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TitleDescriptionSubject
276 Systemic Disorders With Optic Nerve and Retinal FindingsIntraocular lymphoma may present with an unexplained vitritis, optic disc infiltration, or choroidal infiltration. One unusual manifestation of large-cell lymphoma is this leopard-spot appearance. Pair with 94_32, 94_33, and 94_34. This is a fluorescein angiogram.Lymphoma; Leopard Spot Fluorescein Angiogram; Lymphoma; Optic Nerve
277 Isolated Congenital Optic Disc AnomaliesShown are the fundi of a - year old child with dominant optic atrophy, 20/200 OU. Pair with 1996_59. Disease/Diagnosis: Congenital optic atrophy.Congenital (Dominant) Optic Atrophy
278 Isolated Congenital Optic Disc AnomaliesShown are the fundi of a - year old child with dominant optic atrophy, 20/200 OU. Pair with 1996_60. Disease/Diagnosis: Congenital optic atrophy.Congenital (Dominant) Optic Atrophy
279 Ocular Manifestations of Systemic DisordersMyasthenia gravis should be considered in any patient with painless, pupil-spared, nonapoptotic ophthalmoplegia. It may mimic any ophthalmoparesis. Involvement of the medical rectus may result in a pseudointernuclear ophthalmoplegia. Pair with 96_24 and 96_25.Myasthenia
280 Motility DisturbancesTraumatic damage to the third cranial nerve may result in aberrant regeneration of fibers that innervate the eyelid, pupil, or extraocular muscles. For instance, there may be lid retraction in attempted downgaze. Any combination of aberrant activation of third nerve-innervated structures may occur, ...Oculomotor Palsy (Aberrant Regeneration); Third (Oculomotor)
281 Ocular Manifestations of Systemic DisordersMyasthenia gravis should be considered in any patient with painless, pupil-spared, nonapoptotic ophthalmoplegia. It may mimic any ophthalmoparesis. Involvement of the medical rectus may result in a pseudointernuclear ophthalmoplegia. Pair with 96_23 and 96_25.Myasthenia
282 Ocular Manifestations of Systemic DisordersMyasthenia gravis should be considered in any patient with painless, pupil-spared, nonapoptotic ophthalmoplegia. It may mimic any ophthalmoparesis. Involvement of the medical rectus may result in a pseudointernuclear ophthalmoplegia. Pair with 96_23 and 96_24.Myasthenia
283 Isolated Optic Neuritis/NeuropathyPapilledema may produce visual loss due to chronic atrophic papilledema, secondary macular hemorrhage, exudate or edema, secondary ischemic optic neuropathy, or secondary subretinal neovascular membrane formation.Pseudotumor Cerebri/Papilledema; Edema
284 Isolated Optic Neuritis/NeuropathyPapilledema in pseudotumor cerebri may result in adjacent choroidal or retinal folds.Pseudotumor Cerebri/Papilledema; Edema
285 Isolated Congenital Optic Disc AnomaliesThis patient has optic disc drusen and evidence of a superimposed optic neuropathy, including loss of visual field, an ipsilateral afferent pupillary defect, and optic atrophy. Although optic disc drusen typically causes visual field loss without visual acuity loss superimposed, ischemic optic neuro...Optic Disc Drusen; Optic Nerve Drusen; Optic Neuropathy
286 Motility DisturbancesSkew deviation is a vertical deviation that is not localized to any one muscle or muscle group. The deviation may be comitant or not, and intermittent or constant. Skew deviation is often defined by the company it keeps, that is, skew usually occurs in association with other brain-stem signs, and is...Skew Deviation
287 Motility DisturbancesSkew deviation is a vertical deviation that is not localized to any one muscle or muscle group. The deviation may be comitant or not, and intermittent or constant. Skew deviation is often defined by the company it keeps, that is, skew usually occurs in association with other brain-stem signs, and is...Skew Deviation
288 Acquired Disc ChangesAlthough optociliary shunt vessels are venous collaterals that typically form in response to chronic venous obstruction, they may occur on a congenital basis as seen here.Shunt Vessels (Congenital)
289 Isolated Optic Neuritis/NeuropathyPapilledema is a term reserved for optic disc edema related to increased intracranial pressure. Fluid within the optic nerve sheath or elevation of the intraocular optic nerve head may be visible on magnetic resonance imaging studies of the head and orbit.Pseudotumor Cerebri/Papilledema; Edema
290 Neuro-Ophthalmic Imaging-MRIAneurisms may result in neuro-ophthalmologic sign and symptoms by direct compression of the afferent or efferent systems or by the secondary effects of hemorrhage. Basilar aneurisms may result in ocular motor deficits such as a unilateral or bilateral third nerve palsy.Aneurysm
291 Acquired Disc ChangesOptociliary shunt vessels are venous collaterals that form in response to chronic venous obstruction. They may occur in patients following central retinal vein occlusion.Shunt Vessels (CRVO)
292 Motility DisturbancesCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_19 and 95_20.Oculomotor Palsy (Cyclical Oculomotor Palsy); Cyclical
293 Motility DisturbancesCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_18 and 95_19.Oculomotor Palsy (Cyclical Oculomotor Palsy); Cyclical
294 Ocular Manifestations of Systemic DisordersSystemic lymphoma may occur in the orbit and may involve the lacrimal gland. Patients usually present with a painless, progressive proptosis or a mass. CT scan usually demonstrates an irregularly shaped lesion conforming to the globe or lacrimal fossa, and bone erosion is not usually found. Pair wit...Lymphoma; Systemic Lymphoma; Proptosis; Lacrimal Gland
295 Ocular Manifestations of Systemic DisordersSystemic lymphoma may occur in the orbit and may involve the lacrimal gland. Patients usually present with a painless, progressive proptosis or a mass. CT scan usually demonstrates an irregularly shaped lesion conforming to the globe or lacrimal fossa, and bone erosion is not usually found. Pair wit...Lymphoma; Systemic Lymphoma; MRI Orbit; Lacrimal Gland
296 Systemic Disorders With Optic Nerve and Retinal FindingsNeoplasms may result in an optic neuropathy by direct metastatic involvement. In this patient, a lung adenocarcinoma was metastatic to the optic nerve.This is a fundus photo.Metastatic Carcinoma; Metastasis; Optic Nerve
297 Motility DisturbancesCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_18 and 95_20.Oculomotor Palsy (Cyclical Oculomotor Palsy); Cyclical
298 Ocular Manifestations of Systemic DisordersThyroid eye disease may cause proptosis and extraocular muscle enlargement that may be seen on orbital imaging studies. In general, coronal images allow the best visualization of the extraocular muscle enlargement. Pair with 94_44 and 94_46.Thyroid Disease; Thyroid Eye Disease; Myopathy; Proptosis; Chemosis; Periorbital Edema; Lid Retraction; MRI
299 Ocular Manifestations of Systemic DisordersThyroid eye disease may cause proptosis and extraocular muscle enlargement that may be seen on orbital imaging studies. In general, coronal images allow the best visualization of the extraocular muscle enlargement. Pair with 94_44 and 94_45.Thyroid Disease; Thyroid Eye Disease; Myopathy; Proptosis; Chemosis; Periorbital Edema; Lid Retraction; CT
300 Neuro-Ophthalmic Imaging-MRIAneurisms may result in neuro-ophthalmologic sign and symptoms by direct compression of the afferent or efferent systems or by the secondary effects of hemorrhage. Basilar aneurisms may result in ocular motor deficits such as a unilateral or bilateral third nerve palsy.Aneurysm
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