501 - 600 of 856
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TitleDescriptionType
501 IE14b End Stage Leber Optic NeuropathyEnd stage Leber's Optic Neuropathy. Dense temporal pallor. Microangiopathy is absent. Left eye. Pair with 14a. Anatomy: Optic disc. Pathology: Optic neuropathy. Disease/ Diagnosis: Leber's optic neuropathy. Clinical: Blindness.Image
502 IE15a End Stage Leber Optic NeuropathyEnd stage Leber's Optic Neuropathy. Severe diffuse pallor. Right eye. Pair with 15b. Anatomy: Optic disc. Pathology: Optic neuropathy. Disease/ Diagnosis: Leber's optic neuropathy. Clinical: Blindness.Image
503 IF101 Low Tension GlaucomaLow tension glaucoma. Highly myopic eye with shallow cup. Peripapillary choroidal pigment atrophy. Note the narrowed retinal arterioles. 1965. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical: Visual field defects.Image
504 IF102a Low Tension GlaucomaLow tension glaucoma with bilateral superior altitudinal field defects. Thinning of the neuroretinal rim. Cupping predominantly inferiorly. Pair with IF1_2b. Anatomy: Optic disc. Pathologhy: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical: Bilateral altitudinal visual field loss.Image
505 IF102b Low Tension GlaucomaLow tension glaucoma with bilateral superior altitudinal field defects. Thinning of the neuroretinal rim. Cupping predominantly inferiorly. Pair with IF1_2b. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical: Bilateral altitudinal visual field loss.Image
506 IF103a Low Tension Glaucoma60 year old woman. Congenital myopia. Temporal pallor. Shallow cupping. Possible low tension glaucoma. Pair with IF1_3b. Note arteriola narrowing. 1971. Anatomy: Optic disc. Clinical: Bilateral field defects.Image
507 IF103b Low Tension Glaucoma60 year old woman. Congenital myopia. Temporal pallor. Shallow cupping. Possible low tension glaucoma. Pair with IF1_3a. Note arteriola narrowing. Anatomy: Optic disc. Clinical: Bilateral field defects.Image
508 IF104a Low Tension GlaucomaPossible low tension glaucoma. Patient with macro discs with remarkable cupping. Pair with IF1_4b. 1969. Anatomy: Optic disc. Disease/ Diagnosis: Cupping and megalopapilla (macrodisc). Clinical: Possible visual field defect.Image
509 IF104b Low Tension GlaucomaPossible low tension glaucoma. Patient with macro discs with remarkable cupping. Pair with IF1_4a. 1969. Anatomy: Optic disc. Disease/ Diagnosis: Cupping and megalopapilla (macrodisc). Clinical: Possible visual field defect.Image
510 IF105a Low Tension Glaucoma40 year old man. Megalopapilla. Right eye has superior arcuate field defect. Pair with IF1_5b. Anatomy: Optic disc. Disease/ Diagnosis: Cupping and megalopapilla (macrodisc). Clinical: Asymptomatic.Image
511 IF105b Low Tension Glaucoma40 year old man. Megalopapilla. Left eye. Pair with IF1_5a. Anatomy: Optic disc. Disease/ Diagnosis: Cupping and megalopapilla (macrodisc). Clinical: Asymptomatic.Image
512 IF106 Low Tension GlaucomaLow tension glaucoma with subtle inferior temporal wedge defect in the retinal nerve fiber layer corresponding with an inferior temporal defect in the neuroglial rim. 27 year old man. 1984. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical: Superior arcuate...Image
513 IF107 Glaucoma Cupped DiscGlaucoma cupped disc with inferior temporal retinal nerve fiber layer defect. Vertically ovoid cup. 1974. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Glaucoma. Clinical: Superior arcuate visual field defects.Image
514 IF108 Glaucoma Cupped DiscGlaucoma cupped disc. Note dark slits in the upper arcuate retinal nerve fibers. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Glaucoma. Clinical: Inferior field defects.Image
515 IF109 Glaucoma Cupped DiscGlaucoma cupped disc. Note inferior extension of the optic cup, thinning of the neuroglial rim at 5:00 and inferior sector defect in the retinal nerve fiber layer. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Glaucoma. Clinical: Superior field defects.Image
