant for a cholecystectomy and Crohn's disease...
40 Joe & Jerry Flew the CoopLulu LCD Bursztyn, MD, Ivey Eye Institute; Dane A. Breker, MD, Sanford Neuroscience Clinic; Andrew W. Stacey, MD, University of Washington Medicine; Ashok Srinivasan, MBBS, University of Michigan; Mark W. Johnson, MD, Kellogg Eye Center; Jonathan Daniel Trobe MD, Michigan UniversityA previously healthy 13-year-old girl presented to a local hospital with fever and myalgia, followed one day later by lethargy and vision loss. Past medical history was significant only for acne, for which she had been treated with doxycycline 40 mg/day intermittently starting 2 months prior to symp...
41 The Man with No Face (About Face)Michael S. Vaphiades, MD, University of Alabama; Jennifer I. Doyle, MD, Little Rock Eye Clinic; Lina Nagia, MD, Michigan State University; Kevin J. Bray, MD, Providence Health; Lanning B. Kline, MD, University of Alabama; Glenn H. Roberson, MD, University of Alabama; Adam E. Quinn, MD, Baptist Healt...A 61-year-old man presented with one week history of decreased vision OS. Past medical history includes asthma and amblyopia OD, but with complete visual loss OD 18 years prior. He takes no medications. He is retired but worked for 21 years in social science research. The remarkable thing upon meeti...
42 Ataxia at the Masquerade BallKrista I. Kinard, Alison V. Crum, Judith E. A. Warner, MD, Moran Eye Center, University of Utah; Bradley J. Katz, Joshua A. Sonnen, Cheryl A. Palmer, Anne G. Osborn, L. Dana DeWitt, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye C...
43 Ataxia at the Masquerade BallKrista I. Kinard, Alison V. Crum, Judith E. A. Warner, MD, Moran Eye Center, University of Utah; Bradley J. Katz, Joshua A. Sonnen, Cheryl A. Palmer, Anne G. Osborn, L. Dana DeWitt, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye C...
44 Ataxia at the Masquerade BallKrista I. Kinard, Alison V. Crum, Judith E. A. Warner, MD, Moran Eye Center, University of Utah; Bradley J. Katz, Joshua A. Sonnen, Cheryl A. Palmer, Anne G. Osborn, L. Dana DeWitt, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye C...
45 It's Not the TumorCourtney E. Francis
46 Its Not the TumorCourtney E. Francis
47 Blame it on the PillSachin S. Kedar, Padmaja Sudhakar, Stuart Tobin, William O. Connor, Fernando DecastroThree months earlier, he had been evaluated for malaise and weight loss and found to have lymphopenia, elevated TSH (20.3) and anti-thyroid peroxidase antibody (2874) with normal T3, ESR, B12 and folate.
48 Blame it on the PillSachin S. Kedar, Padmaja Sudhakar, Stuart Tobin, William O. Connor, Fernando DecastroThree months earlier, he had been evaluated for malaise and weight loss and found to have lymphopenia, elevated TSH (20.3) and anti-thyroid peroxidase antibody (2874) with normal T3, ESR, B12 and folate.
49 Blame it on the PillSachin S. Kedar, Padmaja Sudhakar, Stuart Tobin, William O. Connor, Fernando DecastroThree months earlier, he had been evaluated for malaise and weight loss and found to have lymphopenia, elevated TSH (20.3) and anti-thyroid peroxidase antibody (2874) with normal T3, ESR, B12 and folate.
50 Muscle Bound or Unbound?Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua
51 Muscle Bound or Unbound?Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua
52 Muscle Bound or Unbound?Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua
53 Renal Red HerringJohn J. Chen, John J. Brinkley, Namrata Singh, Amanda C. Maltry, Bruno A. Policeni, Richard C. Allen, Reid A. Longmuir, Matthew J. ThurtellWegener's Granulomatosis
54 Renal Red HerringJohn J. Chen, John J. Brinkley, Namrata Singh, Amanda C. Maltry, Bruno A. Policeni, Richard C. Allen, Reid A. Longmuir, Matthew J. ThurtellWegener's Granulomatosis
55 Renal Red HerringJohn J. Chen, John J. Brinkley, Namrata Singh, Amanda C. Maltry, Bruno A. Policeni, Richard C. Allen, Reid A. Longmuir, Matthew J. ThurtellWegener's Granulomatosis
56 Is it a Crime to be Blind? I plead the 4th!Jasmine Gopwani, Edward Margolin, Tran Le, Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan, Rasmus Kiehl
57 Is it a Crime to be Blind? I plead the 4th!Jasmine Gopwani, Edward Margolin, Tran Le, Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan, Rasmus Kiehl
58 Is it a Crime to be Blind? I plead the 4th!Jasmine Gopwani, Edward Margolin, Tran Le, Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan, Rasmus Kiehl
59 I Can't Stand the Double VisionIris B. B. Mizrachi, Ruth Huna-Baron, Rivka Inzelberg, Yonathan SharabiUncontrolled hypothyroidism.
