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TitleCreatorDescriptionSubject
1 Cavernous Sinus MeningiomaShirley H. Wray, MD, PhD, FRCPThis patient is a 46 year old woman from Portugal who was admitted to the Massachusetts General Hospital in September 1986 with ophthalmoplegia of the left eye (OS) and signs of aberrant reinnervation of the third nerve. She presented, in August 1985, with an episode of diplopia. The diplopia was su...Ptosis; Unilateral Third Nerve Palsy; Aberrant Reinnervation of the Third Nerve; Paresis of Abduction; Sixth Nerve Palsy; Oculomotor Nerve; Cavernous Sinus Meningioma; Cavernous Sinus Syndrome; Unilateral Oculomotor Third Nerve Palsy; Unilateral Sixth Nerve Palsy
2 Wallenberg Syndrome and Skew DeviationLauren Schneider, MD; Rudrani Banik, MDPower point of case presentation of acute Wallenberg Syndrome associated with vertical diplopia, found by 3 step and supine testing to be consistent with skew deviation.Wallenberg Syndrome; Skew Deviation; Vertical Diplopia
3 Bilateral Acquired Brown's SyndromeRyan D. Walsh, MD; Collin McClelland, MDA 27 year old female with a history of Sjogren's syndrome reported a 2 year history of a vertical binocular diplopia with looking up-and-to-the right. She has also noticed an audible "click" when positioning her eyes in this direction. As depicted in the video, when attempting to look up-and-to-the...Brown's syndrome; Brown syndrome; hypertropia; diplopia; disorder of ocular motility; Sjogren's syndrome
4 Sixth nerve palsy or not? (Video)Vivian Paraskevi Douglas; Konstantinos Douglas; Nurhan TorunHere in we present a case of a 72-yearold Caucasian female with remote history of breast cancer who presented with diplopia in the right gaze over the past several months. There had been no improvement after a 5-day course of steroids by an outside ophthalmologist. On neuro-ophthalmic examination, t...Abduction deficit; Diplopia; Orbital imaging
5 Non-Surgical Management of StrabismusAlex Christoff, MDAn overview of non-surgical treatment of strabismus.Strabismus
6 Sixth nerve palsy or not? (Image)Vivian Paraskevi Douglas; Konstantinos Douglas; Nurhan TorunHere in we present a case of a 72-yearold Caucasian female with remote history of breast cancer who presented with diplopia in the right gaze over the past several months. There had been no improvement after a 5-day course of steroids by an outside ophthalmologist. On neuro-ophthalmic examination, t...Abduction deficit; Diplopia; Orbital imaging
7 A Brief Introduction to Post-Ocular Surgery StrabismusSrujay Pandiri, Medical StudentThis is a short narrated Powerpoint that introduces concepts important to post-ocular surgery strabismus. It highlights the connection between common surgeries include cataract surgery, scleral buckle surgery, refractive surgery, among others.Diplopia; Strabismus; Post-ocular Surgery Strabismus
8 Bilateral Internuclear OphthalmoplegiaShirley H. Wray, MD, PhD, FRCPThis patient was seen at the Yale Eye Center at the age of 37. She had a long history of multiple sclerosis. At age 22, she had an acute attack of optic neuritis in the left eye which recovered fully within three weeks. Some months later she had a recurrent episode in the same eye, which also recove...Bilateral Internuclear Ophthalmoplegia; Pendular Horizontal Oscillations; Lid Nystagmus; Upbeat Nystagmus; Botulinum Toxin Therapy; Multiple Sclerosis; Horizontal Pendular Nystagmus; Gaze Evoked Upbeat Nystagmus; Abducting Nystagmus
9 Horizontal Gaze PalsyShirley H. Wray, MD, PhD, FRCPThis 56 year old woman with known adenocarcinoma of the breast presented with the recent onset of horizontal diplopia and deviation of her left eye inwards. Her oncologist referred her for a neuro-ophthalmic evaluation. This 56 year old woman with known adenocarcinoma of the breast presented with th...Unilateral Horizontal Gaze Palsy; Esotropia; Fascicular Sixth Nerve Palsy; Horizontal Gaze Evoked Nystagmus; Normal Convergence; Horizontal Oculocephalic Reflexes Absent; Facial Palsy (Bell's Palsy); Abducens Nuclear Lesion; Pontine Metastasis; Adenocarcinoma of the Breast; Unilateral Sixth Nerve Pa...
