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176 Isolated Optic Neuritis/NeuropathyLarry P. Frohman, MDThe patient is a 62-year-old female who presented in August 1996 with visual loss OD that she first noted as loss of her superior field in May 1996. She felt that it had been static since, and perhaps was even a little better in the week before she was seen. There was no pain, even with ocular rotat...
177 Neuro-Ophthalmic Vascular DiseaseLarry P. Frohman, MDThis 32-year-old woman was referred with a history of 4 days of loss of vision OD. She had a history of manic depressive illness and IV drug abuse; she had been HIV tested 4 weeks before and was negative. She said she last injected cocaine 5 days before being seen, the night before she awoke with th...
178 Neuro-Ophthalmic Vascular DiseaseLarry P. Frohman, MDThis 32-year-old woman was referred with a history of 4 days of loss of vision OD. She had a history of manic depressive illness and IV drug abuse; she had been HIV tested 4 weeks before and was negative. She said she last injected cocaine 5 days before being seen, the night before she awoke with th...
179 Neuro-Ophthalmic Vascular DiseaseLarry P. Frohman, MDThis 32-year-old woman was referred with a history of 4 days of loss of vision OD. She had a history of manic depressive illness and IV drug abuse; she had been HIV tested 4 weeks before and was negative. She said she last injected cocaine 5 days before being seen, the night before she awoke with th...
180 Isolated Optic Neuritis/NeuropathyDaniel M. Jacobson MDThis 35-year-old otherwise-healthy woman developed typical optic neuritis OD with excellent recovery. She had no clinical evidence of multiple sclerosis at that time. She presented in August of 1991, at which time perivenous sheathing was seen in the retinal periphery OU. A limited workup was negati...
181 Motility DisturbancesRosa A. Tang, MDCyclical 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.
182 Motility DisturbancesRosa A. Tang, MDCyclical 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.
183 Ocular Manifestations of Systemic DisordersRosa A. Tang, MDSystemic lymphoma may occur in the orbit and may involve the lacrimal gland. Patients usually present with a painless, progressive proptosis or a mass. CT scan usually demonstrates an irregularly shaped lesion conforming to the globe or lacrimal fossa, and bone erosion is not usually found. Pair wit...
184 Ocular Manifestations of Systemic DisordersRosa A. Tang, MDSystemic lymphoma may occur in the orbit and may involve the lacrimal gland. Patients usually present with a painless, progressive proptosis or a mass. CT scan usually demonstrates an irregularly shaped lesion conforming to the globe or lacrimal fossa, and bone erosion is not usually found. Pair wit...
185 Systemic Disorders With Optic Nerve and Retinal FindingsRosa A. Tang, MDNeoplasms may result in an optic neuropathy by direct metastatic involvement. In this patient, a lung adenocarcinoma was metastatic to the optic nerve.This is a fundus photo.
186 Motility DisturbancesLarry P. Frohman, MDThis young woman had bilateral sixth nerve paresis from a motor vehicle accident. The images show the results of a successful Jensen procedure.
187 Motility DisturbancesLarry P. Frohman, MDThis young woman had bilateral sixth nerve paresis from a motor vehicle accident. The images show the results of a successful Jensen procedure.
188 Motility DisturbancesLarry P. Frohman, MDThis patient sustained a traumatic avulsion of the left medial rectus. Image 94_75 shows the successful postoperative result.
189 Motility DisturbancesRosa A. Tang, MDCyclical 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.
190 Ocular Manifestations of Systemic DisordersRosa A. Tang, MDThyroid 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.
191 Ocular Manifestations of Systemic DisordersRosa A. Tang, MDThyroid 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.
192 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.
193 Motility DisturbancesLarry P. Frohman, MDThis man had a posttraumatic right sixth nerve paresis. Image 94_66 demonstrates the adduction deficit that the Botox induced.
194 Motility DisturbancesLarry P. Frohman, MDThis man had a posttraumatic right sixth nerve paresis. He is shown in primary gaze before Botox (botulinum toxin; image 94_64)
195 Motility DisturbancesLarry P. Frohman, MDThis man had a posttraumatic right sixth nerve paresis. He is shown in primary gaze after Botox (image 94_65).
196 Motility DisturbancesLarry P. Frohman, MDThis patient sustained a traumatic avulsion of the left medial rectus.
197 Motility DisturbancesLarry P. Frohman, MDThis patient sustained a traumatic avulsion of the left medial rectus.
198 Neuro-Ophthalmic Vascular DiseaseLarry P. Frohman, MDThis 32-year-old woman was referred with a history of 4 days of loss of vision OD. She had a history of manic depressive illness and IV drug abuse; she had been HIV tested 4 weeks before and was negative. She said she last injected cocaine 5 days before being seen, the night before she awoke with th...
199 Neuro-Ophthalmic Vascular DiseaseLarry P. Frohman, MDThis 32-year-old woman was referred with a history of 4 days of loss of vision OD. She had a history of manic depressive illness and IV drug abuse; she had been HIV tested 4 weeks before and was negative. She said she last injected cocaine 5 days before being seen, the night before she awoke with th...
200 Chiasmal SyndromesLarry P. Frohman, MDA 50-year-old right-handed woman with no significant past medical history underwent liposuction on her abdomen, hips, and thighs under general anesthesia. Her height and weight were 167 cm and 63 kg, respectively. Subcutaneous fat was injected with 2.5 L of 0.05% xylocaine and 1:10,000,000 epinephri...
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