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101 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...
102 Ocular Manifestations of Systemic DisordersRosa A. Tang, MDMyasthenia 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_23 and 96_25.
103 Ocular Manifestations of Systemic DisordersRosa A. Tang, MDMyasthenia 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_23 and 96_24.
104 Ocular Manifestations of Congenital/Inherited DiseasesMitchell J. Wolin, MDPatients with olivopontocerebellar atrophy may exhibit signs of ocular motor deficits, such as ocular motor apraxia or cerebellar eye signs, and peripheral pigmentary retinopathy and optic atrophy. Pair with 94_55.
105 Ocular Manifestations of Congenital/Inherited DiseasesMitchell J. Wolin, MDPatients with olivopontocerebellar atrophy may exhibit signs of ocular motor deficits, such as ocular motor apraxia or cerebellar eye signs, and peripheral pigmentary retinopathy and optic atrophy. Pair with 94_54.
106 Isolated Optic Neuritis/NeuropathyRosa A. Tang, MDPapilledema may produce visual loss due to chronic atrophic papilledema, secondary macular hemorrhage, exudate or edema, secondary ischemic optic neuropathy, or secondary subretinal neovascular membrane formation.
107 Optic Disc Drusen With AutofluorescenceThomas R. Wolf, MDThis photograph of optic disc drusen demonstrates autoflourescence with flourescein barrier filters in place. Imaging: flourescein barrier filters.
108 Migraine SyndromeMitchell J. Wolin, MDThe image shows a patient with cluster headache and eye displaying Horner's syndrome.
109 Isolated Congenital Optic Disc AnomaliesThomas R. Wolf, MDBenign tumors of blood vessels (hemangiomas) may occur on the optic nerve and may mimic optic disc edema. Disease/Diagnosis: Optic Nerve Hemangioma.
110 Motility DisturbancesDon Bienfang, MDThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.
111 Isolated Optic Neuritis/NeuropathyRosa A. Tang, MDPapilledema in pseudotumor cerebri may result in adjacent choroidal or retinal folds.
112 Optic Tract Syndrome Due to Carotid Artery DolichoectasiaLarry P. Frohman, MDThis 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...
113 Optic Tract Syndrome Due to Carotid Artery DolichoectasiaLarry P. Frohman, MDThis 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...
114 Isolated Congenital Optic Disc AnomaliesRosa A. Tang, MDThis patient has optic disc drusen and evidence of a superimposed optic neuropathy, including loss of visual field, an ipsilateral afferent pupillary defect, and optic atrophy. Although optic disc drusen typically causes visual field loss without visual acuity loss superimposed, ischemic optic neuro...
115 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...
116 Trochlear Motility DisturbancesDon Bienfang, MDThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.
117 Neuro-Ophthalmic Manifestations of Brain TumorsSteven Galetta, MDThe patient is a 45-year-old recluse found to harbor this frontal lobe mass. Remarkably, this patient had only mild bilateral optic neuropathies with visual acuities in the 20/25 range. This right disc was mildly swollen and the left mildly pale. He could not fit into the fundus camera for disc phot...
118 Motility DisturbancesRosa A. Tang, MDSkew deviation is a vertical deviation that is not localized to any one muscle or muscle group. The deviation may be comitant or not, and intermittent or constant. Skew deviation is often defined by the company it keeps, that is, skew usually occurs in association with other brain-stem signs, and is...
119 Motility DisturbancesRosa A. Tang, MDSkew deviation is a vertical deviation that is not localized to any one muscle or muscle group. The deviation may be comitant or not, and intermittent or constant. Skew deviation is often defined by the company it keeps, that is, skew usually occurs in association with other brain-stem signs, and is...
120 Pupillary SyndromeJeffrey G. Odel, MDIntermittent dilation of the pupils may occur as a benign phenomenon in healthy young adults. In the absence of other third nerve signs, (eg, ptosis, diplopia, ophthalmoplegia), an isolated transient dilation of the pupil in an otherwise healthy adult is unlikely to represent a third nerve palsy. Tr...
121 Pupillary SyndromeJeffrey G. Odel, MDIntermittent dilation of the pupils may occur as a benign phenomenon in healthy young adults. In the absence of other third nerve signs, (eg, ptosis, diplopia, ophthalmoplegia), an isolated transient dilation of the pupil in an otherwise healthy adult is unlikely to represent a third nerve palsy. Tr...
122 Acquired Disc ChangesRosa A. Tang, MDAlthough optociliary shunt vessels are venous collaterals that form in response to chronic venous obstruction, they may occur in patients with chronic open-angle glaucoma.
123 Acquired Disc ChangesRosa A. Tang, MDAlthough optociliary shunt vessels are venous collaterals that typically form in response to chronic venous obstruction, they may occur on a congenital basis as seen here.
124 Isolated Optic Neuritis/NeuropathyRosa A. Tang, MDPapilledema is a term reserved for optic disc edema related to increased intracranial pressure. Fluid within the optic nerve sheath or elevation of the intraocular optic nerve head may be visible on magnetic resonance imaging studies of the head and orbit.
125 Neuro-Ophthalmic Imaging-MRIRosa A. Tang, MDAneurisms may result in neuro-ophthalmologic sign and symptoms by direct compression of the afferent or efferent systems or by the secondary effects of hemorrhage. Basilar aneurisms may result in ocular motor deficits such as a unilateral or bilateral third nerve palsy.
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