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Title | Description | Type |
51 |
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Trigeminal Nerve Exam | Explanation of a trigeminal nerve exam. | |
52 |
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Tunnel Vision on Tangent Screen Testing | Description of tunnel vision and tangent screen testing. | |
53 |
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Vestibular Nystagmus | Example of patient with vestibular nystagmus. Patient is led through instructions for direction of gaze. Shown also with Frenzel goggles. | Image/MovingImage |
54 |
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Abducting (Dissociated) Nystagmus | Example of a patient with abducting (dissociated) nystagmus. Patient has a subtle internuclear ophthalmoplegia. Right eye has right-beating jerk nystagmus, with smaller oscillations in the left eye. Disease/Diagnosis: Abducting Nystagmus | Image/MovingImage |
55 |
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Before Tensilon | Example of patient with myasthenia gravis. Demonstration of baseline examination, followed by administration of 2mg of tensilon, which is a test dose. Procedure for administration of tensilon test is described, including variations. Patient is then shown after being given 4mg of tensilon, with very ... | Image/MovingImage |
56 |
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Congenital Ocular Motor Apraxia | Two examples of congenital ocular motor apraxia. Patients have trouble initiating saccades, and compensate with head movement. Discussion of how to distinguish this condition from simply not seeing well. | Image/MovingImage |
57 |
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Dissociated Nystagmus | Example of a patient with dissociated nystagmus. Demonstrates difference in movements between each eye. | Image/MovingImage |
58 |
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Internuclear Ophthalmoplegia (2 Examples) | Two examples of patients with internuclear ophthalmoplegia. First patient has a right internuclear ophthalmoplegia. Patient had subacute bacterial endocarditis with a bacterial abscess in the brain stem. Ductions and gaze to the right look good, but when gazing to the left, the right eye does not ad... | Image/MovingImage |
59 |
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Latent Nystagmus | Example of a patient with latent nystagmus. Demonstrates a lack of oscillations in forward gaze, followed by the occlusion of each eye, showing how this generates a jerking oscillation in the non-occluded eye away from the occluded eye. | Image/MovingImage |
60 |
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Opsoclonus | Example of patients with opsoclonus, a saccadic abnormality. | Image/MovingImage |
61 |
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Paradoxical Constriction of Pupils to Darkness (Flynn Phenomenon) | Example of patients both with and without paradoxical constriction of pupils. Observed in many congenital retinal disorders, such as achromatopsia, congenital stationary night-blindness, and Leber's congenital amaurosis. Sometimes seen in optic nerve disorders, such as dominant optic atrophy. | Image/MovingImage |
62 |
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Parinaud's Syndrome | Two examples of patients with Parinaud's syndrome, a dorsal midbrain syndrome. Discussion of hallmarks of this syndrome, including convergence retraction nystagmus, vertical gaze palsies, light-near dissociation, and Collier's Sign. Discussion of age-dependent disorders associated with this syndrome... | Image/MovingImage |
63 |
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Physiologic (End-Gaze) Nystagmus | Demonstration of physiological nystagmus, where oscillations do not represent pathology, but occur when the patient's gaze is drawn too far laterally. | Image/MovingImage |
64 |
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Spasm of the Near Reflex | Example of patient with spasm of the near reflex and voluntary nystagmus. Discussion of similar-looking conditions (e.g. six nerve palsy, limitation of abduction, lateral rectus muscle problems) and how to tell them apart from spasm of the near reflex by observing the myosis evoked by the near respo... | Image/MovingImage |
65 |
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Transillumination Ocular Melanoma | Video describing condition. | Image/MovingImage |
66 |
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Upbeat Nystagmus | Example of a patient with upbeat nystagmus. Shows vertical jerk nystagmus with fast phases in the up direction. Localizes to brain stem, and occurs with strokes, demyelination, and tumors. | Image/MovingImage |
67 |
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Vestibular Nystagmus | Discussion of vestibular nystagmus. Seen with peripheral disorders and central disorders, and in two varieties: spontaneous and positional. Horizontal jerk with small amplitude. | Image/MovingImage |
68 |
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Aberrant Regeneration of the Third and Sixth Nerves | | Image/MovingImage |
69 |
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A-scan Technique | This video describes and demonstrates the A-scan examination technique for examination of the eye using ultrasonography. | Image/MovingImage |
70 |
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The Electro-oculogram: Clinical Applications | The electrooculogram measures the potential that exists between the cornea and Bruch's membrane at the back of the eye. The potential produces a dipole field with the cornea approximately 5 millivolts positive compared to the back of the eye, in a normally illuminated room. Although the origin of th... | Text |
71 |
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The Electroretinogram and Electro-oculogram: Clinical Applications | The global or full-field electroretinogram (ERG) is a mass electrical response of the retina to photic stimulation. The ERG is a test used worldwide to assess the status of the retina in eye diseases in human patients and in laboratory animals used as models of retinal disease. | Text |
72 |
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The Multifocal Electroretinogram: Clinical Applications | The most important development in ERGs is the multifocal ERG (mfERG). Erich Sutter adapted the mathematical sequences called binary m-sequences creating a program that can extract hundreds of focal ERGs from a single electrical signal. This system allows assessment of ERG activity in small areas of ... | Text |
73 |
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Multifocal Electroretinograms | The most important development in ERGs is the multifocal ERG (mfERG). Erich Sutter adapted the mathematical sequences called binary m-sequences creating a program that can extract hundreds of focal ERGs from a single electrical signal. This system allows assessment of ERG activity in small areas of ... | |
74 |
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Visually Evoked Potentials | Detailed explanation of visually evoked potentials. The terms visually evoked potential (VEP), visually evoked response (VER) and visually evoked cortical potential (VECP) are equivalent. They refer to electrical potentials, initiated by brief visual stimuli, which are recorded from the scalp overl... | Text |
75 |
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Structures of the iris | Structures of the iris. The a indicates the anterior border layer that terminates at the pigmentary ruff of the pupillary border (b). The c indicates the iris sphincter muscle, which is oriented circumferentially within the stroma and located deep to the anterior border layer; d indicates vessels th... | Image |