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101 When a WEINO Goes Blind - VideoRustum Karanjia, Chiara La Morgia, Christina Liang, Carolyn Sue, Valerio Carelli, Peter A Quiros, Alfredo A. Sadun, MD, PhD, Flora L. Thornton Chair, Professor of Ophthalmology and Neurological Surgery, Keck School of Medicine at USCA 16 year old male presented to an outside center with binocular horizontal diplopia. His symptoms began approximately six months prior when he noticed difficulty reading. He was seen by an optometrist and prescribed reading glasses. His vision was 20/66 in the right eye and 20/25 in the left eye. H...
102 Not a Meatball - VideoSteven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz LopesIn April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper...
103 Eyes and Bowels Bottled Up - VideoKristopher Kowal, Jonathan Daniel Trobe, MD, Michigan University, Theodore T. BrownA 56 year-old man presented with diplopia and ptosis. Actually he was more concerned about severe constipation that had started about the same time. Abdominal x-rays had shown stool loading; laxatives had been ineffective. Our exam showed bilateral ptosis with complete ophthalmoplegia in both eyes. ...
104 Twice Bitten, Once Shy (Presentation Video)Robert ShinA 57-year old female with fatigue, confusion and headache associated with a right inferior quadrantanopsia.
105 A Case of Net Visual Loss and Gain (Presentation Video)Thomas SlamovitsA 68-year old female with a sudden loss of vision OU. Previous history significant for anemia, presumed by patient to account for her presenting symptoms.
106 Diabetes Does Not Explain It AllPhilip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. CestariSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
107 A Golf and Shopping Hazard (Presentation Video)Steven J. YoonA 69-year old male with scalp tenderness, headache and loss of vision OD. Previous history significant for chronic sinusitis and bronchitis.
108 Non-Functional Sinus Disease (Presentation Video)Julie SheltonA 6-year old female with a 1-week history of worsening vision OU > OD and a 2-month history of worsening headaches.
109 Back Pain, Ophthalmoplegia, and More... (Presentation Video)Matthew ThurtellA 73-year old male with lumbar pain without associated neurologic symptoms. Previous history significant for hypertension, dyslipidemia, ischemic heart disease and sciatica.
110 "It's Just A Rash" (Presentation Video)Timothy McCulleyA 76-year old male with a 3-month history of an enlarging, painless rashing starting on the right lowere eyelid. Previous history significant for diverticulitis, chronic hepatitis C and Hashimoto thyroiditis
111 No Rhabdo?Mark R. MelsonA 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an...
112 Sacramentum GladiatoriumMichael S. Vaphiades, MD, University of Alabama, Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
113 A Candid Look at a Missed DiagnosisEdward Margolin, Jasmine Gopwani, Robert WillinskyShe was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use.
114 Almost CatastrophicDanielle S. Rudich, Samuel Yun, Anne Liebling, Jonathan E. SIlbert, Robert L. Lesser, MD, The Eye Care Group, Clinical Professor of Ophthalmology and Visual Science and Neurology at Yale, Clinical Professor of Neurology and Surgery (Neurosurgery) at the University of Connecticut School of Medicine
115 A TAAD Bit UnusualNisreen K. Mesiwala, Susan T. Stefko
116 Innocent until Proven GuiltyHeather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy
117 Parkinsonitis (Presentation Video)Alice KimAn 83-year old male with a 2-year history of motor, left gaze palsy and cognitive slowing. Previous history significant for hypertension, hypercholesterolemia, Gilbert syndrome, and atrial fibrillation.
118 Raise Your Grade Point AverageHilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, Jonathan Daniel Trobe MD, Michigan UniversityTwo years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing.
119 More Than a Cu-bit of Vision LossPhilip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi
120 Trouble Reading (Presentation Video)Rebecca StacyA 60-year old female with a 4-week history of progressive difficulty reading and word comprehension. Previous history significant for a 20-year history of recurrent granulomatous iritis in OU and chronic variable immune deficiency (CVID), diagnosed 23 years previous with associated hepatitis and der...
121 Sticky Situation (Presentation Video)Joshua PasolA 25-year old female with a 9-month history of decreasing vision OS. Previous history significant for hypersensitivity to dust and pollen. Self-reported 12-year history of migraine headache.
122 Ain't No Sunshine When You Are Gone!Veeral S. Shah, Linda L. Sternau, Michelle Felicella, Sanders Dubovy, Chris Alabiad, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Byron L. LamAn 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy...
123 Much-Ado About Acute Vision LossMahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern UniversityProgressive fatigue and right face, arm, and leg pain.
124 A 68-Year Old Woman with New Onset Vertical Diplopia and Pain (Presentation Video)Jennifer T. ScruggsA 68-year old female with mild headache and diplopia. Previous history significant for thyroidectomy.
125 Burned by DiplopiaBonnie M. Keung, Reuben M. Valenzuela, Meena Gujrati, Jeffrey R. DeSanto, Jorge C. Kattah, John H. PulaIn March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD.
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