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1 Skew Deviation and the Ocular Tilt ResponseDavid Newman-Toker, MD, PhD, Associate Professor, Departments of Neurology, Ophthalmology, & Otolaryngology, The Johns Hopkins University School of MedicineThe objectives of this presentation are to provide an understanding of the current use of the terms "ocular tilt reaction" and "skew deviation," to create some familiarity with the anatomic and physiologic substrate of ocular tilt and skew, and to demonstrate how to distinguish between skew and isol...
2 The Ice Pack Test For MyastheniaRyan D. Walsh, MD, Department of Ophthalmology and Visual Sciences, Department of Neurology, Medical College of Wisconsin; Collin McClelland, MD, Department of Ophthalmology and Visual Neurosciences. University of MinnesotaThe ice pack test is a simple, low-tech, bedside test that can readily be applied in the outpatient clinic or hospital setting, with minimal risk or discomfort. The ice pack test is used in patients with ptosis to help support or refute a diagnosis of myasthenia. We describe how to perform and int...
3 Optochiasmal-TuberculomaJeanie Paik, MD, Emory University; Rudrani Banik, MD, New York Eye & Ear Infirmary of Mount SinaiPower point of case of chiasmal tuberculoma causing bitemporal defect in patient with tuberculosis on RIPE treatment; case history, differential diagnosis and treatment discussed.
4 AnisocoriaKarl C. Golnik, MD, Departments of Ophthalmology, Neurology & Neurosurgery, University of Cincinnati & The Cincinnati Eye InstituteThis is a narrated powerpoint presentation that covers the common causes of anisocoria.
5 Pertinent Pupillary ProblemsKarl C. Golnik, MD, Departments of Ophthalmology, Neurology & Neurosurgery, University of Cincinnati & The Cincinnati Eye InstitutePupil Exam is a narrated powerpoint that covers the basic of examining pupils.
6 Pituitary Apoplexy and Hemifield Slide PhenomenonHelen H. Yeung, MD; Rudrani Banik, MD; New York Eye & Ear Infirmary of Mount Sinai, NY, NYPower point 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,...
7 Pseudotumor cerebri and Chiari MalformationNicole Scripsema, MD; Rudrani Banik, MD; New York Eye & Ear Infirmary of Mount Sinai, NY, NYPower point of case presentation of pseudotumor cerebri with co-existing Chiari malformation. Management of severe visual loss associated with chronic papilledema discussed, as well as possible relationship between raised intracranial pressure from pseudotumor cerebri and Chiari malformation.
8 Acute zonal occult outer retinopathy (AZOOR) versus multiple evanescent white dot syndrome (MEWDS)Asim V. Farooq, MD University of Chicago Medicine, Michael T. Andreoli, MD, Wheaton Eye Clinic, Heather E. Moss, MD, Department of Ophthalmology & Visual Sciences, University of Illinois at Chicago College of MedicinePPT case report on acute zonal occult outer retinopathy (AZOOR) versus multiple evanescent white dot syndrome (MEWDS).
9 Idiopathic bilateral neuroretinitis in a childAsim V. Farooq, MD University of Chicago Medicine; Michael T. Andreoli, MD, Wheaton Eye Clinic; Molly Gilbert, MD, James A. Lovell Federal Health Care Center; Heather E. Moss, MD, Department of Ophthalmology & Visual Sciences, University of Illinois at Chicago College of MedicinePPT case describing idiopathic bilateral neuroretinitis in a child.
10 Oculopharyngeal Muscular Dystrophy (OPMD)Natasha Nayak, MD; Rudrani Banik, MD; New York Eye & Ear Infirmary of Mount Sinai, NY, NYPower point of case presentation of chronic, progressive ophthalmoplegia and bilateral ptosis in adult male with positive family history of similar ocular findings. Differential diagnosis with associated findings reviewed. Work up done: EMG testing consistent with myopathy. Genetic testing positiv...
