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226 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 35-year-old otherwise-healthy woman developed typical optic neuritis OD with excellent recovery. She had no clinical evidence of multiple sclerosis at that time. She presented in August of 1991, at which time perivenous sheathing was seen in the retinal periphery OU. A limited workup was negati...
227 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 35-year-old otherwise-healthy woman developed typical optic neuritis OD with excellent recovery. She had no clinical evidence of multiple sclerosis at that time. She presented in August of 1991, at which time perivenous sheathing was seen in the retinal periphery OU. A limited workup was negati...
228 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 35-year-old otherwise-healthy woman developed typical optic neuritis OD with excellent recovery. She had no clinical evidence of multiple sclerosis at that time. She presented in August of 1991, at which time perivenous sheathing was seen in the retinal periphery OU. A limited workup was negati...
229 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 35-year-old otherwise-healthy woman developed typical optic neuritis OD with excellent recovery. She had no clinical evidence of multiple sclerosis at that time. She presented in August of 1991, at which time perivenous sheathing was seen in the retinal periphery OU. A limited workup was negati...
230 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietySystemic lymphoma may occur in the orbit and may involve the lacrimal gland. Patients usually present with a painless, progressive proptosis or a mass. CT scan usually demonstrates an irregularly shaped lesion conforming to the globe or lacrimal fossa, and bone erosion is not usually found. Pair wit...
231 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietySystemic lymphoma may occur in the orbit and may involve the lacrimal gland. Patients usually present with a painless, progressive proptosis or a mass. CT scan usually demonstrates an irregularly shaped lesion conforming to the globe or lacrimal fossa, and bone erosion is not usually found. Pair wit...
232 Systemic Disorders With Optic Nerve and Retinal FindingsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyNeoplasms may result in an optic neuropathy by direct metastatic involvement. In this patient, a lung adenocarcinoma was metastatic to the optic nerve.This is a fundus photo.
233 Pseudopapilledema with retinal neovascularization, fluorescein angiogramAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 8-year-old boy presented with a 2-week history of decreased vision in the right eye. He had undergone a normal MRI and CSF examination, including intracranial pressure, before neuro-ophthalmologic assessment. The fundus photographs and fluorescein angiograms show subretinal neovascularization a...
234 Neuro-Ophthalmic Consequences of TherapyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe patient is a 38-year-old woman with oligodendroglioma of the left cerebral hemisphere. The patient received intracarotid BCNU and developed BCNU retinopathy, optic neuropathy, and partial ophthalmoplegia. Image 92_21is from 1 month later and demonstrates hemorrhagic swelling of the disc, retinal...
235 Neuro-Ophthalmic Consequences of TherapyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe patient is a 38-year-old woman with oligodendroglioma of the left cerebral hemisphere. The patient received intracarotid BCNU and developed BCNU retinopathy, optic neuropathy, and partial ophthalmoplegia. Image 92_22 Shows late changes, with more severe retinal ischemia, vascular attenuation, an...
236 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis patient has optic disc drusen and evidence of a superimposed optic neuropathy, including loss of visual field, an ipsilateral afferent pupillary defect, and optic atrophy. Although optic disc drusen typically causes visual field loss without visual acuity loss superimposed, ischemic optic neuro...
237 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 8-year-old boy presented with a 2-week history of decreased vision in the right eye. He had undergone a normal MRI and CSF examination, including intracranial pressure, before neuro-ophthalmologic assessment. The fundus photographs and fluorescein angiograms show subretinal neovascularization a...
238 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 8-year-old boy presented with a 2-week history of decreased vision in the right eye. He had undergone a normal MRI and CSF examination, including intracranial pressure, before neuro-ophthalmologic assessment. The fundus photographs and fluorescein angiograms show subretinal neovascularization a...
239 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis patient has known pseudoxanthoma elasticum (an uncommon elastic tissue disorder characterized by plaque-like skin folds [plucked chicken skin] and degeneration of collagen fibers involving multiple systems, including the GI tract and heart), angioid streaks, and optic disc drusen.
240 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyA previously healthy 28-year-old woman (except for a history of optic neuritis OS 9 years previously with full recovery) was referred for management of optic neuritis OD. Three weeks earlier she had noted a dark inferior scotoma OD that progressed to involve fixation over the next 10-12 days. She ex...
241 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 28-year-old otherwise-healthy woman was referred to for treatment of what was thought to be optic neuritis OD. Three weeks earlier she had noted a dark inferior scotoma OD that progressed to involve fixation over the next 10-12 days. She experienced photopsias OD at the onset. She had no viral ...
242 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 28-year-old otherwise-healthy woman was referred to for treatment of what was thought to be optic neuritis OD. Three weeks earlier she had noted a dark inferior scotoma OD that progressed to involve fixation over the next 10-12 days. She experienced photopsias OD at the onset. She had no viral ...
243 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 28-year-old otherwise-healthy woman was referred to for treatment of what was thought to be optic neuritis OD. Three weeks earlier she had noted a dark inferior scotoma OD that progressed to involve fixation over the next 10-12 days. She experienced photopsias OD at the onset. She had no viral ...
244 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 28-year-old otherwise-healthy woman was referred to for treatment of what was thought to be optic neuritis OD. Three weeks earlier she had noted a dark inferior scotoma OD that progressed to involve fixation over the next 10-12 days. She experienced photopsias OD at the onset. She had no viral ...
245 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 28-year-old otherwise-healthy woman was referred to for treatment of what was thought to be optic neuritis OD. Three weeks earlier she had noted a dark inferior scotoma OD that progressed to involve fixation over the next 10-12 days. She experienced photopsias OD at the onset. She had no viral ...
246 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 28-year-old otherwise-healthy woman was referred to for treatment of what was thought to be optic neuritis OD. Three weeks earlier she had noted a dark inferior scotoma OD that progressed to involve fixation over the next 10-12 days. She experienced photopsias OD at the onset. She had no viral ...
247 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 34-year-old otherwise-healthy woman was referred for a neuro-ophthalmologic consultation for unexplained loss of vision OD following head trauma. Two months earlier, she was involved in a motor vehicle accident that resulted in a closed head injury complicated by a spontaneously resolving small...
248 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 34-year-old otherwise-healthy woman was referred for a neuro-ophthalmologic consultation for unexplained loss of vision OD following head trauma. Two months earlier, she was involved in a motor vehicle accident that resulted in a closed head injury complicated by a spontaneously resolving small...
249 Optic NeuropathiesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 34-year-old otherwise-healthy woman was referred for a neuro-ophthalmologic consultation for unexplained loss of vision OD following head trauma. Two months earlier, she was involved in a motor vehicle accident that resulted in a closed head injury complicated by a spontaneously resolving small...
250 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 59-year-old man had a 4-week history of malaise, myalgias, night sweats, weight loss, fatigue, and generalized headaches, and a few days before admission he developed a red eye OS secondary to exposure keratitis associated with a left-sided seventh nerve palsy. Subsequent evaluation disclosed a...
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