516 IF110 Low Tension GlaucomaLow tension glaucoma with an inferior sector defect in the retinal nerve fiber layer. 1979. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical: Superior field defects.Image
517 IF111a Low Tension GlaucomaLow tension glaucoma. Followed. Pair with IF1_11b, c, d. Left eye. 1981. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical: Asymptomatic.Image
518 IF111b Low Tension GlaucomaLow tension glaucoma. Followed, 9 years later. Wedge defects in retinal nerve fiber defects in both temporal arcuate zones. Note small disc edge hemorrhage at 5:00. Pair with IF1_11a, c, d. Left eye. 1990. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical:...Image
519 IF111c Low Tension GlaucomaLow tension glaucoma. Followed. Notice disc edge hemorrhage at 7:00. Inferior nerve fiber layer defect between 6:00 and 7:30.Pair with IF1_11a, b, d. Right eye. 1981. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical: Superior arcuate visual field defectImage
520 IF111d Low Tension GlaucomaLow tension glaucoma. Followed. Inferior arcuate field defect has expanded upward. Note increase in atrophy and cupping in inferior temporal disc. Pair with IF1_11a, b, d. Right eye. 1990. Anatomy: Optic disc. Pathology: Glaucoma. Disease/ Diagnosis: Low tension glaucoma. Clinical: Increased size o...Image
521 IF201a Temporal Cupping with Dominant Hereditary Optic Atrophy1969. Dominant hereditary optic atrophy (Kjer) Pair with IF2_1b. Right eye. Boy with reduced central acuity since childhood. Discs are pale temporally and the temporal nerve fiber layer is thin. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditar...Image
522 IF201b Temporal Cupping with Dominant Hereditary Optic Atrophy1969. Dominant hereditary optic atrophy (Kjer) Pair with IF2_1a. Left eye. Boy with reduced central acuity since childhood. and the temporal nerve fiber layer is thin. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Clinical: ...Image
523 IF202a Temporal Cupping with Dominant Hereditary Optic AtrophyRight eye. Teenage boy. Dominant hereditary optic atrophy (Kjer). Shows pallor and shallow cupping temporally. Pair with IF2_2b. 1975. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Clinical: Depressed central vision.Image
524 IF202b Temporal Cupping with Dominant Hereditary Optic AtrophyLeft eye. Teenage boy. Dominant hereditary optic atrophy (Kjer). Shows temporal pallor only. Shallow temporal cup. Pair with IF2_2a. 1975. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Clinical: Depressed central vision.Image
525 IF203a Temporal Cupping with Dominant Hereditary Optic AtrophyRight eye shows pallor and temporal cupping. Pair with IF2_3b. 1994. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Clinical: Depressed central vision.Image
526 IF203b Temporal Cupping with Dominant Hereditary Optic AtrophyLeft disc is hypoplastic and smaller with temporal pallor. Pair with IF2_3a. 1994. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Clinical: Depressed central vision.Image
527 IF204a Temporal Cupping with Dominant Hereditary Optic AtrophyRight eye with temporal pallor and shallow cupping. Pair with IF2_4b. 1960. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Clinical: Dominant hereditary optic atrophy.Image
528 IF204b Temporal Cupping with Dominant Hereditary Optic AtrophyLeft eye with temporal pallor and shallow cupping. Pair with IF2_4a. 1960. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Clinical: Depressed central vision.Image
529 IF205a Temporal Cupping with Dominant Hereditary Optic Atrophy1970. Right eye. Pair with IF2_5b. 55 year old woman with deficient vision all her life. Typical pattern of dominant hereditary atrophy. Temporal pallor and shallow cupping. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Cli...Image