60 I Can't Stand the Double VisionIris B. B. Mizrachi, Ruth Huna-Baron, Rivka Inzelberg, Yonathan SharabiUncontrolled hypothyroidism.
61 A Candid Look at a Missed DiagnosisEdward Margolin, Jasmine Gopwani, Robert WillinskyShe was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use.
62 A Candid Look at a Missed DiagnosisEdward Margolin, Jasmine Gopwani, Robert WillinskyShe was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use.
63 A Candid Look at a Missed DiagnosisEdward Margolin, Jasmine Gopwani, Robert WillinskyShe was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use.
64 Almost CatastrophicDanielle S. Rudich, Samuel Yun, Anne Liebling, Jonathan E. SIlbert, Robert L. Lesser, MD, The Eye Care Group, Clinical Professor of Ophthalmology and Visual Science and Neurology at Yale, Clinical Professor of Neurology and Surgery (Neurosurgery) at the University of Connecticut School of Medicine
65 Almost CatastrophicDanielle S. Rudich, Samuel Yun, Anne Liebling, Jonathan E. SIlbert, Robert L. Lesser, MD, The Eye Care Group, Clinical Professor of Ophthalmology and Visual Science and Neurology at Yale, Clinical Professor of Neurology and Surgery (Neurosurgery) at the University of Connecticut School of Medicine
66 Almost CatastrophicDanielle S. Rudich, Samuel Yun, Anne Liebling, Jonathan E. SIlbert, Robert L. Lesser, MD, The Eye Care Group, Clinical Professor of Ophthalmology and Visual Science and Neurology at Yale, Clinical Professor of Neurology and Surgery (Neurosurgery) at the University of Connecticut School of Medicine
67 A TAAD Bit UnusualNisreen K. Mesiwala, Susan T. Stefko
68 A TAAD Bit UnusualNisreen K. Mesiwala, Susan T. Stefko
69 A TAAD Bit UnusualNisreen K. Mesiwala, Susan T. Stefko
70 Innocent until Proven GuiltyHeather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy
71 Innocent until Proven GuiltyHeather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy
72 Innocent until Proven GuiltyHeather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy
73 More Than a Cu-bit of Vision LossPhilip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi
74 More Than a Cu-bit of Vision LossPhilip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi
75 More Than a Cu-bit of Vision LossPhilip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi
76 Much-Ado About Acute Vision LossMahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern UniversityProgressive fatigue and right face, arm, and leg pain.
77 Much-Ado About Acute Vision LossMahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern UniversityProgressive fatigue and right face, arm, and leg pain.
78 Much-Ado About Acute Vision LossMahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern UniversityProgressive fatigue and right face, arm, and leg pain.
79 Burned by DiplopiaBonnie M. Keung, Reuben M. Valenzuela, Meena Gujrati, Jeffrey R. DeSanto, Jorge C. Kattah, John H. PulaIn March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD.
80 Burned by DiplopiaBonnie M. Keung, Reuben M. Valenzuela, Meena Gujrati, Jeffrey R. DeSanto, Jorge C. Kattah, John H. PulaIn March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD.
81 Burned by DiplopiaBonnie M. Keung, Reuben M. Valenzuela, Meena Gujrati, Jeffrey R. DeSanto, Jorge C. Kattah, John H. PulaIn March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD.
82 Wear and Tear VisionKonrad P. Weber, Caterina Schweier, Veronika Kana, Thomas Guggi, Katarzyna Byber, Klara Landau, MD, FEBO, University of Zurich
83 Wear and Tear VisionKonrad P. Weber, Caterina Schweier, Veronika Kana, Thomas Guggi, Katarzyna Byber, Klara Landau, MD, FEBO, University of Zurich
84 Wear and Tear VisionKonrad P. Weber, Caterina Schweier, Veronika Kana, Thomas Guggi, Katarzyna Byber, Klara Landau, MD, FEBO, University of Zurich
85 Which One is The Real ZebraMadhura A. Tamhankar, Julia Kharlip, Robert Lustig, Jon Burnham, Karuna Shekdar, Michele Paessler, Lucy Rorke, Kristina ColeA 15-year-old male complained of headaches and nausea, two months after appendectomy.
