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226 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyNeurofibromatosis, type 1, is an autosomal dominant phakomatosis characterized by Lisch nodules of the iris (hamartomas) plexiform neurofibromas, café-au-lait spots on the skin, and axillary freckling. Intracranial tumors such as optic pathway gliomas may occur.
227 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyTuberous sclerosis is an autosomal dominant phakomatosis characterized by astrocytic hamartomas of the retina or optic nerve, adenoma sebaceum of the face, periungual fibromas, and astrocytic hamartomas of the brain, with secondary seizures and mental retardation
228 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyTuberous sclerosis is an autosomal dominant phakomatosis characterized by astrocytic hamartomas of the retina or optic nerve, adenoma sebaceum of the face, periungual fibromas, and astrocytic hamartomas of the brain, with secondary seizures and mental re
229 Ocular Disease with Retinal FindingsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyChoroidal folds may result from choroidal tumors, compression on the eye wall from thyroid ophthalmopathy, orbital pseudotumor, orbital tumor, posterior scleritis, hypotony, scleral laceration, retinal detachment, marked hyperopia, or secondary to papilledema. Intraocular pressure measurements, refr...
230 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis image shows drusen that are especially prominent superotemporally. Pair with 92_64 and 92_67.
231 Optic disc drusen, fluorescein angiogramAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyImages 92_64 and 92_67 demonstrate the characteristics of optic disc drusen on flourescein angiography. This image shows the early arteriovenous phase, with irregular dye uptake and focal hypoflourescence superotemporally. Pair with 92_63 and 92_67
232 Optic nerve drusen, late fluorescein angiogramAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyImages 92_64 and 92_67 demonstrate the characteristics of optic disc drusen on flourescein angiography. This image displays the nodular staining of the drusen without leakage. Pair with 92_63 and 92_64.
233 Isolated congenital optic disc anomaliesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis is a photograph of peripheral drusen. The paired image 92_69 demonstrates the typical autofluorescence.
234 Optic disc drusen autofluorescenceAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis case of optic disc drusen demonstrates the typical autofluorescence. Pair with 92_68.
235 Congenitally Tilted Optic DiscAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyColobomas or defects of the optic nerve may exhibit spontaneous pulsations.
236 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyImage shows a patient with the Laurence-Moon-Biedl syndrome, an autosomal recessive syndrome characterized by obesity, mental retardation, retinitis pigmentosa (see Image 91_07), polydactyly, and hypogonadism. Pair with 91_07.
237 Neuro-Ophthalmic Consequences of TherapyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology Societyradiation retinopathy may mimic diabetic or hypertensive optic neuropathy. A history of irradiation to the eye, orbit, or head is mandatory. Radiation retinopathy usually occurs many months after radiation therapy.
238 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyPapilledema may produce visual loss due to chronic atrophic papilledema, secondary macular hemorrhage, exudate or edema, secondary ischemic optic neuropathy, or secondary subretinal neovascular membrane formation. Patients with papilledema and visual loss should be suspected of harboring one of thes...
239 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyPapilledema may produce visual loss due to chronic atrophic papilledema, secondary macular hemorrhage, exudate or edema, secondary ischemic optic neuropathy, or secondary subretinal neovascular membrane formation. Patients with papilledema and visual loss should be suspected of harboring one of thes...
240 Neuro-Ophthalmic Vascular DiseaseAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyAneurysms of the intracranial circulation may act as mass lesions and compress the afferent of efferent visual pathway. Ophthalmic artery aneurysms may compress the optic nerve and result in an optic neuropathy (ie, visual loss, afferent pupillary defect, optic atrophy). Treatment includes endovascu...
241 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 9-year-old girl, who had complained of recurrent spontaneous bleeding from the palate and slight swelling and increased warmth over the left cheek, was found to have Wyburn-Mason syndrome. Image 1993_16 shows a small area of arteriovenous shunt on the left optic disc in this patient, who has no...
242 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 9-year-old girl, who had complained of recurrent spontaneous bleeding from the palate and slight swelling and increased warmth over the left cheek, was found to have Wyburn-Mason syndrome. Image 1993_16 shows a small area of arteriovenous shunt on the left optic disc in this patient, who has no...
243 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 9-year-old girl, who had complained of recurrent spontaneous bleeding from the palate and slight swelling and increased warmth over the left cheek, was found to have Wyburn-Mason syndrome. Image 1993_16 shows a small area of arteriovenous shunt on the left optic disc in this patient, who has no...
244 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 9-year-old girl, who had complained of recurrent spontaneous bleeding from the palate and slight swelling and increased warmth over the left cheek, was found to have Wyburn-Mason syndrome. Image 1993_16 shows a small area of arteriovenous shunt on the left optic disc in this patient, who has no...
245 Ocular Manifestations of Congenital/Inherited DiseasesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 9-year-old girl, who had complained of recurrent spontaneous bleeding from the palate and slight swelling and increased warmth over the left cheek, was found to have Wyburn-Mason syndrome. Image 1993_16 shows a small area of arteriovenous shunt on the left optic disc in this patient, who has no...
246 Neuro-Ophthalmic Vascular DiseaseAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyA 9-year-old boy had recurrent ischemic episodes that had begun 2 years prior to evaluation. A significant right hemiparesis and a significant speech, learning, and memory disorder were present. His noncontrast axial view CT scan demonstrated multiple cerebral infarcts. Cerebral angiography revealed...
247 Neuro-Ophthalmic Vascular DiseaseAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyA 9-year-old boy had recurrent ischemic episodes that had begun 2 years prior to evaluation. A significant right hemiparesis and a significant speech, learning, and memory disorder were present. His noncontrast axial view CT scan demonstrated multiple cerebral infarcts. Cerebral angiography revealed...
248 Neuro-Ophthalmic Vascular DiseaseAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyA 9-year-old boy had recurrent ischemic episodes that had begun 2 years prior to evaluation. A significant right hemiparesis and a significant speech, learning, and memory disorder were present. His noncontrast axial view CT scan demonstrated multiple cerebral infarcts. Cerebral angiography revealed...
249 Neuro-Ophthalmic Vascular DiseaseAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyMR angiography was performed on this 33-year-old woman, who complained of the onset of a bad taste in her mouth followed by pain along the left forehead and development of the left third-order Horner's syndrome during pregnancy. Except for the Horner's syndrome, the patient was neurologically intact...
250 Neuro-Ophthalmic Consequences of TherapyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyRadiation causes a vascular retinopathy that may mimic diabetic or hypertensive retinopathy. It does not develop until many months or several years after radiation therapy to the eye, orbit or head.
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