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226 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
227 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
228 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
229 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
230 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
231 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
232 Neuro-Ophthalmic Manifestations of Brain TumorsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe 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...
233 Neuro-Ophthalmic Manifestations of Brain TumorsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe 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...
234 Neuro-Ophthalmic Manifestations of Brain TumorsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe 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...
235 Neuro-Ophthalmic Manifestations of Brain TumorsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe 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...
236 Neuro-Ophthalmic Manifestations of Brain TumorsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe 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...
237 Neuro-Ophthalmic Manifestations of Brain TumorsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe 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...
238 Traumatic internal carotid atery dissectionAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyTraumatic dissection of the carotid artery may result in neck pain, an ipsilateral Horner's syndrome (disruption of the pericarotid sympathetic fibers), or ipsilateral arterial occlusions from embolic disease. Pair with images 91_19 and 91_20.
239 Traumatic internal carotid artery dissectionAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyTraumatic dissection of the carotid artery may result in neck pain, an ipsilateral Horner's syndrome (disruption of the pericarotid sympathetic fibers), or ipsilateral arterial occlusions from embolic disease. Pair with images 91_18 and 91_20.
240 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
241 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
242 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
243 Traumatic internal carotid artery dissectionAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyTraumatic dissection of the carotid artery may result in neck pain, an ipsilateral Horner's syndrome (disruption of the pericarotid sympathetic fibers), or ipsilateral arterial occlusions from embolic disease. Pair with images 91_18 and 91_19.
244 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
245 Optic disc drusen with autofluorescenceAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis photograph of optic disc drusen demonstrates autoflourescence with flourescein barrier filters in place.
246 Optic disc drusen visual fieldsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
247 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyAn 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...
248 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyAn 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.
249 Peripapillary staphylomaAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyPatients 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...
250 Motility DisturbancesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe 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...
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