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TitleDescriptionSubject
326 Ocular Manifestations of Congenital/Inherited DiseasesThis patient is a 40-year-old man with a history of abetalipoproteinemia (Bassen-Kornweig syndrome), diagnosed at age 9. Neurologic complications have included ataxia, retinal degeneration, peripheral neuropathy, progressive leg weakness, dysarthria, and intermittent bladder incontinence. On his neu...Bassen-Kornzweig Syndrome
327 Ocular Manifestations of Congenital/Inherited DiseasesThis patient is a 40-year-old man with a history of abetalipoproteinemia (Bassen-Kornweig syndrome), diagnosed at age 9. Neurologic complications have included ataxia, retinal degeneration, peripheral neuropathy, progressive leg weakness, dysarthria, and intermittent bladder incontinence. On his neu...Bassen-Kornzweig Syndrome
328 Ocular Manifestations of Congenital/Inherited DiseasesThis patient is a 40-year-old man with a history of abetalipoproteinemia (Bassen-Kornweig syndrome), diagnosed at age 9. Neurologic complications have included ataxia, retinal degeneration, peripheral neuropathy, progressive leg weakness, dysarthria, and intermittent bladder incontinence. On his neu...Bassen-Kornzweig Syndrome
329 Neuro-Ophthalmic Manifestations of Brain TumorsThe patient is a 45-year-old recluse found to harbor this frontal lobe mass. Remarkably, this patient had only mild bilateral optic neuropathies with visual acuities in the 20/25 range. This right disc was mildly swollen and the left mildly pale. He could not fit into the fundus camera for disc phot...Meningioma
330 Neuro-Ophthalmic Manifestations of Brain TumorsThe patient is a 45-year-old recluse found to harbor this frontal lobe mass. Remarkably, this patient had only mild bilateral optic neuropathies with visual acuities in the 20/25 range. This right disc was mildly swollen and the left mildly pale. He could not fit into the fundus camera for disc phot...Meningioma
331 Ocular Manifestations of Congenital/Inherited DiseasesThis 21-year-old woman had a 2-year history of blurred vision. A computerized visual field demonstrated a temporal defect OS. MRI confirmed a chiasmal mass lesion. The pathology was consistent with hemangioblastoma. Further workup revealed retinal angiomas and multiple other hemangioblastomas of the...von Hippel-Lindau Disease
332 Neuro-Ophthalmic Manifestations of Brain TumorsThe patient is a 45-year-old recluse found to harbor this frontal lobe mass. Remarkably, this patient had only mild bilateral optic neuropathies with visual acuities in the 20/25 range. This right disc was mildly swollen and the left mildly pale. He could not fit into the fundus camera for disc phot...Meningioma
333 Neuro-Ophthalmic Manifestations of Brain TumorsThe patient is a 45-year-old recluse found to harbor this frontal lobe mass. Remarkably, this patient had only mild bilateral optic neuropathies with visual acuities in the 20/25 range. This right disc was mildly swollen and the left mildly pale. He could not fit into the fundus camera for disc phot...Meningioma
334 Neuro-Ophthalmic Manifestations of Brain TumorsThe patient is a 45-year-old recluse found to harbor this frontal lobe mass. Remarkably, this patient had only mild bilateral optic neuropathies with visual acuities in the 20/25 range. This right disc was mildly swollen and the left mildly pale. He could not fit into the fundus camera for disc phot...Meningioma
335 Neuro-Ophthalmic Manifestations of Brain TumorsThe patient is a 45-year-old recluse found to harbor this frontal lobe mass. Remarkably, this patient had only mild bilateral optic neuropathies with visual acuities in the 20/25 range. This right disc was mildly swollen and the left mildly pale. He could not fit into the fundus camera for disc phot...Meningioma
336 Ocular Manifestations of Congenital/Inherited DiseasesThis 21-year-old woman had a 2-year history of blurred vision. A computerized visual field demonstrated a temporal defect OS. MRI confirmed a chiasmal mass lesion. The pathology was consistent with hemangioblastoma. Further workup revealed retinal angiomas and multiple other hemangioblastomas of the...von Hippel-Lindau Disease
337 Ocular Manifestations of Congenital/Inherited DiseasesThis 21-year-old woman had a 2-year history of blurred vision. A computerized visual field demonstrated a temporal defect OS. MRI confirmed a chiasmal mass lesion. The pathology was consistent with hemangioblastoma. Further workup revealed retinal angiomas and multiple other hemangioblastomas of the...von Hippel-Lindau Disease
