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TitleDescriptionType
151 Normal Peripapillary Nerve Fiber LayerExample of 23 year old woman, healthy nerve fiber layer below her optic disc. This is a normal peripapillary nerve fiber layer in a young woman. Note the way the nerve fiber striations obscure and partially bury the small vessels running across them. Also note the interrupted surface reflex on arter...Image
152 Normal Peripapillary Nerve Fiber LayerThis is a normal peripapillary nerve fiber layer in a young woman. Note the way the nerve fiber striations obscure and partially bury the small vessels running across them. Also note the interrupted surface reflex on arteries due to interposed nerve fiber layer tissue. All these vessels are buried i...Image
153 Normal Peripapillary Nerve Fiber LayerThis picture is a sample of a normal healthy nerve fiber layer temporal to the optic disc. Note how the nerve fiber layer obscures the small arteriolar branches running within it. Anatomy: Retina. Pathology: Normal healthy young retina. Disease/Diagnosis: Normal nerve fiber layer and retina.Image
154 Normal Peripapillary Nerve Fiber LayerMagnification of same disc shown in 1a. Whole fields of Gunn's Dots are visible. Note the way that the reflexes from the internal limiting membrane bend over vertically running arterioles. This is a tent-like effect. Gunn's Dots are footplates of Muller's cells and reflect light from the ophthalmosc...Image
155 Ocular HypertensionThere is an argument about whether this is a pseudo nerve fiber layer defect, because defect does not reach the disc. The vessels transversing the defect are not exposed and there is no change in the visual field and no other slit like defects. Anatomy: Peripapillary nerve fiber layer. Pathology: Sl...Image
156 Ocular HypertensionNeed color work to show superior slit 1972. Right eye. Ocular hypertension. No field defect recognized. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Ocular hypertension. Clinical: Elevated intraocular pressure.Image
157 Ocular Hypertension1972. Right eye. Ocular hypertension. No field defect recognized. Pair with IIB1b & c. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Elevated intraocular pressure. Clinical: Elevated intraocular pressure.Image
158 Ocular HypertensionMultiple slit like defects in the upper arcuate nerve bundles. 1971. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Elevated intraocular pressure. Clinical: Elevated intraocular pressure.Image
159 Ocular HypertensionMultiple slit defects in the upper arcuate bundles. 1972. Anatomy: Peripapillary nerve fiber layer. Pathology: Slit-like defects in the arcuate nerve fiber bundles. Disease/Diagnosis: Elevated intraocular pressure. Clinical: Elevated intraocular pressure.Image
160 P43a Asymmetrical Papilledema due to Brain TumorRight eye. Early papilledema. Incipient papilledema barely recognizable. Early papilledema due to posterior fossa meningioma in a boy. Anatomy: Optic disc. Pathology: Papilledema. Disease/ Diagnosis: Asymmetrical papilledema due to posterior fossa meningioma.Image
161 P43b Asymmetrical Papilledema due to Brain TumorLeft eye. Early papilledema. Clearly has papilledema. Early papilledema to posterior fossa meningioma in a boy.Image
162 Paraneoplastic RetinopathyCancer associated retinopathy syndrome with extreme retino-arteriolar narrowing. CAR Syndrome. Anatomy: Retina. Pathology: Oat cell carcinoma of the lung with paraneoplastic retinopathy. Disease/Diagnosis: Cancer associated retinopathy. Clinical: Progressive visual loss, progressive night blindness,...Image
163 Paraneoplastic RetinopathyCancer associated retinopathy syndrome with extreme retino-arteriolar narrowing. CAR Syndrome. Anatomy: Retina. Pathology: Oat cell carcinoma of the lung with paraneoplastic retinopathy. Disease/Diagnosis: Cancer associated retinopathy. Clinical: Progressive visual loss, progressive night blindness,...Image