86 Which One is The Real ZebraMadhura A. Tamhankar, Julia Kharlip, Robert Lustig, Jon Burnham, Karuna Shekdar, Michele Paessler, Lucy Rorke, Kristina ColeA 15-year-old male complained of headaches and nausea, two months after appendectomy.
87 Which One is The Real ZebraMadhura A. Tamhankar, Julia Kharlip, Robert Lustig, Jon Burnham, Karuna Shekdar, Michele Paessler, Lucy Rorke, Kristina ColeA 15-year-old male complained of headaches and nausea, two months after appendectomy.
88 A Case of Cotton Wool SpotsGolnaz Moazami, Hermann D. Schubert, Jacinda Sampson, Claire Riley
89 A Case of Cotton Wool SpotsGolnaz Moazami, Hermann D. Schubert, Jacinda Sampson, Claire Riley
90 A Case of Cotton Wool SpotsGolnaz Moazami, Hermann D. Schubert, Jacinda Sampson, Claire Riley
91 It's Deja Vu All Over AgainAileen A. Antonio-Santos, Yanny L. Phillips, Baha El Khatib, Howard T. Chang, David I. Kaufman, DO, Chair, Neurology & Ophthalmology, Michigan State University; Eric R. Eggenberger, DO, Mayo Clinic
92 Its Dj Vu All Over AgainAileen A. Antonio-Santos, Yanny L. Phillips, Baha El Khatib, Howard T. Chang, David I. Kaufman, DO, Chair, Neurology & Ophthalmology, Michigan State University; Eric R. Eggenberger, DO, Mayo Clinic
93 Its Dj Vu All Over AgainAileen A. Antonio-Santos, Yanny L. Phillips, Baha El Khatib, Howard T. Chang, David I. Kaufman, DO, Chair, Neurology & Ophthalmology, Michigan State University; Eric R. Eggenberger, DO, Mayo Clinic
94 Beware the Trojan HorseDenize Atan, Nithin Nair, Mrinal Rana, Swarupsinh V. Chavda, Andrew JacksSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
95 Beware the Trojan HorseDenize Atan, Nithin Nair, Mrinal Rana, Swarupsinh V. Chavda, Andrew JacksSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
96 Beware the Trojan HorseDenize Atan, Nithin Nair, Mrinal Rana, Swarupsinh V. Chavda, Andrew JacksSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
97 An Ironclad Case of Vision LossMarc J. Dinkin, George Parlitsis, Sarju Patel, Alexander E. Merkler, Audrey Schuetz, Cristiano OliveiraSyphilis; CMV Retinopathy
98 An Ironclad DiagnosisMarc J. Dinkin, George Parlitsis, Sarju Patel, Alexander E. Merkler, Audrey Schuetz, Cristiano OliveiraSyphilis; CMV Retinopathy
99 An Ironclad DiagnosisMarc J. Dinkin, George Parlitsis, Sarju Patel, Alexander E. Merkler, Audrey Schuetz, Cristiano OliveiraSyphilis; CMV Retinopathy
100 Is it Naughty or Nice?Daniel Gold, Madhura A. Tamhankar, Laura J. Balcer, MD, Professor, Department of Neurology, NYU Langone; Thomas Coyne, Clyde E. Markowitz, Steven L. Galetta, MD, NYU LangoneSubjective fever and cold symptoms were noted 3 weeks prior, and she had experienced transient visual obscurations for 2 weeks.
101 Is it Naughty or Nice?Daniel Gold, Madhura A. Tamhankar, Laura J. Balcer, MD, Professor, Department of Neurology, NYU Langone; Thomas Coyne, Clyde E. Markowitz, Steven L. Galetta, MD, NYU LangoneSubjective fever and cold symptoms were noted 3 weeks prior, and she had experienced transient visual obscurations for 2 weeks.
102 Double Vision? - Give Your Head a ShakeVivek Patel, Danah Albreiki3 month history of constant binocular oblique diplopia with mild worsening, progressive disequilibrium, and a wide based gait. No vertigo, loss of coordination, loss of vision or oscillpsia, hearing loss, or tinnitus. No history of cancer, hypothyroidism, GI malabsorption or anemia. Occupational his...
103 Double Vision? - Give Your Head a ShakeVivek Patel, Danah Albreiki3 month history of constant binocular oblique diplopia with mild worsening, progressive disequilibrium, and a wide based gait. No vertigo, loss of coordination, loss of vision or oscillpsia, hearing loss, or tinnitus. No history of cancer, hypothyroidism, GI malabsorption or anemia. Occupational his...