10 Myxopapillary EpendymomaNagham Al-Zubidi, MDA case of filum terminale tumor presented with symptoms and sign of idiopathic intracranial hypertension.Myxopapillary Ependymoma; Idiopathic Intracranial Hypertension; Filum Terminale Tumor
11 Chest CT Thymoma (Guest Lecture)Robert A. Novelline, MDThe patient is a 46 year old woman who presented in July 1977 with horizontal double vision lasting two weeks. Three weeks later the left upper eyelid started to droop and by the end of the day the eye was closed. She had no ptosis of the right eye and no generalized fatigue. She consulted an intern...Unilateral Ptosis; Unilateral Lid Retraction; Myasthenic Lid Twitch; External Ophthalmoplegia; Ocular Myasthenia Gravis; Tensilon Test; Thymolipoma; Generalized Myasthenia Gravis; Unilateral Myasthenia Gravis; Myasthenic Ptosis; Lid Retraction; Lid Twitch
12 Multiple Myeloma (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 48-year-old female was seen in May 1996 with a history of 2 months of diplopia from a right abducens palsy. This was due to the recurrence of myeloma that had initially been diagnosed and treated with radiation and chemotherapy 9 years before and required further therapy, including bone marrow ...Multiple Myeloma
13 Square Wave Jerks with ContrapulsionRaed Behbehani, MDA patient with history of brain stem stroke 2 months ago (right hemifacial anesthesia , left sided weakness and bulbar symptoms dysphagia) comes complaining of oscillipsia , binocular vertical diplopia). On exam he had a vertical tropia of 3-4 PD (Skew deviation), dissociated nystagmus , and saccadi...Square Wave Jerks; Contrapulsion
14 Decompensated PhoriaAlex Christoff, MDAn overview of decompensated phoria and its treatment.Decompensated Phoria
15 Myasthenia Gravis (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPThe patient is a 46 year old woman who presented in July 1977 with horizontal double vision lasting two weeks. Three weeks later the left upper eyelid started to droop and by the end of the day the eye was closed. She had no ptosis of the right eye and no generalized fatigue. She consulted an intern...Unilateral Ptosis; Unilateral Lid Retraction; Myasthenic Lid Twitch; External Ophthalmoplegia; Ocular Myasthenia Gravis; Tensilon Test; Thymolipoma; Generalized Myasthenia Gravis; Unilateral Myasthenia Gravis; Myasthenic Ptosis; Lid Retraction; Lid Twitch
16 Myasthenia ThymomaShirley H. Wray, MD, PhD, FRCPThe patient is a 46 year old woman who presented in July 1977 with horizontal double vision lasting two weeks. Three weeks later the left upper eyelid started to droop and by the end of the day the eye was closed. She had no ptosis of the right eye and no generalized fatigue. She consulted an intern...Unilateral Ptosis; Unilateral Lid Retraction; Myasthenic Lid Twitch; External Ophthalmoplegia; Ocular Myasthenia Gravis; Tensilon Test; Thymolipoma; Generalized Myasthenia Gravis; Unilateral Myasthenia Gravis; Myasthenic Ptosis; Lid Retraction; Lid Twitch
17 Carotid Cavernous Fistulas (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 76-year-old woman has a 7-month history of redness and pressure sensation in both eyes that is worse in the morning. She has noted intermittent horizontal diplopia during this time. Angiography demonstrated a right dural cavernous sinus fistula, which was successfully occluded with direct injec...Dural Arteriovenous Malformation; Carotid Cavernous Fistulas
18 Pituitary Apoplexy and Hemifield Slide PhenomenonHelen H. Yeung, MD; Rudrani Banik, MDPowerPoint of case presentation of pituitary apoplexy. Patient presented with bilateral severe visual loss and bilateral ophthalmoplegia from partial third nerve palsies (pupil-sparing with no ptosis) from midbrain compression. After transsphenoidal surgery with decompression of mass and steroids, ...Pituitary Apoplexy; Hemifield Slide; Bitemporal Defect; Partial Third Nerve Palsy
19 Tadpole Pupil (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyIntermittent 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 Pupil
20 Lancaster Red-Green TestAngela Cao; Anne AbelThe Lancaster Red Green Test is used to assess ocular misalignment. This brief video explains how to administer and interpret the test.Diplopia; Lancaster Red Green Test; Strabismus
21 Ocular Neuromyotonia VideoBashaer Aldhahwani, MD; Joshua Pasol, MDA video demonstrates ocular neuromyotonia in the left eye of a patient with a history of cranial radiation of parasellar mass. Ocular neuromyotonia (ONM) is a rare ocular motor disorder characterized by intermittent, tonic spasms of one or more of the extraocular muscles, resulting in strabismus and...Ocular Neuromyotonia
22 CNS LymphomaShirley H. Wray, MD, PhD, FRCPThe patient is a 70 year old Italian man with atrial fibrillation on long-term coumadin therapy. In October 1995, he developed generalized headache, horizontal double vision and his left eye deviated inwards (esotropia). A diagnosis of left sixth nerve palsy was made and attributed to microvascular ...Bilateral Sixth Nerve Palsy; Bilateral Esotropia; CNS Non-Hodgkin's Lymphoma; Cavernous Sinus Syndrome; Lymphoma
23 Brown SyndromeMeagan Seay, DOA brief overview of Brown Syndrome.Brown Syndrome
24 Temporal Artery Biopsy ProcedureNooran Badeeb; Danah AlbreikiTemporal artery biopsy is a procedure that is done in a patient with suspicion of GCA (Giant cell Arteritis), and some of the clinical manifestations that prompts us to suspect the diagnosis in patients older than 50 years old are: 1. GCA symptoms e.g. new onset headache. 2 . Visual symptoms: - Visi...Temporal Artery Biopsy; GCA; Temporal Arteritis
25 Worth 4-Dot TestAngela Cao; Anne AbelThis presentation describes the Worth 4-Dot test, demonstrates how to perform the test, and interpret results.Amblyopia; Diplopia; Worth 4-dot Test
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