11 Prolactinoma in PregnancyTimothy Sullivan, MD; Rudrani Banik, MD; New York Eye & Ear Infirmary of Mount Sinai, NY, NY 10003Power point of case of prolactinoma which became symptomatic during pregnancy with visual field loss. Discussion of prolactinomas and their management. Patient underwent observation only. Post-partum examination revealed resolution of bitemporal field defect with reduction in size of prolactinoma ...
12 Wallenberg Syndrome and Skew DeviationLauren Schneider, MD; Stamford Hospital, Stamford Ophthalmology, Stamford, CT ; Rudrani Banik, MD; New York Eye & Ear Infirmary of Mount Sinai, NY, NYPower 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.
13 Lemierre Syndrome - A Neuroophthalmological ApproachVinzenz A. C. Vadasz, MD; Christina Gerth-Kahlert, MD; University Hospital of Zürich, Frauenklinikstrasse 24, 8091 Zürich, SwitzerlandCase report of a twenty-two year old woman with double vision after tonsillitis, caused through multiples thrombosis by an infection with fusobacterium necrophorum known as the Lemierre-Syndrome. Fig. 1: Ocular motility at ICU (lying position) Fig. 2: white arrows show thrombosis of the right opht...
14 Retinal Causes of a Neurologic-Type Visual Field DefectOmar Ozgur, MD; University of Texas, MD Anderson Cancer Center; Rudrani Banik, MD; New York Eye & Ear Infirmary of Mount Sinai, NY, NYPower point of case presentation of 47 year old female with history of breast cancer with new onset temporal visual field defect and photopsias. Differential diagnosis of homonymous hemianopia discussed; retinal causes of neurologic-type visual field defects reviewed including: white dot syndrome (m...
15 Neuromyelitis OpticaOmar Ozgur, MD; University of Texas, MD Anderson Cancer Center; Rudrani Banik, MD; New York Eye & Ear Infirmary of Mount Sinai, NY, NYPower point of case presentation of female with bilateral, sequential atypical optic neuritis. MRI Brain normal with no demyelination; MRI Spine shows enhancement at multiple levels and NMO antibody positive, confirming diagnosis of neuromyelitis optica (NMO). History of NMO discussed, diagnostic c...
16 Acute Retinal Necrosis (ARN)Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineAcute Retinal Necrosis causes inflammation and subsequent retinal detachment. This powerpoint provides images depicting ARN.
17 Retinitis PigmentosaGregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineRetinitis pigmentosa is a retinal/choroidal degeneration caused by various genetic defects. The term retinitis pigmentosa is really a misnomer since it is not inflammation (retinitis) and it is not a disease of the pigmentary system (pigmentosa).
18 Stargardt's DiseaseGregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineStargardt's disease is an inherited maculopathy which frequently presents with a loss of central vision.
19 BirdshotGregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineBirdshot Retinochoroidopathy is a posterior uveitis seen in women 30-60 years of age who present with floaters, changes in color vision, and difficulty with night vision.
20 HistoplasmosisGregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineHistoplasmosis, a fungus, can present acutely as a systemic condition. This image shows signs of Histoplasmosis.
21 Acute Multifocal Pigment Epithelium Epitheliopathy (AMPEE)Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineImages providing example of Acute Multifocal Pigment Epithelium Epitheliopathy (AMPEE)
22 Congenital and Secondary SyphilisGregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineImages showing evideince of Congenital and Secondary Syphilis
23 Multifocal ChoroiditisGregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineMulti-focal choroiditis is usually a bilateral choroidopathy seen more frequently in women associated with punched out appearing lesions occasionally with pigment around the edges. Image provides example.
24 What is White? Normal white structuresGregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineThe only inherently "white" element in the normal eye is the sclera.
25 Serpiginous ChoroidopathyGregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineSerpiginous choroidopathy (also known as Geographic choroidopathy) usually affects the choroid, the choriocapillaris and the retinal pigment epithelium in both eyes.
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