104 Double Vision? - Give Your Head a ShakeVivek Patel, Danah Albreiki3 month history of constant binocular oblique diplopia with mild worsening, progressive disequilibrium, and a wide based gait. No vertigo, loss of coordination, loss of vision or oscillpsia, hearing loss, or tinnitus. No history of cancer, hypothyroidism, GI malabsorption or anemia. Occupational his...
105 Spots, Spots Everywhere, And Not A Spot To SeeSarkis M. Nazarian, Kelli Y. Shaon, Kenneth R. Habetz, Ayman Al-Salaimeh, John D. Schwankhaus, Joseph G. Chacko, MD, University of ArkansasAdditional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash.
106 Spots, Spots Everywhere, And Not A Spot To SeeSarkis M. Nazarian, Kelli Y. Shaon, Kenneth R. Habetz, Ayman Al-Salaimeh, John D. Schwankhaus, Joseph G. Chacko, MD, University of ArkansasAdditional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash.
107 Spots, Spots Everywhere, And Not A Spot To SeeSarkis M. Nazarian, Kelli Y. Shaon, Kenneth R. Habetz, Ayman Al-Salaimeh, John D. Schwankhaus, Joseph G. Chacko, MD, University of ArkansasAdditional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash.
108 A Wolf in Bear's ClothingPeter W. MacIntosh, Agatha Bogard, Pete Setabutr, Heather E. MossAn eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump beh...
109 A Wolf in Bear's ClothingPeter W. MacIntosh, Agatha Bogard, Pete Setabutr, Heather E. MossAn eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump beh...
110 A Wolf in Bear's ClothingPeter W. MacIntosh, Agatha Bogard, Pete Setabutr, Heather E. MossAn eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump beh...
111 Golden GrapesHeather E. Moss, Sean Zivin, Amy Lin, Vinay Aakalu, Senad Osmanovic, Omar Al Heeti, Stockton Mayer, Mahesh PatelA 71 year-old African American woman presented with a painful right retrobulbar optic neuropathy and weight loss. ESR was 74. She was treated with steroids. Temporal artery biopsy did not show arteritis. Nine days later, while on a steroid taper, she developed fevers, worsening right eye vision, pto...
112 Golden GrapesHeather E. Moss, Sean Zivin, Amy Lin, Vinay Aakalu, Senad Osmanovic, Omar Al Heeti, Stockton Mayer, Mahesh PatelA 71 year-old African American woman presented with a painful right retrobulbar optic neuropathy and weight loss. ESR was 74. She was treated with steroids. Temporal artery biopsy did not show arteritis. Nine days later, while on a steroid taper, she developed fevers, worsening right eye vision, pto...
113 Golden GrapesHeather E. Moss, Sean Zivin, Amy Lin, Vinay Aakalu, Senad Osmanovic, Omar Al Heeti, Stockton Mayer, Mahesh PatelA 71 year-old African American woman presented with a painful right retrobulbar optic neuropathy and weight loss. ESR was 74. She was treated with steroids. Temporal artery biopsy did not show arteritis. Nine days later, while on a steroid taper, she developed fevers, worsening right eye vision, pto...
114 A Difficult Bug to SwallowKenneth Lao, Blake A. Isernhagen, R. Michael SiatkowskiNon-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus.
115 A Difficult Bug to SwallowKenneth Lao, Blake A. Isernhagen, R. Michael SiatkowskiNon-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus.
116 Behind the CurtainMarc H. Levin, Pallavi Gopal, Steven L. Galetta, MD, NYU LangoneThere was no significant past medical history, no smoking history, nor any systemic symptoms.
117 Behind the CurtainMarc H. Levin, Pallavi Gopal, Steven L. Galetta, MD, NYU LangoneThere was no significant past medical history, no smoking history, nor any systemic symptoms.
118 Deaf and Dizzy. Have We Been Susacked?Jorge C. Kattah, John H. Pula, Paayal K. Patel, Meena Gujrati, David Newman-Toker, MD, PhD, Associate Professor, Departments of Neurology, Ophthalmology, & Otolaryngology, The Johns Hopkins University School of MedicineAcute vestibular syndrome (AVS) with unsteadiness, nausea, vomiting and decreased hearing. He is diabetic, has arterial hypertension, and was taking losartan, metformin, clopidogrel, and atorvastatin but was not on ototoxic or vasodilators medications. Examination at presentation showed left axial l...
