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1 Acute Idiopathic Blind Spot Enlargement (AIBSE): ImagesAndrew R. Osborn, MD, Comprehensive Ophthalmologist - Board Eligible, Missouri Eye Institute; James C. O'Brien, MD, Clinical Assistant Professor - Neuro-Ophthalmology and Adult Strabismus, Dean McGee Eye Institute, University of OklahomaWe present a single case of Acute Idiopathic Blind Spot Enlargement (AIBSE) in a young female patient, including her clinical course and relevant imaging studies. Her case description is followed by a brief discussion surrounding the current understanding of this rare entity.Acute Idiopathic Blind Spot Enlargement (AIBSE); Outer Retinopathy
2 Acute Idiopathic Blind Spot Enlargement (AIBSE): Case ReportAndrew R. Osborn, MD, Comprehensive Ophthalmologist - Board Eligible, Missouri Eye Institute; James C. O'Brien, MD, Clinical Assistant Professor - Neuro-Ophthalmology and Adult Strabismus, Dean McGee Eye Institute, University of OklahomaWe present a single case of Acute Idiopathic Blind Spot Enlargement (AIBSE) in a young female patient, including her clinical course and relevant imaging studies. Her case description is followed by a brief discussion surrounding the current understanding of this rare entity.Acute Idiopathic Blind Spot Enlargement (AIBSE); Outer Retinopathy
3 A case of cognitive impairment presenting with unexplained vision lossArina Nisanova, Medical Student, School of Medicine, University of California, Davis; Doris Chen, MD, Assistant Professor of Cognitive & Behavioral Neurology Department of Neurology, University of California, Davis; Yin Allison Liu, MD, PhD, Assistant Professor of Neuro-Ophthalmology, Department of ...This report highlights a patient with visual impairment due to higher cortical dysfunction. A 57-year-old male was referred to a neuro-ophthalmologist by his comprehensive ophthalmologist for evaluation of decreased best-corrected visual acuity, blurry vision, and difficulty reading. Patient was fou...Higher cortical dysfunction; Neuro-ophthalmology; Posterior cortical atrophy syndrome
4 Optic disc Pit with Retinoschisis in Non-Arteritic Anterior Ischemic Optic NeuropathyAbraham Hang, MD, Resident Physician, Department of Ophthalmology & Vision Science, University of California, Davis; Megan M Hughes-Salabar, COA, Ophthalmic Technician, Department of Ophthalmology & Vision Science, University of California, Davis; Yin Allison Liu, MD, PhD, Assistant Professor of Neu...This case describes a patient with non-arteritic anterior ischemic optic neuropathy and concurrent macular retinoschisis who was later found to have an optic disc pit after resolution of disc edema. The optic pit was likely associated with the retinoschisis. Fundus imaging, optic coherence tomograph...Optic disc pit; Macular retinoschisis; Non-arteritic anterior ischemic optic neuropathy
5 Treatment Outcomes of Ocular Manifestations in Wernicke's Encephalopathy: Case ReportWhitney Stuard Sambhariya, PhD, Medical Student, Department of Ophthalmology, UT Southwestern Medical School, UT Southwestern Medical Center; Melanie Truong-Le, DO, OD, Professor of Neuro-Ophthalmology, Department of Ophthalmology, UT Southwestern Medical School, UT Southwestern Medical CenterThe case of a 28- year-old woman with a past medical history of gastric sleeve who was reported to have blurry vision and presented to neuro-ophthalmology with double vision. On examination the patient had bilateral abducens palsy, alternating upbeat and downbeat nystagmus with a torsional component...Wernicke's Encephalopathy; Ocular manifestations; Neuro-ophthalmology; Sbducens palsy; Nystagmus; Double vision; Blurry vision