164 Post Papilledema Retinal Choroidal Bypass (Optociliary)Right eye. Post papilledema retinal choroidal bypass (optociliary). Arterial venous malformation draining into saggital sinus causing papilledema and retinal choroidal collaterals. Anatomy: Optic disc. Pathology: Post papilledema. Disease/Diagnosis: Post papilledema with retinal choroidal bypass ves...Image
165 Post Papilledema Retinal Choroidal Bypass (Optociliary)Left eye. Post papilledema retinal choroidal bypass (optociliary). Arterial venous malformation draining into saggital sinus causing papilledema and retinal choroidal collaterals. Anatomy: Optic disc. Pathology: Post papilledema. Disease/Diagnosis: Post papilledema with retinal choroidal bypass vess...Image
166 R3C9 Nettleship Collaterals: a Result of Calcific Embolization of the Central Retinal ArteryResult of calcific embolization of the central retinal artery. The embolus itself can not be seen within the tissue of the optic disc. Numerous chorio-retino collaterals are filling the branches of a central retinal artery. Such an eye is always blind. These collaterals indicate that the patient pro...Image
167 Retinal (Macular) Involvement in Subacute Sclerosing Pan EncephalopathyRetinal (macular) involvement in Subacute Sclerosing Pan Encephalopathy (SSPE). Note interesting microvascular changes associated with the retinal disease. Anatomy: Retina. Pathology: Cerebral and retinal degeneration. Disease/Diagnosis: Subacute Sclerosing Pan Encephalopathy (SSPE). Clinical: Progr...Image
168 Retinal Signs of Atheromatous EmbolizationRetinal signs of atheromatous embolization. Note the way the cholesterol emboli stick at arteriole bifurcation. Note second plaque hidden at the juncture below. Anatomy: Retina. Pathology: Intraluminal cholesterol crystals. Disease/Diagnosis: Carotid atheromatous vascular disease. Clinical: No visua...Image
169 Retinocerebral Arteriovenous Malformation (Wyburn Mason Syndrome)Retinocerebral arteriovenous malformation showing one major arteriovenous loop. (Cross reference with V12-28 this section). Cross reference with V12-28 this section, Anatomy: Optic disc. Pathology: Arteriovenous malformation. Disease/Diagnosis: Wyburn Mason Syndrome. Clinical: Single arteriovenous l...Image
170 Segmental Atrophy - AltitudinalSegmental optic atrophy - superior altitudinal. 55 year old man.1970. The cupping and the normal superior arteries are evidence against AION. Post ischemic, acquired. Anatomy: Optic disc. Pathology: Optic hemiatrophy. Disease/Diagnosis: Segmental atrophy - altitudinal. Clinical: Inferior visual fiel...Image
171 Segmental Atrophy - AltitudinalSegmental Optic Atrophy Superiorly - Altitudinal. Cause unknown. There is a cup. 1973. Anatomy: Optic disc. Pathology: Optic hemiatrophy. Disease/Diagnosis: Segmental atrophy - altitudinal. Clinical: Inferior visual field defect.Image
172 Segmental Atrophy - Hemianopic (Band) AtrophySegmental Atrophy - Band atrophy from right optic tract injury. Red free filter. Left eye. Has temporal hemianopia with band atrophy. Note loss of nasal nerve fiber layer. Old right optic tract injury. 1972. Pair with IIA2C_9a. Anatomy: Optic disc. Pathology: Right optic tract injury. Disease/Diagno...Image
173 Segmental Atrophy - Hemianopic (Band) AtrophySegmental Atrophy - Band atrophy with horizontal cupping. Pituitary adenoma. Magnification of 14a. Pair with IIA2C_14a. 1975. Anatomy: Optic disc. Pathology: Chiasmal compression from pituitary adenoma in a cupped disc. Disease/Diagnosis: Band atrophy and cupping. Clinical: Temporal hemianopia.Image
174 Segmental Atrophy - Hemianopic (Band) AtrophySegmental Atrophy - Band atrophy with horizontal cupping. Transverse cup. Pair with IIA2C_14b. 1975. Anatomy: Optic disc. Pathology: Chiasmal compression from pituitary adenoma in a cupped disc. Disease/Diagnosis: Band atrophy and cupping. Clinical: Temporal hemianopia.Image
175 Segmental Atrophy - Hemianopic (Band) AtrophySegmental Atrophy - Band atrophy from right optic tract injury. Red free filter. Left eye. Has temporal hemianopia with band atrophy. Note loss of nasal nerve fiber layer. Old right optic tract injury. 1972. Pair with IIA2C_9b. Anatomy: Optic disc. Pathology: Right optic tract injury. Disease/Diagno...Image
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