530 IF205b Temporal Cupping with Dominant Hereditary Optic Atrophy1970. Left eye. Pair with IF2_5a. 55 year old woman with deficient vision all her life. Typical pattern of dominant hereditary atrophy. Temporal pallor and shallow cupping. Anatomy: Optic disc. Pathology: Dominant hereditary optic atrophy. Disease/ Diagnosis: Dominant hereditary optic atrophy. Clin...Image
531 IF301 Post Giant Cell Arteritis Ischemic PapillopthyPost giant cell arteritis ischemic papillopathy. Note shallow cupping without vascular displacement.1994. Also note the irregular focal arteriolar narrowing. Blind eye. Male. Anatomy: Optic disc. Pathology: Ischemic papillopathy from giant cell arteritis. Disease/ Diagnosis; Ischemic papillopathy fr...Image
532 IIA101 Diffuse AtrophyPrimary or retrograde optic atrophy. It occurs from any injury to an optic nerve in the orbit or within the skull. Diffuse optic atrophy and blindness from nerve compression by pituitary tumor. Black woman. 1974. Note that retrograde optic atrophy can be associated with narrowed retinal arterioles i...Image
533 IIA102a Diffuse AtrophyBilateral primary or retrograde optic atrophy from bilateral optic nerve sheath meningiomas. Pair with IIA1_2b. Right eye. 1984. Anatomy: Optic disc. Pathology: Bilateral optic nerve sheath meningiomas. Disease/ Diagnosis: Retrograde optic atrophy. Clinical: Bilateral visual loss.Image
534 Ischemic Complication of DrusenPP30a: right eye--buried drusen; PP30b: buried drusen with anterior ischemic optic neuropathy (AION) from complication of drusen of left eye. Ischemic complication of drusen in left eye. PP30c: 3 month follow-up: narrowed arterioles slightly pale disc with buried drusen. Anatomy: Optic disc. Patho...Image
535 Ischemic Complication of DrusenPP30a: right eye--buried drusen; PP3-b: buried drusen with anterior ischemic optic neuropathy (AION) from complication of drusen of left eye. Ischemic complication of drusen in left eye. PP30c: 3 month follow-up: narrowed arterioles slightly pale disc with buried drusen. Anatomy: Optic disc. Path...Image
536 Ischemic Complication of DrusenPP30a: right eye--buried drusen; PP30b: buried drusen with anterior ischemic optic neuropathy (AION) from complication of drusen of left eye. Ischemic complication of drusen in left eye. PP30c: 3 month follow-up: narrowed arterioles slightly pale disc with buried drusen. Anatomy: Optic disc. Patho...Image
537 Late Complications of DrusenPP33a: right disc shows pallor and small calcified crystals on the disc surface. PP33: left disc shows calcified specs on temporal sector of the disc. Florid drusen in young patients changes over time to assume this appearance. Anatomy: Optic disc. Pathology: Drusen of the optic disc. Disease/Dia...Image
538 Late Complications of DrusenPP33a: right disc shows pallor and small calcified crystals on the disc surface. PP33b: left disc shows calcified specs on temporal sector of the disc. Florid drusen in young patients changes over time to assume this appearance. Anatomy: Optic disc. Pathology: Drusen of the optic disc. Disease/Di...Image
539 Macular Cherry Red Spots in Niemann-Pick diseaseClose up view of macular cherry red spots in Niemann-Pick disease. Same patient as R2A2a. Anatomy: Retina. Pathology: Retinal ganglion cell accumulation of lipid. Disease/Diagnosis: Niemann-Pick disease. Clinical: Severe mental retardation and blindness. Fatal.Image
540 Macular Cherry Red Spots in Niemann-Pick diseaseMacular cherry red spots in Niemann-Pick disease. Same patient as R2A2b. Anatomy: Retina. Pathology: Retinal ganglion cell accumulation of lipid. Disease/Diagnosis: Niemann-Pick disease. Clinical: Severe mental retardation and blindness. Fatal.Image
541 Macular Cherry Red Spots in Tay-Sachs diseaseMacular cherry red spots in patient with Tay-Sachs disease. Anatomy: Retina. Pathology: Retinal ganglion cell accumulation of lipid. Disease/Diagnosis: Tay-Sachs disease. Clinical: Severe mental retardation and blindness. Fatal.Image
542 Medullated Nerve Fibers with PapilledemaLeft eye. papilledema only. Man with metastatic gastric carcinoma. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Papilledema plus medullated nerve fibers.Image
