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Title | Creator | Description |
51 |
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Isolated Congenital Optic Disc Anomalies | Joel M. Weinstein, MD | This 8-year-old boy presented with a 2-week history of decreased vision in the right eye. He had undergone a normal MRI and CSF examination, including intracranial pressure, before neuro-ophthalmologic assessment. The fundus photographs and fluorescein angiograms show subretinal neovascularization a... |
52 |
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Ocular Manifestations of Congenital/Inherited Diseases | Steven Galetta, MD | This patient is a 40-year-old man with a history of abetalipoproteinemia (Bassen-Kornweig syndrome), diagnosed at age 9. Neurologic complications have included ataxia, retinal degeneration, peripheral neuropathy, progressive leg weakness, dysarthria, and intermittent bladder incontinence. On his neu... |
53 |
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Ocular Manifestations of Congenital/Inherited Diseases | Steven Galetta, MD | This patient is a 40-year-old man with a history of abetalipoproteinemia (Bassen-Kornweig syndrome), diagnosed at age 9. Neurologic complications have included ataxia, retinal degeneration, peripheral neuropathy, progressive leg weakness, dysarthria, and intermittent bladder incontinence. On his neu... |
54 |
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Ocular Manifestations of Congenital/Inherited Diseases | Steven Galetta, MD | This patient is a 40-year-old man with a history of abetalipoproteinemia (Bassen-Kornweig syndrome), diagnosed at age 9. Neurologic complications have included ataxia, retinal degeneration, peripheral neuropathy, progressive leg weakness, dysarthria, and intermittent bladder incontinence. On his neu... |
55 |
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Neuro-Ophthalmic Consequences of Therapy | Joel M. Weinstein, MD | The patient is a 38-year-old woman with oligodendroglioma of the left cerebral hemisphere. The patient received intracarotid BCNU and developed BCNU retinopathy, optic neuropathy, and partial ophthalmoplegia. Image 92_21is from 1 month later and demonstrates hemorrhagic swelling of the disc, retinal... |
56 |
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Isolated Congenital Optic Disc Anomalies | Anthony C. Arnold, MD | This patient 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. |
57 |
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Ocular Manifestations of Congenital/Inherited Diseases | William Fletcher Hoyt, MD | Image 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. |
58 |
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Chiasmal Syndromes | Mitchell J. Wolin, MD | The patient is a 60-year-old woman with a chief complaint of decreased vision. In 1986 she was diagnosed with a poorly differentiated breast cancer in her left breast. She underwent mastectomy, and all nodes were negative. She did well until 1991, when she was found to have a chest wall mass. This m... |
59 |
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Chiasmal Syndromes | Mitchell J. Wolin, MD | The patient is a 60-year-old woman with a chief complaint of decreased vision. In 1986 she was diagnosed with a poorly differentiated breast cancer in her left breast. She underwent mastectomy, and all nodes were negative. She did well until 1991, when she was found to have a chest wall mass. This m... |
60 |
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Chiasmal Syndromes | Mitchell J. Wolin, MD | The patient is a 60-year-old woman with a chief complaint of decreased vision. In 1986 she was diagnosed with a poorly differentiated breast cancer in her left breast. She underwent mastectomy, and all nodes were negative. She did well until 1991, when she was found to have a chest wall mass. This m... |
61 |
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Chiasmal Syndromes | Mitchell J. Wolin, MD | The patient is a 60-year-old woman with a chief complaint of decreased vision. In 1986 she was diagnosed with a poorly differentiated breast cancer in her left breast. She underwent mastectomy, and all nodes were negative. She did well until 1991, when she was found to have a chest wall mass. This m... |
62 |
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Neuro-Ophthalmic Consequences of Therapy | Joel M. Weinstein, MD | The patient is a 38-year-old woman with oligodendroglioma of the left cerebral hemisphere. The patient received intracarotid BCNU and developed BCNU retinopathy, optic neuropathy, and partial ophthalmoplegia. Image 92_22 Shows late changes, with more severe retinal ischemia, vascular attenuation, an... |
63 |
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Motility Disturbances | Larry P. Frohman, MD | This 5-year-old child presented with a 70 PD exotropia OS and a right face turn. She had a CT scan of the head at age 4 months that was normal , and she was felt to have an isolated left medial rectus paresis. Her acuity was 20/20 OU. She could fuse with a large face turn, and was orthomorphic is ex... |
64 |
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Motility Disturbances | Larry P. Frohman, MD | This 5-year-old child presented with a 70 PD exotropia OS and a right face turn. She had a CT scan of the head at age 4 months that was normal , and she was felt to have an isolated left medial rectus paresis. Her acuity was 20/20 OU. She could fuse with a large face turn, and was orthomorphic is ex... |
65 |
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Motility Disturbances | Larry P. Frohman, MD | This 5-year-old child presented with a 70 PD exotropia OS and a right face turn. She had a CT scan of the head at age 4 months that was normal , and she was felt to have an isolated left medial rectus paresis. Her acuity was 20/20 OU. She could fuse with a large face turn, and was orthomorphic is ex... |
66 |
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Motility Disturbances | Larry P. Frohman, MD | This 5-year-old child presented with a 70 PD exotropia OS and a right face turn. She had a CT scan of the head at age 4 months that was normal , and she was felt to have an isolated left medial rectus paresis. Her acuity was 20/20 OU. She could fuse with a large face turn, and was orthomorphic is ex... |
67 |
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Systemic Disorders With Optic Nerve and Retinal Findings | Larry P. Frohman, MD | A 29-year-old African American woman presented with headaches, bilateral transient visual obscurations, blurred vision, numbness, and weakness of the lower extremities with myalgia and joint pains. She had an unplanned 12-pound weight loss over 2 months. A neurologist and internist diagnosed her wit... |
68 |
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Systemic Disorders With Optic Nerve and Retinal Findings | Larry P. Frohman, MD | A 25-year-old African-American woman presented with a 20/200 optic neuropathology and no other illness. Because this disc appearance of a granuloma led us to suspect occult sarcoidosis, she underwent systemic evaluation. She was ultimately shown to have systemic sarcoidosis, including pulmonary invo... |
69 |
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Isolated Optic Neuritis/Neuropathy | Anthony C. Arnold, MD | This 48-year-old man presented with a 1-month history of headache. Both discs had the appearance seen in this image, with prominent peripapillary nerve fiber layer myelination; the disc itself is hyperemic, with dilated, telangiectatic surface vasculature, suggesting true disc edema as well. |
70 |
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Optic Disc Drusen, Fluorescein Angiogram | Anthony C. Arnold, MD | Images 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 |
71 |
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Ocular Manifestations of Systemic Disorders | Rosa A. Tang, MD | Myasthenia gravis should be considered in any patient with painless, pupil-spared, nonapoptotic ophthalmoplegia. It may mimic any ophthalmoparesis. Involvement of the medical rectus may result in a pseudointernuclear ophthalmoplegia. Pair with 96_24 and 96_25. |
72 |
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Optic Nerve Drusen, Late Fluorescein Angiogram | Anthony C. Arnold, MD | Images 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. |
73 |
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Motility Disturbances | Don Bienfang, MD | This patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard. |
74 |
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Motility Disturbances | Don Bienfang, MD | This patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard. |
75 |
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Motility Disturbances | Don Bienfang, MD | This patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard. |