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/
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| Title | Creator | Description | ||
|---|---|---|---|---|
| 251 |
 |
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... |
| 252 |
 |
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... |
| 253 |
 |
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... |
| 254 |
 |
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 ... |
| 255 |
 |
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... |
| 256 |
 |
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... |
| 257 |
 |
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 ... |
| 258 |
 |
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... |
| 259 |
 |
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... |
| 260 |
 |
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... |
| 261 |
 |
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. |
| 262 |
 |
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 ... |
| 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 |
 |
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 ... |
| 265 |
 |
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... |
| 266 |
 |
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. |
| 267 |
 |
Neuro-Ophthalmic Imaging-CT Scan | Mitchell J. Wolin, MD | Idiopathic orbital pseudotumor is an inflammatory disorder that may effect any part of the ocular anatomy. The site of inflammation determines the nomenclature. For example, involvement of the sclera is referred to as scleritis. And involvement of one or more of the extraocular muscles is referred t... |
| 268 |
 |
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 ... |
| 269 |
 |
Neuro-Ophthalmic Imaging-CT Scan | Larry P. Frohman, MD | This 70-year-old woman sustained traumatic optic neuropathy in a motor vehicle accident. Note the funnel-shaped hemorrhage within the optic nerve sheath just posterior to the globe. |
| 270 |
 |
Isolated Optic Neuritis/Neuropathy | Daniel M. Jacobson MD | This 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... |
| 271 |
 |
Ocular Manifestations of Congenital/Inherited Diseases | Jacqueline A. Leavitt, MD | This 22-year-old woman has neurofibromatosis, type 2. Acuity, color plates, pupillary responses, slit-lamp examination, IOP, fields, and funduscopy are all normal. There is a 3 mm proptosis OS. The patient has recently undergone gamma knife for the acoustic tumor, and she has residual facial nerve p... |
| 272 |
 |
Systemic Disorders With Optic Nerve and Retinal Findings | Larry P. Frohman, MD | This 48-year-old female was seen in May 1996 with a history of 2 months of diplopia from a right abducens palsy. This was due to the recurrence of myeloma that had initially been diagnosed and treated with radiation and chemotherapy 9 years before and required further therapy, including bone marrow ... |
| 273 |
 |
Systemic Disorders With Optic Nerve and Retinal Findings | Robert F. Saul, MD | This patent 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. Imaging of a... |
| 274 |
 |
Systemic Disorders With Optic Nerve and Retinal Findings | Robert F. Saul, MD | This patent 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. Imaging of a... |
| 275 |
 |
Neuro-Ophthalmic Manifestations of Brain Tumors | Jacqueline A. Leavitt, MD | Chordomas of the clivus may result in diplopia due to a sixth nerve palsy. The sixth nerve runs up the clivus and may be the presenting manifestation of the lesion. Pair with Images 97_34, 97_35, and 97_36. |