543 Medullated Nerve Fibers with PapilledemaRight eye. Papilledema superimposed upon medullated nerve fibers. Man with metastatic gastric carcinoma. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Papilledema plus medullated nerve fibers.Image
544 Multifocal ChoroidopathyMultifocal choroidopathy in a patient with uveitis. Anatomy: Retina. Disease/Diagnosis: Uveitis, Multifocal placoid pigment epitheliopathy. Clinical: Visual loss.Image
545 Multifocal ChoroidopathyMultifocal choroidopathy in a patient with uveitis. Anatomy: Retina. Disease/Diagnosis: Uveitis, Multifocal placoid pigment epitheliopathy. Clinical: Visual loss.Image
546 Multifocal ChoroidopathyMultifocal choroidopathy in a patient with uveitis. Anatomy: Retina. Disease/Diagnosis: Acute Multifocal Placoid Pigment Epitheliopathy (AMPPE). Clinical: Visual loss.Image
547 Multifocal ChoroidopathyMultifocal choroidopathy in a patient with uveitis. Anatomy: Retina. Disease/Diagnosis: Acute Multifocal Placoid Pigment Epitheliopathy (AMPPE). Clinical: Visual loss.Image
548 Multifocal ChoroidopathyMultifocal choroidopathy in a patient with uveitis. Anatomy: Retina. Disease/Diagnosis: Acute Multifocal Placoid Pigment Epitheliopathy (AMPPE). Clinical: Visual loss.Image
549 Multifocal ChoroidopathyMultifocal choroidopathy in a patient with uveitis. Anatomy: Retina. Disease/Diagnosis: Acute Multifocal Placoid Pigment Epitheliopathy (AMPPE). Clinical: Visual loss.Image
550 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerMultiple slit defect in the superior arcuate nerve fiber layer. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
551 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerMultiple slit defect in the superior arcuate nerve fiber layer. Pair with IIB2_6b. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
552 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerMultiple slit like defects in the inferior arcuate nerve fibers. Pair with IIB2_3b. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
553 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerMultiple slit and wedge defects in the nerve fiber layer. Pair with IIB2_3a. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
554 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerMultiple slit defect in the superior arcuate nerve fiber layer. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
555 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerMultiple slit defect in the superior arcuate nerve fiber layer. Magnified. Pair with IIB2_6a. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Sclerosis optic neuropathy. Clinical: No symptoms.Image
556 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerLeft eye. Upper arcuate nerve fiber layer contains multiple low density slits. These indicate nerve fiber loss. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
557 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerMultiple slit defect in the superior arcuate nerve fiber layer in a 13 year old boy. Right eye. Pair with IIB2_7a. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
558 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerMultiple slit defect in the superior arcuate nerve fiber layer in a 13 year old boy. Pair with IIB2_7b. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
559 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerNeed magnification - Left eye - Peculiar punctate dotted surface of internal limiting membrane reflexes. Pairs with IIB2_01a & IIB2_02b. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
560 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerNeed magnification - Left eye - Inferior arcuate nerve fiber slits. Pairs with IIB2_01b & IIB2_01c. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
