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TitleDescriptionSubject
76 Chiasmal SyndromesThe 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...Arachnoid Cyst
77 Chiasmal SyndromesThe 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...Arachnoid Cyst
78 Chiasmal SyndromesThe 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...Arachnoid Cyst
79 Chiasmal SyndromesThe 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...Arachnoid Cyst
80 Motility DisturbancesThis 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...Synergistic Divergence; Duane's Syndrome; Type II; Synergistic Divergence
81 Motility DisturbancesThis 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...Synergistic Divergence; Duane's Syndrome Type II; Synergistic Divergence; Exotropia
82 Motility DisturbancesThis 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...Synergistic Divergence; Duane's Syndrome Type II; Synergistic Divergence; Exotropia
83 Motility DisturbancesThis 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...Synergistic Divergence; Duane's Syndrome Type II; Synergistic Divergence; Exotropia
84 Systemic Disorders With Optic Nerve and Retinal FindingsA 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...Sarcoidosis; Optic Disc Granuloma
85 Systemic Disorders With Optic Nerve and Retinal FindingsA 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...Sarcoidosis; Papilledema
86 Systemic Disorders With Optic Nerve and Retinal FindingsA 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...Sarcoidosis; MRI
87 Systemic Disorders With Optic Nerve and Retinal FindingsA 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...Sarcoidosis; Gallium Scan
88 Systemic Disorders With Optic Nerve and Retinal FindingsA 35-year-old African-American woman had gradual bilateral painless visual loss over 3 months. When initially seen, the visual acuities were HM OD, NLP OS. The MRI showed diffused enhancement of the optic nerves and lacrimal glands. The evaluation strongly suggested sarcoidosis, with elevated angiot...Sarcoidosis; MRI
89 Systemic Disorders With Optic Nerve and Retinal FindingsA 35-year-old African-American woman had gradual bilateral painless visual loss over 3 months. When initially seen, the visual acuities were HM OD, NLP OS. The MRI showed diffused enhancement of the optic nerves and lacrimal glands. The evaluation strongly suggested sarcoidosis, with elevated angiot...Sarcoidosis; MRI
90 Ocular Manifestations of Systemic DisordersA 17-year-old girl had undergone multiple superficial biopsies of the orbit for what was felt to be refractory orbital pseudotumor. Initial evaluation revealed the saddle-nose deformity, which the patient confirmed was acquired. More extensive biopsy was consistent with lymphomatoid granulomatosis. ...Lymphomatoid Granulomatosis; Lymphoma; Saddle-nose; Orbital Pseudotumor; Lymphomatoid Granulomatosis
91 Isolated Congenital Optic Disc AnomaliesThis image shows drusen that are especially prominent superotemporally. Pair with 92_64 and 92_67.Optic Disc Drusen; Optic Nerve Drusen; Pseudopapilledema
92 Optic Disc Drusen, Fluorescein AngiogramImages 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_67Optic Disc Drusen; Optic Nerve Drusen; Fluorescein Angiogram
93 Optic Nerve Drusen, Late Fluorescein AngiogramImages 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.Optic Disc Drusen; Optic Nerve Drusen; Fluorescein Angiogram
94 Isolated Congenital Optic Disc AnomaliesThis is a photograph of peripheral drusen. The paired image 92_69 demonstrates the typical autofluorescence.Optic Disc Drusen; Optic Nerve Drusen; Autofluorescence
95 Optic Disc Drusen AutofluorescenceThis case of optic disc drusen demonstrates the typical autofluorescence. Pair with 92_68. Imaging: Autoflourescence?Optic Disc Drusen; Optic Nerve Drusen; Autofluorescence
96 Isolated Optic Neuritis/NeuropathyThis 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.Pseudotumor Cerebri/Papilledema; Edema
97 Trochlear Motility DisturbancesThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.Trochlear Palsy; Fourth (Trochlear)
98 Motility DisturbancesThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.Trochlear Palsy; Fourth (Trochlear)
99 Motility DisturbancesThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.Trochlear Palsy; Fourth (Trochlear)
100 Motility DisturbancesThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.Trochlear Palsy; Fourth (Trochlear)
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