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TitleCreatorDescription
251 Orbital TumorsMitchell J. Wolin, MDCavernous hemangiomas of the orbit usually result in painless orbital signs such as proptosis or visual loss. Orbital imaging of the lesion, which usually is a well-defined orbital mass, is demonstrated in this study. The lesion is benign and usually occurs in young to middle-aged adults. Surgical e...
252 Neuro-Ophthalmic Imaging-CT ScanMitchell J. Wolin, MDIdiopathic 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...
253 Neuro-Ophthalmic Imaging-CT ScanMitchell J. Wolin, MDIdiopathic 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...
254 Ocular Manifestations of Systemic DisordersMitchell J. Wolin, MDThyroid eye disease is the most common cause of unilateral or bilateral proptosis in the adult patient. Other signs of thyroid eye disease should be sought, including lid retraction, inferior scleral show, and lid lag. Patients with markedly asymmetric or strictly unilateral proptosis should probabl...
255 Ocular Manifestations of Systemic DisordersMitchell J. Wolin, MDThyroid eye disease is the most common cause of unilateral or bilateral proptosis in the adult patient. Other signs of thyroid eye disease should be sought, including lid retraction, inferior scleral show, and lid lag. Patients with markedly asymmetric or strictly unilateral proptosis should probabl...
256 Migraine SyndromeMitchell J. Wolin, MDThe image shows a patient with cluster headache and eye displaying Horner's syndrome.
257 Neuro-Ophthalmic Imaging-MRIMitchell J. Wolin, MDAxial view of Arnold-Chiari malformation on a patient with downbeat nystagmus. Note the presence of the cerebellar tonsils posterior to the caudal medulla. In addition to downbeat nystagmus, Arnold-Chiari malformations can sometimes lead to increased intracranial pressure and papilledema.
258 Neuro-Ophthalmic Imaging-MRIMitchell J. Wolin, MDSagittal view of Arnold-Chiari malformation on a patient with downbeat nystagmus. The compression of the cervicomedullary junction is clearly depicted in the sagittal view.
259 Neuro-Ophthalmic Imaging-CT ScanMitchell J. Wolin, MDThis is a patient with trauma leading to enucleation, with swelling years later over the implant. This is a presumed chronic abscess between orbit and dura.
260 Isolated Optic Neuritis/NeuropathyRalph A. Sawyer, MDPapilledema usually results in bilateral optic disc edema without visual loss. The blind spot may enlarge initially, but progressive visual field loss may occur with chronic optic disc edema. Asymmetric or frankly unilateral optic disc edema may occur due to structural disc fractures that prevent th...
261 Isolated Optic Neuritis/NeuropathyRalph A. Sawyer, MDPapilledema usually results in bilateral optic disc edema without visual loss. The blind spot may enlarge initially, but progressive visual field loss may occur with chronic optic disc edema. Asymmetric or frankly unilateral optic disc edema may occur due to structural disc fractures that prevent th...
262 Optic NeuropathiesRalph A. Sawyer, MDOptic disc edema with a macular star figure has been referred to as neuroretinitis.
263 Isolated Optic Neuritis/NeuropathyRichard H. Legge, MDPapilledema is a term reserved for optic disc edema related to increased intracranial pressure (eg. Papilledema, sixth nerve palsy, headache), a normal neuroimaging study, and an elevated opening pressure with normal cerebrospinal fluid contents.
264 Systemic Disorders With Optic Nerve and Retinal FindingsRobert F. Saul, MDThis 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.
265 Systemic Disorders With Optic Nerve and Retinal FindingsRobert F. Saul, MDThis 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.
266 Systemic Disorders With Optic Nerve and Retinal FindingsRobert F. Saul, MDThis 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.
267 Neuro-Ophthalmic Vascular DiseaseRobert F. Saul, MDIn image 93_29, taken during the episode, note the change in caliber of the blood vessels.
268 Neuro-Ophthalmic Vascular DiseaseRobert F. Saul, MDImage 93_30 is immediately after the attack, note the slight redness to the macula.
269 Neuro-Ophthalmic Vascular DiseaseRobert F. Saul, MDImage 93_28 shows the fundus before the attack.
270 Systemic Disorders With Optic Nerve and Retinal FindingsRobert F. Saul, MDThis 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...
271 Systemic Disorders With Optic Nerve and Retinal FindingsRobert F. Saul, MDThis 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...
272 Ocular Manifestations of Systemic DisordersRobert F. Saul, MDWilson's disease (hepatolenticular degeneration) is a progressive autosomal recessive multisystem disease that may result in cirrhosis of the liver, renal dysfunction, and motor neurologic disease. A Kayser-Fleischer ring may occur as a green-brown band at the level of Descemet's membrane in the cor...
273 Systemic Disorders With Optic Nerve and Retinal FindingsRobert L. Lesser, MDIntraocular lymphoma may present with an unexplained vitritis, optic disc infiltration, or choroidal infiltration. One unusual manifestation of large-cell lymphoma is this leopard-spot appearance. Pair with 94_32, 94_33, and 94_35. This is a fundus photo.
274 Systemic Disorders With Optic Nerve and Retinal FindingsRobert L. Lesser, MDIntraocular lymphoma may present with an unexplained vitritis, optic disc infiltration, or choroidal infiltration. One unusual manifestation of large-cell lymphoma is this leopard-spot appearance. Pair with 94_32, 94_34, and 94_35. This is a fundus photo.
275 Systemic Disorders With Optic Nerve and Retinal FindingsRobert L. Lesser, MDIntraocular lymphoma may present with an unexplained vitritis, optic disc infiltration, or choroidal infiltration. One unusual manifestation of large-cell lymphoma is this leopard-spot appearance. Pair with 94_33, 94_34, and 94_35. This is a fundus photo.
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