561 Multiple Sclerosis Slits and Thinning in Peripapillary (Retinal) Nerve Riber LayerNeed magnification - Left eye - Inferior arcuate nerve fiber slits. Pairs with IIB2_01a & IIB2_01c. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like atrophy. Disease/Diagnosis: Multiple sclerosis optic neuropathy. Clinical: No symptoms.Image
562 Neurofibromatosis-1Extensive retinal microvascular malformation involving both small and large retinal vessels. (Ref: BJO 2002:86, p282-284). Anatomy: Retina. Pathology: Retinal microvascular malformations. Disease/Diagnosis: Neurofibromatosis type 1. Clinical: No visual symptoms.Image
563 Neurofibromatosis-1Normal appearing optic disc with dark pigmented choroidal nevi. The patient had NF-1 and had a subclinical optic glioma on the left eye. This is the right eye. Anatomy: Optic disc. Pathology: Choroidal nevus. Disease/Diagnosis: Neurofibromatosis type 1. Clinical: No visual symptoms.Image
564 Neurofibromatosis-1Optic atrophy and hypoplasia of the optic disc associated with chiasmal glioma in a patient with NF-1. Anatomy: Optic disc. Pathology: Chiasmal glioma; Optic atrophy; Hypoplasia. Disease/Diagnosis: Neurofibromatosis type 1. Clinical: Proptosis; Blindness.Image
565 Neurofibromatosis-1Fluorescein angiogram defines the extent of the microvascular malformation. Pair with R1_E5b. (Ref: BJO 2002:86, p282-284). Anatomy: Retina. Pathology: Retinal microvascular malformations. Disease/Diagnosis: Neurofibromatosis type 1. Clinical: No visual symptoms. Imaging: Fluorescein angiogram.Image
566 Neurofibromatosis-1Retinal microvascular malformations in NF-1. Fundus picture shows a somewhat larger vertically running corkscrew malformation between two temporal retinal veins. Pair with R1_E5a. Anatomy: Retina. Pathology: Retinal microvascular malformations. Disease/Diagnosis: Neurofibromatosis type 1. Clinical: ...Image
567 Neurofibromatosis-1Retinal microvascular malformations in NF-1 located between the disc and the macula. Anatomy: Retina. Pathology: Retinal microvascular malformations. Disease/Diagnosis: Neurofibromatosis type 1. Clinical: No visual symptoms.Image
568 Neurofibromatosis-1Retinal microvascular malformations between optic disc and macula in NF-1. Anatomy: Retina. Pathology: Retinal microvascular malformations. Disease/Diagnosis: Neurofibromatosis type 1. Clinical: No visual symptoms.Image
569 Neurofibromatosis-2CPERH (choroidal pigment epithelial retinal hamartoma) lesion in a patient with NF-2. Note the oblique superficial retinal traction folds running toward the center of the main lesion. 51 year old man. Anatomy: Retina. Pathology: Hamartoma. Disease/Diagnosis: Neurofibromatosis type 2. Clinical: Fiel...Image
570 Neurofibromatosis-2Retinal tumor in NF-2 referred to as a CPERH (choroidal pigment epithelial retinal hamartoma). Patient, a 16 year old girl, had bilateral acoustic neurinomas. Pair with R1_F2b. Same eye. Anatomy: Optic disc; Retina. Pathology: Retinal hamartoma; Bilateral acoustic neurinoma. Disease/Diagnosis: Neuro...Image
571 Neurofibromatosis-2Retinal tumor in NF-2 referred to as a CPERH (choroidal pigment epithelial retinal hamartoma). Patient, a 16 year old girl, had bilateral acoustic neurinomas. Pair with R1_F2a. Same eye. Anatomy: Optic disc; Retina. Pathology: Retinal hamartoma; Bilateral acoustic neurinoma. Disease/Diagnosis: Neuro...Image
572 Neurofibromatosis-2This is the ocular fundus in a patient with NF-2 showing a preretinal membrane that extends from the temporal disc margin toward the macula. The optic disc shows low grade papilledema caused by one of the patient's acoustic neurinomas. The membrane has caused horizontal folds on the retinal surface....Image
573 Normal Peripapillary Nerve Fiber LayerNormal nerve fiber layer with Gunn's Dots visible in the upper arcuate fiber zone. This is a normal peripapillary nerve fiber layer in a young woman. Note the way the nerve fiber striations obscure and partially bury the small vessels running across them. Also note the interrupted surface reflex on ...Image