6 Treatment Outcomes of Ocular Manifestations in Wernicke's Encephalopathy: ImagesWhitney Stuard Sambhariya, PhD, Medical Student, Department of Ophthalmology, UT Southwestern Medical School, UT Southwestern Medical Center; Melanie Truong-Le, DO, OD, Professor of Neuro-Ophthalmology, Department of Ophthalmology, UT Southwestern Medical School, UT Southwestern Medical CenterThe case of a 28- year-old woman with a past medical history of gastric sleeve who was reported to have blurry vision and presented to neuro-ophthalmology with double vision. On examination the patient had bilateral abducens palsy, alternating upbeat and downbeat nystagmus with a torsional component...Wernicke's Encephalopathy; Ocular manifestations; Neuro-ophthalmology; Sbducens palsy; Nystagmus; Double vision; Blurry vision
7 Treatment Outcomes of Ocular Manifestations in Wernicke's Encephalopathy: VideoWhitney Stuard Sambhariya, PhD, Medical Student, Department of Ophthalmology, UT Southwestern Medical School, UT Southwestern Medical Center; Melanie Truong-Le, DO, OD, Professor of Neuro-Ophthalmology, Department of Ophthalmology, UT Southwestern Medical School, UT Southwestern Medical CenterThe case of a 28- year-old woman with a past medical history of gastric sleeve who was reported to have blurry vision and presented to neuro-ophthalmology with double vision. On examination the patient had bilateral abducens palsy, alternating upbeat and downbeat nystagmus with a torsional component...Wernicke's Encephalopathy; Ocular manifestations; Neuro-ophthalmology; Sbducens palsy; Nystagmus; Double vision; Blurry vision
8 A Brief Introduction to Post-Ocular Surgery StrabismusSrujay Pandiri, Medical Student, University of Missouri--Kansas City; Sean Gratton, MD, Associate Professor of Neurology and Ophthalmology, University of Missouri--Kansas CityThis 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
9 Melanoma Associated Retinopathy (MAR)James O'Brien, MD, Clinical Assistant Professor, Dean McGee Eye Institute, Department of Ophthalmology, University of Oklahoma; Brian Firestone, MD, Clinical Associate Professor, Dean McGee Eye Institute, Department of Ophthalmology, University of OklahomaGrand rounds PowerPoint presentation slides regarding a case of MAR diagnosed at our institution.Paraneoplastic syndrome; Melanoma; Retinopathy
10 Vascular Headache DisordersSalman Ali Mahmood, MD,Neurology Resident, University of Missouri--Kansas City; Sean Gratton, MD, Associate Professor of Neurology and Ophthalmology, University of Missouri--Kansas CityThis is a PowerPoint with embedded audio presenting a detailed summary of the evaluation and management of an important cause of secondary headaches: vascular headache disorders. Topics covered include intracranial hemorrhage, arterial dissection, giant cell arteritis, cerebral venous sinus thrombos...Vascular headache disorders; epidural hematoma; subdural hematoma; subarachnoid hemorrhage; intracranial hemorrhage; arterial dissection; giant cell arteritis; cerebral venous sinus thrombosis; pituitary apoplexy
11 Clival MeningiomaBashaer Aldhahwani, MD, Neuro-ophthalmology and Adult Strabismus Fellow, Bascom Palmer Eye Institute, University of Miami; Mariam Vila Delgado, MD, Assistant Professor of Clinical Ophthalmology, Bascom Palmer Eye Institute, University of Miami65 year- old Male patient presented with progressive binocular, horizontal diplopia with limitation of abduction in the right eye. He was diagnosed with Isolated compressive right 6th CN palsy due to right Clival Meningioma.Clival meningioma; Sixth nerve palsy
12 Bilateral Diffuse enlargement and enhancement of the intracranial optic nerves, optic chiasm and optic tractsBashaer Aldhahwani, MD, Neuro-ophthalmology and Adult Strabismus Fellow, Bascom Palmer Eye Institute, University of Miami; Mariam Vila Delgado, MD, Assistant Professor of Clinical Ophthalmology, Bascom Palmer Eye Institute, University of MiamiPatient with pathology confirmed glioblastoma after resection of the superior frontal lobe tumor followed by 6 weeks of Radiation Therapy with concurrent temozolomide. The patient started bevacizumab to treat steroid-refractory vasogenic cerebral edema/radiation necrosis. He presented with bilateral...Optic chiasm; Optic tracts lesions