119 Deaf and Dizzy. Have We Been Susacked?Jorge C. Kattah, John H. Pula, Paayal K. Patel, Meena Gujrati, David Newman-Toker, MD, PhD, Associate Professor, Departments of Neurology, Ophthalmology, & Otolaryngology, The Johns Hopkins University School of MedicineAcute vestibular syndrome (AVS) with unsteadiness, nausea, vomiting and decreased hearing. He is diabetic, has arterial hypertension, and was taking losartan, metformin, clopidogrel, and atorvastatin but was not on ototoxic or vasodilators medications. Examination at presentation showed left axial l...
120 Admissions Ad Nauseum: A Cryptic Case of ChiasmopathySara A. Simpson, Alex Merkler, Ehud Lavi, Joseph Safedieh, Alan Segal, Marc Dinkin
121 Admissions Ad Nauseum: A Cryptic Case of ChiasmopathySara A. Simpson, Alex Merkler, Ehud Lavi, Joseph Safedieh, Alan Segal, Marc Dinkin
122 OMG, I Can't CChantal J. Boisvert, Daniel Sand, Andrea D'Auria, Peter A. QuirosHeadaches for the past 8 months that became more severe in the last few weeks. They were pressure like, came and went, started occipital and radiated to the front. He was able to get initial relief with ibuprofen, but for the past week it didn't help. His past medical history was significant for DM,...
123 OMG, I Can't CChantal J. Boisvert, Daniel Sand, Andrea D'Auria, Peter A. QuirosHeadaches for the past 8 months that became more severe in the last few weeks. They were pressure like, came and went, started occipital and radiated to the front. He was able to get initial relief with ibuprofen, but for the past week it didn't help. His past medical history was significant for DM,...
124 A Case of Mistaken IdentityLindsey B. De Lott, Patricia L. Robertson, Suresh K. Mukherji, Andrew P. Lieberman, Jonathan Daniel Trobe, MD, Michigan University
125 A Case of Mistaken IdentityLindsey B. De Lott, Patricia L. Robertson, Suresh K. Mukherji, Andrew P. Lieberman, Jonathan Daniel Trobe, MD, Michigan University
126 Diabetes Does Not Explain It AllPhilip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. CestariSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
127 Diabetes Does Not Explain It AllPhilip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. CestariSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
128 Diabetes Does Not Explain It AllPhilip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. CestariSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
129 No Rhabdo?Mark R. MelsonA 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an...
130 No Rhabdo?Mark R. MelsonA 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an...
131 No Rhabdo?Mark R. MelsonA 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an...
132 Sacramentum GladiatoriumMichael S. Vaphiades, MD, University of Alabama, Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
133 Sacramentum GladiatoriumMichael S. Vaphiades, MD, University of Alabama, Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
134 Sacramentum GladiatoriumMichael S. Vaphiades, MD, University of Alabama, Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
135 Raise Your Grade Point AverageHilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, Jonathan Daniel Trobe MD, Michigan UniversityTwo years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing.
136 Raise Your Grade Point AverageHilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, Jonathan Daniel Trobe MD, Michigan UniversityTwo years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing.
137 Raise Your Grade Point AverageHilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, Jonathan Daniel Trobe MD, Michigan UniversityTwo years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing.
138 Ain't No Sunshine When You Are Gone!Veeral S. Shah, Linda L. Sternau, Michelle Felicella, Sanders Dubovy, Chris Alabiad, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Byron L. LamAn 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy...
139 Ain't No Sunshine When You Are Gone!Veeral S. Shah, Linda L. Sternau, Michelle Felicella, Sanders Dubovy, Chris Alabiad, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Byron L. LamAn 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy...
140 Ain't No Sunshine When You Are Gone!Veeral S. Shah, Linda L. Sternau, Michelle Felicella, Sanders Dubovy, Chris Alabiad, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Byron L. LamAn 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy...
141 Some Orbital ConfusionSteven A. Newman, MD, University of Virginia School of Medicine, David T. BourneIn September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D).
142 Some Orbital ConfusionSteven A. Newman, MD, University of Virginia School of Medicine, David T. BourneIn September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D).
143 Some Orbital ConfusionSteven A. Newman, MD, University of Virginia School of Medicine, David T. BourneIn September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D).
144 Clues Hidden in the SkinJanet C. Rucker, Catherine Cho, James Weisfeld-Adams, Scott E. BrodieShe underwent neurological evaluation at age 32 (neuroimaging, serologies, lumbar puncture, muscle biopsy) with no resultant diagnosis (records unavailable). She required a wheelchair by age 36 and gradually developed slurred speech, cognitive decline, and worsened motor function. Simultaneous with ...