338 Systemic Disorders With Optic Nerve and Retinal FindingsThis fondus image shows a white-centered hemorrhage in a leukemia patient with orbital aspergillosis.Leukemia; Orbital Aspergilosis; Retinal Hemorrhage
339 Isolated Congenital Optic Disc AnomaliesAn optic pit is a small defect in the optic disc that may be asymptomatic in isolation. Patients may develop an associated serous detachment of the macula. The condition is usually unilateral but may be bilateral. A fluorescein angiogram may demonstrate the serous detachment, and laser photocoagulat...Optic Pit With Serous Macular Detachment
340 Optic Disc Drusen With AutofluorescenceThis photograph of optic disc drusen demonstrates autoflourescence with flourescein barrier filters in place. Imaging: flourescein barrier filters.Optic Disc Drusen; Autofluorescence
341 Isolated Congenital Optic Disc AnomaliesBenign tumors of blood vessels (hemangiomas) may occur on the optic nerve and may mimic optic disc edema. Disease/Diagnosis: Optic Nerve Hemangioma.Optic Nerve Hemangioma
342 Isolated Congenital Optic Disc AnomaliesPatients with hypoplasia of the optic nerve may have normal or subnormal visual acuity or visual field. The condition may be unilateral or bilateral. Optic nerve hypoplasia is usually idiopathic, but maternal diabetes, or maternal use of anti-epileptic drugs or alcohol are predisposing factors. Opti...Optic Nerve Hypoplasia; Septo-Optic Dysplasia
343 Isolated Congenital Optic Disc AnomaliesOptociliary shunt vessels are venous collaterals that form in response to chronic venous obstruction, shunting the venous blood from the retinal circulation into the choroidal circulation. Although they may be congenital, they may occur in patients with chronic disc edema, following central retinal ...Optociliary Shunt Vessels
344 Isolated Congenital Optic Disc AnomaliesThis optic disc displays multiple drusen. Note the pseudopapilledema here. One can differentiate this from true papilledema in that there is no obscuration of the vessel by the peripapillary nerve fiber layer as they cross the disc margin. This photograph was taken with barrier filters in place, but...Optic Disc Drusen; Optic Nerve Drusen; Pseudopapilledema
345 Isolated Congenital Optic Disc AnomaliesAn optic pit is a small defect in the optic disc that may be asymptomatic in isolation. The pit can be small or large, and central or peripheral. Disease/Diagnosis: Optic Pit.Optic Pit; Macular Detachment
346 Optic Disc Drusen Visual FieldsThis is the visual field of patient with optic nerve drusen. Whereas they typically do not cause central field loss, optic disc drusen may cause nerve fiber bundle layer defects and, thus, peripheral field defects, including altitudinal defects (seen inferiorly in the left eye) or arcuate defects (s...Optic Disc Drusen; Optic Nerve Drusen; Visual Fields
347 Retinal Coloboma Underneath a Relatively Normal Optic NerveOptic nerve colobomas appear as enlarged, white optic discs that are deeply excavated, often with some sapring of the superior rim. They result from an abnormal fusion of the proximal embryonic fissure. Optic nerve colobomas occur unilaterally or bilaterally with a similar frequency and can result i...Optic Nerve Coloboma
348 Isolated Congenital Optic Disc AnomaliesPatients with midline closure defects may exhibit abnormalities in the optic nerve, choroid, retinal pigment epithelium or retina. Anterior closure defects may result in colobomas of the structures of the anterior segment, such as the iris. Disease/Diagnosis: Coloboma.Optic Nerve Coloboma
349 Peripapillary StaphylomaPatients with ectasia of the outer layers of the eye may exhibit a posterior protrusion that appears on funduscopy as an area of deep excavation of the retina (posterior staphyloma). When it occurs around the optic disc, as in this case, it is termed a peripapillary staphyloma. This may occur in ass...Staphyloma
350 Motility DisturbancesThe patient is a 53-year-old man with diplopia from right oculomotor nerve palsy and left hemiparesis (Weber's syndrome), with associated left lung hilar mass. The spinal tap showed pleocytosis consistent with carcinomatous meningitis. This image demonstrates oculomotor nerve metastatic carcinomatos...Oculomotor Palsy; Weber; Fascicular Oculomotor (Third) Nerve Palsy
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