13 Ethambutol optic neuropathyHailey Mair; Padmaja SudhakarThis is a PowerPoint slide describing ethambutol induced optic neuropathy and it elaborates on mechanism and vulnearble population.Ethambutol; Tuberculosis; Optic neuropathy
14 Unilateral oculomotor nerve palsy secondary to internal carotid artery aneurism without pupil involvement: a case report.Danilo Andriatti Paulo; Richard J BlanchAcquired oculomotor palsies (OMP) can result from numerous factors. The most common causes are presumed microvascular, trauma, compressive neoplasm, postneurosurgery and compression from aneurysm.1,2 ONP caused by internal carotid artery (ICA) aneurysm is a common clinical manifestation suggesting i...Unilateral oculomotor nerve palsy; internal carotid artery aneurism; pupil involvement; oculomotor nerve palsy; secondary oculomotor nerve palsy
15 Neuro-Ophthalmology of Multiple SclerosisEmily Sun, Medical Student, Johns Hopkins University School of Medicine; James Davis, Research Trainee, Division of Neuro-ophthalmology, Wilmer Eye Institute, Johns Hopkins University; Amanda Henderson, MD, Chief of Neuro-ophthalmology Division, Division of Neuro-ophthalmology, Wilmer Eye Institute,...Multiple Sclerosis (MS) is the most common neurological disease in young people with an average age of onset between 15 and 35 years old. MS is an autoimmune inflammatory condition that causes demyelinating lesions in the CNS. The diagnosis is clinical, but MRI is typically used to support the diagn...Multiple Sclerosis; Optic Neuritis; Uveitis; Internuclear Ophthalmoplegia; Nystagmus; Steroids; Demyelinating; Autoimmune
16 Uveo-Meningeal Syndromes: Vogt-Koyanagi-Harada (VKH) DiseaseRachana Haliyur; Emily Cole; Therese Sassalos; Sangeeta KhannaOcular inflammatory symptoms with concurrent neuro-ophthalmologic manifestations can be diagnostically challenging. We provide a general overview of uveo-meningeal syndromes, which comprises a heterogeneous group of disorders that involve inflammation of the uveal tract, retina, and meninges. The pr...VKH; Vogt-Koyanagi-Harada; Uveomeningeal syndrome; Ocular inflammation; Uveitis; CSF pleocytosis; serous retinal detachments
17 Diagnosis and evaluation of stroke: Mechanism - VasculitisDanny Alevy, Medical Student, Medical College of Georgia; Amanda D. Henderson, MD, Associate Professor of Ophthalmology and Neurology, Wilmer Eye Institute, Johns Hopkins University School of MedicineIn this video, we discuss the diagnosis and evaluation of several vasculitides linked to an increase in risk for cerebral ischemic stroke. We focus on ANCA-associated vasculitides, polyarteritis nodosa, Takayasu arteritis, lupus vasculitis, and Susac syndrome, while highlighting their key symptoms a...Ischemic stroke; Vasculitis; ANCA-associated vasculitis; Polyarteritis nodosa; Takayasu arteritis; Systemic lupus erythematosus; Susac syndrome
18 Illustrations of the afferent visual pathway and concepts surrounding trans-synaptic neuroaxonal degeneration in the visual pathway in multiple sclerosisOlwen C. Murphy, Assistant Professor of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Peter A. Calabresi, Professor of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Shiv Saidha, Professor of Neurology, Johns Hopkins University School of Med...Image 1 title: Functionally-eloquent organization of the afferent visual pathway; Image 1 description: The afferent visual pathway is a sensory pathway comprised of 3 neurons. The 1st order neurons are the shortest neurons in the pathway and are entirely unmyelinated. The cell bodies of the 1st orde...Optic neuritis; multiple sclerosis; neuroaxonal degeneration; trans-synaptic degeneration; visual pathway; functional eloquence