145 Clues Hidden in the SkinJanet C. Rucker, Catherine Cho, James Weisfeld-Adams, Scott E. BrodieShe underwent neurological evaluation at age 32 (neuroimaging, serologies, lumbar puncture, muscle biopsy) with no resultant diagnosis (records unavailable). She required a wheelchair by age 36 and gradually developed slurred speech, cognitive decline, and worsened motor function. Simultaneous with ...
146 Clues Hidden in the SkinJanet C. Rucker, Catherine Cho, James Weisfeld-Adams, Scott E. BrodieShe underwent neurological evaluation at age 32 (neuroimaging, serologies, lumbar puncture, muscle biopsy) with no resultant diagnosis (records unavailable). She required a wheelchair by age 36 and gradually developed slurred speech, cognitive decline, and worsened motor function. Simultaneous with ...
147 Occam's Razor or Gamma Knife?Kaushal M. Kulkarni, Linda L. Sternau, Byron L. LamHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
148 Occam's Razor or Gamma Knife?Kaushal M. Kulkarni, Linda L. Sternau, Byron L. LamHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
149 Occam's Razor or Gamma Knife?Kaushal M. Kulkarni, Linda L. Sternau, Byron L. LamHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
150 It's All in Your HeadWilliam L. Hills, Marjorie R. Grafe, Jane Weissman, Julie Falardeau, Michele K. Mass, William T. ShultsMigraine headache with visual aura since age 27 and upper airway resistance syndrome.
151 It's All in Your HeadWilliam L. Hills, Marjorie R. Grafe, Jane Weissman, Julie Falardeau, Michele K. Mass, William T. ShultsMigraine headache with visual aura since age 27 and upper airway resistance syndrome.
152 Arborizing OrbitValerie ElmalemA 36-year old female with left eyelid edema; Progressive loss of vision OS. Previous history significant for anemia, vitamin B-12 deficiency. Smoker.
153 Arborizing Orbit (PowerPoint)Valerie ElmalemA 36-year old female with left eyelid edema; Progressive loss of vision OS. Previous history significant for anemia, vitamin B-12 deficiency. Smoker.
154 Thickened and Swollen (PowerPoint)Simon HickmanA 46-year old female with ocular irritation and dry eyes. Previous history significant for sensory peripheral neuropathy.
155 Thickened and SwollenSimon HickmanA 46-year old female with ocular irritation and dry eyes. Previous history significant for sensory peripheral neuropathy.
156 "No Skin Off My Back" (PowerPoint)J. Alexander FraserA 41-year old male with a sudden onset loss of vision with headache over the brow. Previous history significant for a wide excision of a malignant melanoma from the left scapular region and left axillary lymph node dissection 5 years previously. Patient was a smoker.
157 "No Skin Off My Back"J. Alexander FraserA 41-year old male with a sudden onset loss of vision OS with headache over the brow. Previous history significant for a wide excision of a malignant melanoma from the left scapular region and left axillary lymph node dissection 5 years previously. Patient was a smoker.
158 The Costs of ContainmentJeffrey GelfandA 68-year old male with 1-1/2 year history of painless blurred vision OU. Previous history significant for subacute paraparesis from spinal meningitis (subsequently resolved), ischemic optic neuropathy with residual central loss of vision OS. Remote history of a 78 pack-year of smoking.
159 The Costs of Containment (PowerPoint)Jeffrey GelfandA 68-year old male with 1-1/2 year history of painless blurred vision OU. Previous history significant for subacute paraparesis from spinal meningitis (subsequently resolved), ischemic optic neuropathy with residual central loss of vision OS. Remote history of a 78 pack-year of smoking.
160 How Many Surgeons and Pathologists Does It Take to Diagnose an Orbital Neoplasm? (PowerPoint)Allison N. McCoyA 13-year old male with a 2-year history of recurrent subconjunctival hemorrhage, pain, and swelling OD. Previous history significant for ADHD.
161 How Many Surgeons and Pathologists Does It Take to Diagnose an Orbital Neoplasm?Allison N. McCoyA 13-year old male with a 2-year history of recurrent subconjunctival hemorrhage, pain, and swelling OD. Previous history significant for ADHD.
162 A Mystery Case of Proptosis, Optic Neuropathy, and Peripheral NeuropathyBonnie KeungAge 7 - headaches and vision loss to count fingers in left eye; Age 13 - diagnosed with multiple sclerosis; Age 22 - diplopia thought to be bilateral INO; identical twin with sequential bilateral optic neuritis at 8 years, diagnosis of multiple sclerosis at 12 years, and repeated exacerbations of ga...
