AAO-NANOS Neuro-Ophthalmology Clinical Collection: Derived from the AAO-NANOS Clinical Neuro-Ophthalmology collection produced on CD. The images are of selected cases from the NANOS teaching slide exchange, and the CD was produced under the direction of Larry Frohman, MD and Andrew Lee, MD.
The American Academy of Ophthalmology (AAO); The North American Neuro-Ophthalmology Association (NANOS).
NOVEL: https://novel.utah.edu/
TO
| Title | Creator | Description | ||
|---|---|---|---|---|
| 251 |
 |
Isolated Optic Neuritis/Neuropathy | Anthony C. Arnold, MD | This 42-year-old male with pseudotumor cerebri and chronic papilledema demonstrated refractile bodies, which can be seen with chronic optic disc edema. This image shows the chronic papilledema at presentation, with associated refractile hyaline bodies at the disc periphery in both eyes. Pair with 96... |
| 252 |
 |
Systemic Disorders With Optic Nerve and Retinal Findings | Larry P. Frohman, MD | A patient with small-cell lung carcinoma that was metastatic to the optic nerves, ciliary body, and brain. This is a fundus photo. |
| 253 |
 |
Isolated Optic Neuritis/Neuropathy | Anthony C. Arnold, MD | This image demonstrates Paton's lines in a 34-year-old patient with pseudotumor cerebri and chronic papilledema. |
| 254 |
 |
Neuro-Ophthalmic Vascular Disease | Anthony C. Arnold, MD | This 76-year-old woman has a 7-month history of redness and pressure sensation in both eyes that is worse in the morning. She has noted intermittent horizontal diplopia during this time. Angiography demonstrated a right dural cavernous sinus fistula, which was successfully occluded with direct injec... |
| 255 |
 |
Neuro-Ophthalmic Vascular Disease | Anthony C. Arnold, MD | This 76-year-old woman has a 7-month history of redness and pressure sensation in both eyes that is worse in the morning. She has noted intermittent horizontal diplopia during this time. Angiography demonstrated a right dural cavernous sinus fistula, which was successfully occluded with direct injec... |
| 256 |
 |
Ocular Manifestations of Congenital/Inherited Diseases | Mark J. Kupersmith, MD | This 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... |
| 257 |
 |
Systemic Disorders With Optic Nerve and Retinal Findings | Larry P. Frohman, MD | This 1-year-old child with familial erythrophagocytic lymphohistiocytosis was readmitted with a fever and was noted to have bilateral blindness. The spinal tap showed a protein of 148, with 178 WBC with 98% ""lymphocytes."" This MRI image demonstrates the optic nerve infiltration. He was treated wit... |
| 258 |
 |
Neuro-Ophthalmic Vascular Disease | Anthony C. Arnold, MD | This coronal CT scan shows the enlarged superior ophthalmic vein in the left orbit. This 76-year-old woman has a 7-month history of redness and pressure sensation in both eyes that is worse in the morning. She has noted intermittent horizontal diplopia during this time. Angiography demonstrated a ri... |
| 259 |
 |
Ocular Manifestations of Congenital/Inherited Diseases | Mark J. Kupersmith, MD | This 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... |
| 260 |
 |
Optic Tract Syndrome Due to Carotid Artery Dolichoectasia | Larry P. Frohman, MD | This 43-year-old man was referred for evaluation of 6 months of visual loss OU. In retrospect, he had noticed increasing difficulty with his tennis game dating back over 3 years, as balls would pass him unexpectedly when hit to his backhand (left) side. The patient did not think this was progressive... |
| 261 |
 |
Chiasmal Syndromes | Shlomo A. Dotan, MD | A 52-year-old, morbidly obese man with a past medical history that included ischemic cardiac disease with a history of angioplasty, COPD, hypertension, and NIDDM, presented with a severe headache. The next day he had a frozen OD, complete right ptosis, and an unreactive middilated right pupil with V... |
| 262 |
 |
Neuro-Ophthalmic Consequences of Therapy | Larry P. Frohman, MD | This woman presented at age 52, 3 years after radiation therapy for a salivary gland carcinoma extending into the right maxillary sinus. She had received 6000 rads in 30 fractions over 45 days. She presented with 3 weeks of visual loss, with acuity of 20/30, normal color plates, normal fields, and n... |
| 263 |
 |
Optic Neuropathies | Daniel M. Jacobson MD | This 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 ... |
| 264 |
 |
Neuro-Ophthalmic Vascular Disease | Larry P. Frohman, MD | This 23-year-old woman has had insulin-dependent diabetes mellitus since age 3. She was diagnosed with Sydenham's chorea in early childhood and had grand mal seizures from age 13 to 15. She has been hypertensive since age 18. Her vision was 20/25 OD and 20/40 OS, with dyschromatopsia OS, and a 1.8 l... |
| 265 |
 |
Neuro-Ophthalmic Vascular Disease | Larry P. Frohman, MD | This 23-year-old woman has had insulin-dependent diabetes mellitus since age 3. She was diagnosed with Sydenham's chorea in early childhood and had grand mal seizures from age 13 to 15. She has been hypertensive since age 18. Her vision was 20/25 OD and 20/40 OS, with dyschromatopsia OS, and a 1.8 l... |
| 266 |
 |
Neuro-Ophthalmic Consequences of Therapy | Don Bienfang, MD | An elderly woman was first seen in 1991, after being on Plaquenil (Hydroxychloroquine Sulfate) for 5 to 6 years, with a new symptomatic disturbance in her reading. Because her blue/yellow color perception was disturbed, and because she had symptoms, the medication was stopped. However the fundi and ... |
| 267 |
 |
Neuro-Ophthalmic Imaging-MRI | Don Bienfang, MD | A 59-year-old untreated hypertensive man had a sudden onset of vomiting, gait ataxia, dysarthria, and left-sided weakness. The eyes were deviated downward and to the left. (Note position of gaze in 94_11). Extraocular motility was full. There was rotary nystagmus with the fast phase to the left; the... |
| 268 |
 |
Motility Disturbances | Eric L. Berman, MD | This is a 60-year-old albino woman with chronic progressive external ophthalmoplegia and strabismus fixus. Her extreme bilateral esotropia caused her acuity to be 20/400 OU, no view of fundus could be obtained except for the far periphery. CPEO is the most common manifestation of mitochondrial myopa... |
| 269 |
 |
Neuro-Ophthalmic Imaging-MRI | Scott Forman, MD | This 23-year-old right-handed man had a history of idiopathic recurrent optic neuritis. The patient presented with acuity of 20/400 OD and 20/100 OS, with a central scotoma OD and a complete temporal defect OS. MRI with fat suppression and gadolinium revealed enhancement of the intracranial nerve an... |
| 270 |
 |
Systemic Disorders With Optic Nerve and Retinal Findings | Steven Galetta, MD | This fondus image shows a white-centered hemorrhage in a leukemia patient with orbital aspergillosis. |
| 271 |
 |
Optic Neuropathies | Daniel M. Jacobson MD | This 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 ... |
| 272 |
 |
Optic Neuropathies | Daniel M. Jacobson MD | This 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 ... |
| 273 |
 |
Optic Neuropathies | Daniel M. Jacobson MD | This 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 ... |
| 274 |
 |
Optic Neuropathies | Daniel M. Jacobson MD | A 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... |
| 275 |
 |
Isolated Congenital Optic Disc Anomalies | Thomas R. Wolf, MD | An 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. Disease/Diagnosis: Optic Pit. |