19 Sports Related Head InjuriesJessica Darusz, MD, Neurology Resident; Sean Gratton, MD, Associate Professor of Neurology and Ophthalmology, Department of Neurology, University of Missouri, Kansas City, MOThis narrated PowerPoint reviews the basics of sports related head injuries. It emphasizes assessment tools and treatment decisions in assessing athletes with concussion and other head injuries.Concussion; Sports-related head injuries; Post-concussion syndrome
20 Postconcussion Syndrome and Postconcussion HeadacheJessica Darusz, MD, Neurology Resident; Sean Gratton, MD, Associate Professor of Neurology and Ophthalmology, Department of Neurology, University of Missouri, Kansas City, MOThis brief presentation describes the pathophysiology, evaluation, and management of concussion, with an emphasis on postconcussion headache.Concussion; postconcussion syndrome; postconcussion headache
21 Curtain sign (enhanced ptosis) - Associated Image 2Bashaer Aldhahwani, MD, Neuro-ophthalmology Fellow, University of Miami, Bascom Palmer Eye Institute; Hong Jiang, MD PhD, Associate Professor of Clinical Neuro-ophthalmology & Neurology, University of Miami, Department of Neurology, Bascom Palmer Eye InstituteThis is a 78-year-old male patient who presented with diplopia, right eyelid ptosis, and ophthalmoplegia. He had severe ptosis OD and pseudo-proptosis (lid retraction) OS at baseline, but when the right eyelid was manually elevated, there was marked enhanced ptosis of the left eyelid (Video). He was...Myasthenia GravIs; Clinical Signs
22 Curtain sign (enhanced ptosis) - Associated Image 1Bashaer Aldhahwani, MD, Neuro-ophthalmology Fellow, University of Miami, Bascom Palmer Eye Institute; Hong Jiang, MD PhD, Associate Professor of Clinical Neuro-ophthalmology & Neurology, University of Miami, Department of Neurology, Bascom Palmer Eye InstituteThis is a 78-year-old male patient who presented with diplopia, right eyelid ptosis, and ophthalmoplegia. He had severe ptosis OD and pseudo-proptosis (lid retraction) OS at baseline, but when the right eyelid was manually elevated, there was marked enhanced ptosis of the left eyelid (Video). He was...Myasthenia GravIs; Clinical Signs
23 Scleral thickening as an etiology for optic disc edema in Hunter SyndromeTerisa Yiin, M.H.S.; Nandini Gandhi, MD; Yin Allison Liu, MD, PhDA case of Hunter syndrome in a pediatric patient with bilateral disc edema, most likely due to compression of the scleral opening secondary to deposition of glycosaminoglycans (GAGs) in the sclera. Various illustrations are included to demonstrate the bilateral disc edema, partially empty sella, and...Papilledema; Hunter; Hunter syndrome; GAGs; Glycosoaminoglycans; MPS; Mucopolysaccharidoses; IIH; Idiopathic intracranial hypertension
24 Curtain Sign (Enhanced Ptosis)Bashaer Aldhahwani, MD, Neuro-ophthalmology Fellow, University of Miami, Bascom Palmer Eye Institute; Hong Jiang, MD PhD, Associate Professor of Clinical Neuro-ophthalmology & Neurology, University of Miami, Department of Neurology, Bascom Palmer Eye InstituteThis is a 78-year-old male patient who presented with diplopia, right eyelid ptosis, and ophthalmoplegia. He had severe ptosis OD and pseudo-proptosis (lid retraction) OS at baseline, but when the right eyelid was manually elevated, there was marked enhanced ptosis of the left eyelid (Video). He was...Myasthenia GravIs; Clinical Signs
25 Morning Glory Disc AnomalyBashaer Aldhahwani, MD, Neuro-ophthalmology and Adult Strabismus Fellow, Bascom Palmer Eye Institute, University of Miami; Carlos Ernesto Mendoza Santiesteban, MD, Associate Professor of Clinical Ophthalmology, Neuro-Ophthalmology & Pediatric Neuro-Ophthalmology, Bascom Palmer Eye Institute. Departm...A colored fundus photo of a patient with morning glory anomaly. Morning glory anomaly is a rare congenital malformation of the optic nerve. The morning glory disc anomaly can be seen with transsphenoidal basal encephalocele. It is known as morning glory syndrome when it is associated with systemic s...Optic Disc Anomaly
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