574 Normal Peripapillary Nerve Fiber LayerExample of 23 year old woman, healthy nerve fiber layer below her optic disc. This is a normal peripapillary nerve fiber layer in a young woman. Note the way the nerve fiber striations obscure and partially bury the small vessels running across them. Also note the interrupted surface reflex on arter...Image
575 Normal Peripapillary Nerve Fiber LayerExample of 23 year old woman, healthy nerve fiber layer below her optic disc. This is a normal peripapillary nerve fiber layer in a young woman. Note the way the nerve fiber striations obscure and partially bury the small vessels running across them. Also note the interrupted surface reflex on arter...Image
576 Normal Peripapillary Nerve Fiber LayerThis is a normal peripapillary nerve fiber layer in a young woman. Note the way the nerve fiber striations obscure and partially bury the small vessels running across them. Also note the interrupted surface reflex on arteries due to interposed nerve fiber layer tissue. All these vessels are buried i...Image
577 Normal Peripapillary Nerve Fiber LayerThis picture is a sample of a normal healthy nerve fiber layer temporal to the optic disc. Note how the nerve fiber layer obscures the small arteriolar branches running within it. Anatomy: Retina. Pathology: Normal healthy young retina. Disease/Diagnosis: Normal nerve fiber layer and retina.Image
578 Normal Peripapillary Nerve Fiber LayerMagnification of same disc shown in 1a. Whole fields of Gunn's Dots are visible. Note the way that the reflexes from the internal limiting membrane bend over vertically running arterioles. This is a tent-like effect. Gunn's Dots are footplates of Muller's cells and reflect light from the ophthalmosc...Image
579 Ocular HypertensionThere is an argument about whether this is a pseudo nerve fiber layer defect, because defect does not reach the disc. The vessels transversing the defect are not exposed and there is no change in the visual field and no other slit like defects. Anatomy: Peripapillary nerve fiber layer. Pathology: Sl...Image
580 Ocular HypertensionNeed color work to show superior slit 1972. Right eye. Ocular hypertension. No field defect recognized. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Ocular hypertension. Clinical: Elevated intraocular pressure.Image
581 Ocular Hypertension1972. Right eye. Ocular hypertension. No field defect recognized. Pair with IIB1b & c. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Elevated intraocular pressure. Clinical: Elevated intraocular pressure.Image
582 Ocular HypertensionMultiple slit like defects in the upper arcuate nerve bundles. 1971. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Elevated intraocular pressure. Clinical: Elevated intraocular pressure.Image
583 Ocular HypertensionMultiple slit defects in the upper arcuate bundles. 1972. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Elevated intraocular pressure. Clinical: Elevated intraocular pressure.Image
584 Ocular HypertensionChronic simple glaucoma. 1976. Magnified of IIB3_3a. Note slits in upper arcuate nerve fiber layer. Pair with IIB3_3a. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Elevated intraocular pressure. Clinical: Elevated intra...Image
585 Ocular HypertensionChronic simple glaucoma. 1976. Note slits in upper arcuate nerve fiber layer. Pair with IIB3_3b. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Elevated intraocular pressure. Clinical: Elevated intraocular pressure.Image
586 P43a Asymmetrical Papilledema due to Brain TumorRight eye. Early papilledema. Incipient papilledema barely recognizable. Early papilledema due to posterior fossa meningioma in a boy. Anatomy: Optic disc. Pathology: Papilledema. Disease/ Diagnosis: Asymmetrical papilledema due to posterior fossa meningioma.Image
587 P43b Asymmetrical Papilledema due to Brain TumorLeft eye. Early papilledema. Clearly has papilledema. Early papilledema to posterior fossa meningioma in a boy.Image