163 A Mystery Case of Proptosis, Optic Neuropathy, and Peripheral NeuropathyBonnie KeungAge 7 - headaches and vision loss to count fingers in left eye; Age 13 - diagnosed with multiple sclerosis; Age 22 - diplopia thought to be bilateral INO; identical twin with sequential bilateral optic neuritis at 8 years, diagnosis of multiple sclerosis at 12 years, and repeated exacerbations of ga...
164 Meningioma Or Masquerader?Kaushal KulkarniA 39-year old female with a 1-year history of progressive blurred vision in the temporal aspect OD. Previous history significant for hypertension (controlled) and mother Dx diabetes.
165 Meningioma Or Masquerader? (PowerPoint)Kaushal KulkarniA 39-year old female with a 1-year history of progressive blurred vision in the temporal aspect OD. Previous history significant for hypertension (controlled) and mother Dx diabetes.
166 Turning a Blind Eye that Karma Wouldn't (PowerPoint)Timothy WinterA 56-year old male with facial pain (worsening after two teeth were extracted) and decreased hearing AD. Previous history significant for poorly controlled insulin-dependent diabetes and hypertension.
167 Turning a Blind Eye that Karma Wouldn'tTimothy WinterA 56-year old male with facial pain (worsening after two teeth were extracted) and decreased hearing AD. Previous history significant for poorly controlled insulin-dependent diabetes and hypertension.
168 The Case of a Dog GroomerMadhura TamhankarA 64-year old female with a 2-month history of binocular vertical diplopia. Previous history significant for hypertension, colon cancer treated with bowel resection, restless leg syndrome and hypothyroidism. Previous ocular history significant for amblyopia OD and narrow angles Tx laser iridotomy.
169 The Case of a Dog Groomer (PowerPoint)Madhura TamhankarA 64-year old female with a 2-month history of binocular vertical diplopia. Previous history significant for hypertension, colon cancer treated with bowel resection, restless leg syndrome and hypothyroidism. Previous ocular history significant for amblyopia OD and narrow angles Tx laser iridotomy.
170 Downbeat Nystagmus, Esotropia, and Llymphadenopathy in a 10-Month Old Girl with Chronic Fevers (PowerPoint)Frank SiringoA 10-month old dizygotic twin female with diarrhea and high fever. Clinical course marked by abdominal distention, poor oral intake, hepatosplenomegaly, diffuse lymphadenopathy. Subsequent decline in tone, loss of motor milestones, e. coli UTI, p. aeruginosa sepsis, anemia, thrombocytopenia, and ult...
171 Downbeat Nystagmus, Esotropia, and Lymphadenopathy in a 10-Month Old Girl with Chronic FeversFrank SiringoA 10-month old dizygotic twin female with diarrhea and high fever. Clinical course marked by abdominal distention, poor oral intake, hepatosplenomegaly, diffuse lymphadenopathy. Subsequent decline in tone, loss of motor milestones, e. coli UTI, p. aeruginosa sepsis, anemia, thrombocytopenia, and ult...
172 CSEyeLindsey DeLottA 56-year old male with a 3-week history of episodic transient monocular loss of vision OD, increasing cough, headache and low grade fever. Previous history significant for adult-onset asthma and atrial fibrillation.
173 CSEye (PowerPoint)Lindsey DeLottA 56-year old male with a 3-week history of episodic transient monocular loss of vision OD, increasing cough, headache and low grade fever. Previous history significant for adult-onset asthma and atrial fibrillation.
174 Las Vegas Masquerade (PowerPoint)Francine WeinA 72-year old male with diplopia. Previous history significant for prostate cancer, diabetes, hypertension and distant stroke.
175 Las Vegas MasqueradeFrancine WeinA 72-year old male with diplopia. Previous history significant for prostate cancer, diabetes, hypertension and distant stroke.
176 Go to the Primary Source (PowerPoint)Ryan WalshA 53-year old female with a 6-month history of progressive loss of vision OS.
177 Go to the Primary SourceRyan WalshA 53-year old female with a 6-month history of progressive loss of vision OS.
178 Occam's Razor RevisitedJonathan Daniel Trobe, MD, Michigan UniversityA 64-year old male with headache, Loss of vision OS followed by sudden temporal field loss OD and episodic epistaxis. Previous history significant for atrial fibrillation.
