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Title | Creator | History |
151 |
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Some Orbital Confusion | Steven A. Newman, MD, University of Virginia School of Medicine, David T. Bourne | In September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D). |
152 |
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Sometimes a Biopsy is Best | Kevin Chodnicki, Natalie Wolkow, Michael Yoon, Bart Chwalisz | A 30 -year-old pregnant woman without significant medical or ocular history presented with decreased right eye vision. In her 2nd trimester, she was diagnosed with Lyme disease with a bulls-eye rash and positive Lyme antibodies; she was treated with two weeks of amoxicillin. At 33 weeks pregnant she... |
153 |
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Speakeasy | Joseph G. Chacko, MD, University of Arkansas, Marcus W. Moody, Harry H. Brown, Sarkis M. Nazarian | A 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touched the inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had started one month ago. He also complained of foreign body sensation and discomfort in the right eye... |
154 |
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Spots, Spots Everywhere, And Not A Spot To See | Sarkis M. Nazarian, Kelli Y. Shaon, Kenneth R. Habetz, Ayman Al-Salaimeh, John D. Schwankhaus, Joseph G. Chacko, MD, University of Arkansas | Additional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash. |
155 |
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Star Light, Star Bright (Presentation Video) | Shannon C. Lynch, MD, University of Nebraska Medical Center | An 83-year female with ptosis and binocular oblique diplopia. |
156 |
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Star Spangled Banner | Dara M. Bier, Jeffrey P. Greenfield, Marc K. Rosenblum, Joseph P. Comunale Jr., Cristiano Oliveira, Marc J. Dinkin | A 12-year-old girl with a history of bilateral optic nerve enlargement, enterovirus meningitis, seizures, and bilateral hygromas, presented with acute onset chronic vision loss in her left eye. Two years prior, she presented to an outside hospital with headaches, intermittent speech arrest and right... |
157 |
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Steroid Non-Responsive Optic Neuropathy (Presentation Video) | Ruth Huna-Baron, MD, The Goldschleger Eye Institute | A 75-year old with painless, progressive loss of vision. Previous history significant for BPH and excised skin malignant melanoma. |
158 |
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Sticky Situation (Presentation Video) | Joshua Pasol | A 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. |
159 |
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The Good, The Bad, and The Ugly - Video | Nathan H. Kung, Robert C. Bucelli, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of Medicine | A 37-year-old man with a history of hearing loss presented to the Neuro-Ophthalmology clinic in 2014 with 1 month of decreased vision in the left visual field. He also reported a period of binocular horizontal diplopia, similar in all directions of gaze, which had since resolved. Past medical histor... |
160 |
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The Largest Ventricular Tumor on Earth (Presentation Video) | Alberto Gálvez, Jonathan Daniel Trobe, MD, Michigan University; Sachin Gujar, Andrew Lieberman | A 20-year old male with a history of congenital nystagmus, high myopia, and subnormal visual acuity OU. |
161 |
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The Man with No Face (About Face) | Michael S. Vaphiades, MD, University of Alabama; Jennifer I. Doyle, MD, Little Rock Eye Clinic; Lina Nagia, MD, Michigan State University; Kevin J. Bray, MD, Providence Health; Lanning B. Kline, MD, University of Alabama; Glenn H. Roberson, MD, University of Alabama; Adam E. Quinn, MD, Baptist Healt... | A 61-year-old man presented with one week history of decreased vision OS. Past medical history includes asthma and amblyopia OD, but with complete visual loss OD 18 years prior. He takes no medications. He is retired but worked for 21 years in social science research. The remarkable thing upon meeti... |
162 |
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The Relationship Between PDE-5 Inhibitors and NAION | Howard D. Pomeranz, MD | Sildenafil was first synthesized by pharmaceutical chemists working at Pfizer. It was initially studied for use in hypertension and angina. Phase I clinical trials suggested that the drug had little effect on angina but could induce penile erection. Sildenafil (Viagra®) was patented in 1996 and app... |
163 |
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Three Weeks in Florida | Andrew R. Carey, J. Antonio Bermudez-Magner, Sander R. Dubovy, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Linda L. Sternau, Byron L. Lam | A 36 year-old man presented with severe headaches, bilateral leg numbness, and bilateral decreased vision. He was born in Ecuador where he received BCG vaccination and immigrated to US at age 19. In 2005 he enrolled in nursing school and volunteered in homeless shelters. PPD was positive with a nega... |
164 |
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Tics and Fleas (Presentation Video) | Nancy J. Newman, MD, Emory Eye Center | A 61-year old female with tic douloureux and diplopia. Previous history significant for squamous cell skin cancer below right eye, surgically resected. Dx atypical trigeminal neuralgia after neurological consult following administration of local anesthetic for basal cell carcinoma resection. |
165 |
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To Biopsy Or Not To Biopsy? That Is the Question (Presentation Video) | Michael Yoon | A 16-year old female with an 8-week history of intense vertigo, headache, poor naming, blurred vision and gait instability. |
166 |
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Trouble Reading (Presentation Video) | Rebecca Stacy | A 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... |
167 |
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Twice Bitten, Once Shy (Presentation Video) | Robert Shin | A 57-year old female with fatigue, confusion and headache associated with a right inferior quadrantanopsia. |
168 |
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Under Pressure | Nathan H. Kung, Collin M. McClelland, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of Medicine | A 29-year-old woman was referred to neuro-ophthalmology clinic for 1 year of headaches and papilledema discovered 2 months earlier. She complained of recently blurred vision but no positional headache, pulsatile tinnitus, transient visual obscurations, or other neurologic issues. She used no medicat... |
169 |
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Unilateral Pupillary Dilation During Seizures | David S. Zee | A 60-year old female with a seizure disorder, accompanied by unilateral pupillary dilation. |
170 |
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Unilateral Vision Loss in an Altered State of Immunity (Presentation Video) | Drew Chronister | An 82-year old male with left-sided headache and temporal tenderness. Previous history significant for hypertension, hyperlipidemia, atrial fibrillation, and chronic macrocytic anemia. |
171 |
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Up and Down and Around and Around; presentation video | Elizabeth Waller | A 39-year old female with a 5-day history of nausea, vomiting, diarrhea, headache and myalgias. |
172 |
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Urgent, Double Vision, and Head Games (Presentation Video) | Joseph G. Chacko, MD, University of Arkansas | A 64-year old female with 3-month history of horizontal and vertical double vision and a droopy right upper lid. Previous history significant for diabetes and hypertension. Family history remarkable for stroke and cerebral aneurysm. |
173 |
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Using Muscle | Nagham Al-Zubidi, John E. Carter, Bundhit Tantawongski, Patricia Chevez-Barrios, Lyndon Tyler, Constance L. Fry | A 30- year-old Saudi female student with no past medical history presented an eight month history of progressive blurred vision primarily at near, anisocoria OS, and periocular discomfort with eye movements. Neuro-Ophthalmologic examination revealed best corrected visual acuity of OD 20/20 and OS 20... |
174 |
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WHAT?!? (Presentation Video) | Beau Bruce, MD, PhD, Emory University | A 49-year old male with a 3-week history of headache, nausea and blurred vision OD, followed by 2 days of vertigo and hearing loss. Previous history significant for obesity, obstructive sleep apnea, amblyopia OD, LASIK OS, and a 10-year history of vertigo. |
175 |
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Wear and Tear Vision | Konrad P. Weber, Caterina Schweier, Veronika Kana, Thomas Guggi, Katarzyna Byber, Klara Landau, MD, FEBO, University of Zurich | |