588 P50 Chronic Papilledema with Subretinal Neo-Vascular NetworkChronic papilledema with subretinal neo-vascular network. Pseudotumor. Anatomy: Optic disc. Pathology: Papilledema. Disease/ Diagnosis: Chronic papilledema with sub-retinal neovascular network.Image
589 P52a Asymmetric Papilledema with Choroidal FoldsLeft eye. Choroidal folds with no papilledema. Asymmetric papilledema with choroidal folds. Bilateral choroidal folds from elevated intracranial pressure. 52a. Anatomy: Optic disc. Pathology: Papilledema. Disease/ Diagnosis: Asymmetric - No papilledema with choroidal foldsImage
590 P52b Asymmetric Papilledema with Choroidal FoldsRight eye shows papilledema. Asymmetric papilledema with choroidal folds. Bilateral choroidal folds from elevated intracranial pressure. Anatomy: Optic disc. Pathology: Papilledema. Disease/ Diagnosis: Chronic papilledema with choroidal folds.Image
591 P55a Chronic Papilledema, Late StageRight eye. Optic atrophy secondary to chronic papilledema. Glioblastoma. Chemotherapy patient. Anatomy: Optic disc. Pathology: Papilledema. Disease/ Diagnosis: Chronic papilledema with atrophy.Image
592 P55b Chronic Papilledema, Late StageLeft eye. Optic atrophy secondary to chronic papilledema, late stage with retinal choroidal bypass vein. Opticocilliary shunt. Glioblastoma, chemotherapy patient. Anatomy: Optic disc. Pathology: Papilledema. Disease/ Diagnosis: Chronic papilledema with atrophy.Image
593 Papilledema due to Brain Tumor - Natural HistoryRight eye 33 months after presentation. Atrophy appears about the same. Notice especially the narrowing of retinal arterioles. Visual loss is severe in both eyes. Papilledema due to brain tumor - 3 year natural history. Patient refused treatment. Man. Anatomy: Optic disc. Pathology: Papilledema. Dis...Image
594 Papilledema due to Brain Tumor - Natural HistoryRight eye at 27 months after presentation. Atrophy is more profound in both eyes. Papilledema due to brain tumor - 3 year natural history. Patient refused treatment. Man. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Papilledema from acoustic neuronoma.Image
595 Papilledema due to Brain Tumor - Natural HistoryLeft eye at 25 months after presentation. Atrophy is more profound in both eyes. Papilledema due to brain tumor - 3 year natural history. Patient refused treatment. Man. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Papilledema from acoustic neuronoma.Image
596 Papilledema due to Brain Tumor - Natural HistoryRight eye 23 months after presentation. Atrophy is replacing papilledema in both eyes. Papilledema due to brain tumor - 3 year natural history. Patient refused treatment. Man. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Papilledema from acoustic neuronoma.Image
597 Papilledema due to Brain Tumor - Natural HistoryLeft eye 23 months after presentation. Atrophy is replacing papilledema in both eyes. Papilledema due to brain tumor - 3 year natural history. Patient refused treatment. Man. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Papilledema from acoustic neuronoma.Image
598 Papilledema due to Brain Tumor - Natural HistoryLeft eye. 3.5 years after presentation. Atrophy appears about the same. Note especially the narowing of retinal arterioles. Visual loss is profound in both eyes. Note the horizontal retinal folds. Papilledema due to brain tumor - 3 year natural history. Patient refused treatment. Man.Image
599 Papilledema due to Brain Tumor - Natural HistoryRight eye at presentation. Papilledema due to acoustic neuronoma(tumor)- 3 year natural history. Patient refused treatment. Man. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Papilledema from acoustic neuronoma.Image
600 Papilledema due to Brain Tumor - Natural HistoryLeft eye at presentation. Papilledema due to acoustic neuronoma(tumor) - 3 year natural history. Patient refused treatment. Man. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Papilledema from acoustic neuronoma.Image
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