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151 Optic tract syndrome due to carotid artery dolichoectasiaAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
152 Optic tract syndrome due to carotid artery dolichoectasiaAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
153 Optic tract syndrome due to carotid artery dolichoectasiaAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
154 Optic tract syndrome due to carotid artery dolichoectasiaAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
155 Optic tract syndrome due to carotid artery dolichoectasiaAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
156 Optic tract syndrome due to carotid artery dolichoectasiaAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 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...
157 Motility DisturbancesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietySkew 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...
158 Motility DisturbancesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietySkew 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...
159 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyMyasthenia 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.
160 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyMyasthenia 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.
161 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyMyasthenia 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.
162 Motility DisturbancesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyTraumatic damage to the third cranial nerve may result in aberrant regeneration of fibers that innervate the eyelid, pupil, or extraocular muscles. For instance, there may be lid retraction in attempted downgaze. Any combination of aberrant activation of third nerve-innervated structures may occur, ...
163 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyPapilledema in pseudotumor cerebri may result in adjacent choroidal or retinal folds.
164 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyPapilledema 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.
165 Isolated Optic Neuritis/NeuropathyAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyPapilledema 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.
166 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThyroid eye disease may cause proptosis and extraocular muscle enlargement that may be seen on orbital imaging studies. In general, coronal images allow the best visualization of the extraocular muscle enlargement. Pair with 94_45 and 94_46.
167 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThyroid eye disease may cause proptosis and extraocular muscle enlargement that may be seen on orbital imaging studies. In general, coronal images allow the best visualization of the extraocular muscle enlargement. Pair with 94_44 and 94_46.
168 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThyroid eye disease may cause proptosis and extraocular muscle enlargement that may be seen on orbital imaging studies. In general, coronal images allow the best visualization of the extraocular muscle enlargement. Pair with 94_44 and 94_45.
169 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThyroid eye disease may result in proptosis and restrictive external ophthalmoplegia. The extracoular muscles are often diffusely enlarged with sparing of the tendons.
170 Ocular Manifestations of Systemic DisordersAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThyroid eye disease can result in significant upper eyelid retraction and axial proptosis resulting in exposure keratopathy.
171 Motility DisturbancesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_19 and 95_20.
172 Motility DisturbancesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_18 and 95_20.
173 Motility DisturbancesAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_18 and 95_19.
174 Neuro-Ophthalmic Imaging-MRIAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyAneurisms 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.
175 Neuro-Ophthalmic Imaging-MRIAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyAneurisms 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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