179 Occam's Razor Revisited (PowerPoint)Jonathan Daniel Trobe, MD, Michigan UniversityA 64-year old male with headache, Loss of vision OS followed by sudden temporal field loss OD and episodic epistaxis. Previous history significant for atrial fibrillation.
180 A Wolf in Sheep's ClothingHeather E. MossA 23-year old male with transient visual obscurations and subsequent bilateral peripheral loss of vision.
181 A Wolf in Sheep's Clothing (PowerPoint)Heather E. MossA 23-year old male with transient visual obscurations and subsequent bilateral peripheral loss of vision.
182 College Can be Such a HeadacheJoseph G. Chacko, MD, University of ArkansasA 21-year old male Dx pharyngitis Tx clarithromycin followed by episodic severe headaches, neck and back pain and a 3-week history of diplopia, anisocoria and a 20-pound weight loss. Previous history significant for hyperthyroidism.
183 College Can be Such a Headache (PowerPoint)Joseph G. Chacko, MD, University of ArkansasA 21-year old male Dx pharyngitis Tx clarithromycin followed by episodic severe headaches, neck and back pain and a 3-week history of diplopia, anisocoria and a 20-pound weight loss. Previous history significant for hyperthyroidism.
184 The Terrible ThreesMays El-DairiA 3-year old female with a third cranial nerve palsy. One year prior to presentation, vomiting, headache noted along with left ptosis and anisocoria: Dx Horner Syndrome.
185 The Terrible Threes (PowerPoint)Mays El-DairiA 3-year old female with a third cranial nerve palsy. One year prior to presentation, vomiting, headache noted along with left ptosis and anisocoria: Dx Horner Syndrome.
186 WHO Panics?Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of MichiganA 54-year old female with headache, blurred central vision OD, papilledema, macular hemorrhage and a 4-week history of panic attacks and seizures. Previous history significant for hypertension, smoking and a 20 pound weight loss.
187 WHO Panics? (PowerPoint)Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of MichiganA 54-year old female with headache, blurred central vision OD, papilledema, macular hemorrhage and a 4-week history of panic attacks and seizures. Previous history significant for hypertension, smoking and a 20 pound weight loss.
188 Ischemic Optic Neuritis (PowerPoint)Marc J. Dinkin, MD, Weill Cornell MedicineA 68-year old female with a 5-hour painless loss of vision OS followed by unremitting loss of vision 9 days after initial episode. Previous history significant for hypertension and diabetes mellitus.
189 Ischemic Optic NeuritisMarc J. Dinkin, MD, Weill Cornell MedicineA 68-year old female with a 5-hour painless loss of vision OS followed by unremitting loss of vision 9 days after initial episode. Previous history significant for hypertension and diabetes mellitus.
190 TROUBLE READINGCaroline TiliketeA 73-year old female with a 1-year history of progressive visual difficulties and impairing reading.
191 TROUBLE READING (PowerPoint)Caroline TiliketeA 73-year old female with a 1-year history of progressive visual difficulties and impairing reading.
192 ‘Tis Nobler in the Mind to Suffer... Or to Take Arms Against a Sea of Troubles and by Opposing End Them? (Hamlet act 3, scene 1) (PowerPoint)Heather E. MossA 41-year old female with a shadow of the left eye.
193 ‘Tis Nobler in the Mind to Suffer... Or to Take Arms Against a Sea of Troubles and by Opposing End Them? (Hamlet act 3, scene 1)Heather E. MossA 41-year old female with a shadow over the left eye.
194 ‘Tis Nobler in the Mind to Suffer... Or to Take Arms Against a Sea of Troubles and by Opposing End Them? (Hamlet act 3, scene 1) (Presentation Video)Heather E. Moss41-year old female with a shadow over the left eye.
195 Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven Sarcoidosis (PowerPoint)Jeffrey GelfandA 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis.
196 Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven SarcoidosisJeffrey GelfandA 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis.
197 Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven Sarcoidosis (Presentation Video)Jeffrey GelfandA 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis.
198 Bad Eyes, Bad Walking and Bad JudgementClare FraserA 20-year old male with deteriorating vision OS and a 13-year history of combined variable immunodeficiency. Previous history significant for atypical mycobacterium.
199 Bad Eyes, Bad Walking and Bad Judgement (PowerPoint)Clare FraserA 20-year old male with deteriorating vision OS and a 13-year history of combined variable immunodeficiency. Previous history significant for atypical mycobacterium.
200 Bad Eyes, Bad Walking and Bad Judgement (Presentation Video)Clare FraserA 20-year old male with deteriorating vision OS and a 13-year history of combined variable immunodeficiency. Previous history significant for atypical mycobacterium.
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