John A. Moran Eye Center Neuro-Ophthalmology Collection: A variety of lectures, videos and images relating to topics in Neuro-Ophthalmology created by faculty at the Moran Eye Center, University of Utah, in Salt Lake City.
NOVEL: https://novel.utah.edu/
TO
| Title | Description | Type | ||
|---|---|---|---|---|
| 1 |
 |
Aberrant Regeneration of the Right Pupil | Aberrant regeneration of the right pupil in a man with a large intracavernous sinus meningioma causing a pupil-involving, incomplete third cranial nerve palsy. His pupil is round when he gazes straight ahead (top). When he tries to rotate the eye medially, the pupil constricts, but a segment of the ... | Image |
| 2 |
 |
3-35a - Papilledema Stages | Grading Papilledema: Stage 4 Stage 4 = Complete obliteration of the cup and complete obscuration of at least some vessels on the surface of the disc. There may be small dilated capillaries on the disc that resemble telangiectasia. It is not the NFL infarcts or hemorrhages but the obscuration of the ... | Image |
| 3 |
 |
3-31b - Papilledema Stages | Grading Papilledema: Stage 0 GRADING PAPILLEDEMA GRADING PAPILLEDEMA We grade papilledema in order to tell us how severe it is. The most sensible grading scheme has been provided by Lars Frisén. STAGE 0: This woman had documented increased intracranial pressure of 340 mm water. Very little if any ... | Image |
| 4 |
 |
3-32b - Papilledema Stages | Grading Papilledema: Stage 1 Stage 1 = C shaped blurring of the nasal, superior and inferior borders. Usually the temporal margin is normal. Also notice the chorio-retinal folds (arrows) that eminate toward the macula (m) | Image |
| 5 |
 |
3-34c Papilledema Stages | Grading Papilledema: Stage 3 Stage 3 = Elevation of the entire disc with partial obscuration of the retinal vessels at the disc margin. Here the vessels are partly obscured and make the development into stage 3 easier to call. | Image |
| 6 |
 |
Stage 2 - Papilledema | Image | |
| 7 |
 |
3-36a - Papilledema Stages | Grading Papilledema: Stage 5 Stage 5 = Dome-shaped appearance with all vessels being obscured. (Sometimes called "champagne cork" swelling--because of its dome shape.) | Image |
| 8 |
 |
4-54a -Optic Neuropathy, Ischemic: Posterior | Image | |
| 9 |
 |
4-54b - Optic Neuropathy, Ischemic: Posterior | Image | |
| 10 |
 |
3-3 - Bergmeister Papilla | Image | |
| 11 |
 |
3-4 - Tilted Disc | Tilted discs are normal variants caused by oblique insertion of the optic nerve to the globe. They can be and frequently are mistaken for papilledema. In this case the superior edge of the disc is tilted and appears elevated. This disc exhibits a nasal inferior tilt. | Image |
| 12 |
 |
3-5b - Myelinated Nerve Fibers | Myelinated nerve fibers are frequently confused with papilledema. The feathery edge of the myelinated fibers that conceal the disc and vessel should provide the clue. These myelinated nerve fibers make the disc look blurred. | Image |
| 13 |
 |
3-33b - Papilledema Stages | Grading Papilledema: Stage 2 = Elevation of the disc margin 360 degrees. Since the blood vessels at the disc margin are not swollen or obscured, this disc could be mistaken for pseudo-papilledema. | Image |
| 14 |
 |
2-37a - Vascular Features | When looking at the disc, the central retinal artery and vein should be visible. The central retinal artery is usually slightly narrower than the vein. When the central retinal artery goes though the lamina cribrosa, the artery becomes smaller because of diminution of the muscular layer and loss of ... | Image |
| 15 |
 |
Location of Pupillomotor Fibers | Location of pupillomotor fibers are depicted as dark regions on cross-sections of the right (R) and left (L) oculomotor nerve at various locations along its course, including its emergence from the brain stem in the interpeduncular fossa (1), the midsubarachnoid segment (2), the level of the dorsum ... | Image |
| 16 |
 |
Anatomy of the Pupillary Light Reflex Pathway | Anatomy of the pupillary light reflex pathway. (Miller NR: Walsh And Hoyt's Clinical Neuro-Ophthalmology, p 421. Vol 2, 4th ed. Baltimore: Williams & Wilkins, 1985, with permission.) | Image |
| 17 |
 |
The Course of the Postganglionic Segment of the Oculosympathetic Fibers from the Internal Carotid Artery | The course of the postganglionic segment of the oculosympathetic fibers from the internal carotid artery (ICA) to the orbit is depicted as a dotted line. Note that they briefly join the abducens nerve (cranial nerve VI) before joining the nasociliary branch of the of the ophthalmic division of the t... | Image |
| 18 |
 |
Anatomy of the Oculosympathetic Pathway | Anatomy of the oculosympathetic pathway. (Maloney WF, Younge BR, Moyer NJ: Evaluation of the causes and accuracy of pharmacologic localization in Horner's syndrome. Am J Ophthalmol 1980;90:394-402, Ophthalmic Publishing Company with permission.) | Image |
| 19 |
 |
2-37b - Vascular Features | When looking at the disc, the central retinal artery and vein should be visible. The central retinal artery is usually slightly narrower than the vein. When the central retinal artery goes though the lamina cribrosa, the artery becomes smaller because of diminution of the muscular layer and loss of ... | Image |
| 20 |
 |
Pupillogram of a Healthy Young Subject | Pupillogram of a healthy young subject showing continuous pupillary oscillations of both pupils when light is sustained, indicated by the dark arrow at the top of the recording. Note that the oscillations of the pupils are synchronous and demonstrate variable amplitude and frequency. This pattern of... | Image |
| 21 |
 |
Relationship Between Age and Pupil Size | Relationship between age and pupil size, determined using an infrared flash photograph technique with subjects placed in darkness for 3 minutes. The numbers above the abscissa indicate the number of subjects tested in each age range. (Reprinted with permission of Loewenfeld IE: "Simple, central" ani... | Image |
| 22 |
 |
Left-sided Horner's Syndrome with an Acquired Preganglionic Localization | Left-sided Horner's syndrome in a 12-year-old girl with an acquired preganglionic localization based on clinical and pharmacologic testing. The cause remained undetermined after extensive radiologic investigations. Left-sided ptosis and miosis are evident in room light (top), and the degree of aniso... | Image |
| 23 |
 |
Flow Chart for Sorting Out Anisocoria - Bright Light and Darkness | Flow chart for sorting out anisocoria based initially on how it is influenced by bright light and darkness. | Image |
| 24 |
 |
Flow Chart for Sorting Out Anisocoria - Direct Light Reaction of the Pupil | Flow chart for sorting out anisocoria based initially on the integrity of the direct light reaction of the pupil. | Image |
| 25 |
 |
Assessment of an Afferent Pupillary Defect When Only One Iris is Functional | Assessment of an afferent pupillary defect when only one iris is functional. In this example, a right-sided parasellar tumor is compressing both the optic and oculomotor nerves, causing an optic neuropathy and a pupil-involving third crainial nerve palsy. The pupil on the affected side has both an a... | Image |