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TitleCreatorDescription
201 Systemic Disorders With Optic Nerve and Retinal FindingsLarry P. Frohman, MDThis 74-year-old asthmatic male had acute visual loss OS while watching the Super Bowl in 1994. He was seen the next day by a retina specialist, who noted that his optic disc was normal and referred the patient to a neuro-ophthalmologist, who evaluated him about 40 hours after his visual loss. He wa...
202 Optic Tract Syndrome Due to Carotid Artery DolichoectasiaLarry P. Frohman, MDThis 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...
203 Chiasmal SyndromesShlomo A. Dotan, MDA 52-year-old, morbidly obese man with a past medical history that included ischemic cardiac disease with a history of angioplasty, COPD, hypertension, and NIDDM, presented with a severe headache. The next day he had a frozen OD, complete right ptosis, and an unreactive middilated right pupil with V...
204 Isolated Congenital Optic Disc AnomaliesThomas R. Wolf, MDThis optic disc displays multiple drusen. Note the pseudopapilledema here. One can differentiate this from true papilledema in that there is no obscuration of the vessel by the peripapillary nerve fiber layer as they cross the disc margin. This photograph was taken with barrier filters in place, but...
205 Orbital TumorsMitchell J. Wolin, MDCavernous hemangiomas of the orbit usually result in painless orbital signs such as proptosis or visual loss. Orbital imaging of the lesion, which usually is a well-defined orbital mass, is demonstrated in this study. The lesion is benign and usually occurs in young to middle-aged adults. Surgical e...
206 Optic NeuropathiesRosa A. Tang, MDOptic atrophy might be a false-localizing sign of optic nerve disease, as retinal disease may secondarily produce optic atrophy. In retinitis pigmentosa, for example, patients may exhibit a waxy disc palor. Fundus imaging. Anatomy: Retina. Disease/Diagnosis: Retinitis pigmentosa; Optic atrophy.
207 Isolated Optic Neuritis/NeuropathyRalph A. Sawyer, MDPapilledema usually results in bilateral optic disc edema without visual loss. The blind spot may enlarge initially, but progressive visual field loss may occur with chronic optic disc edema. Asymmetric or frankly unilateral optic disc edema may occur due to structural disc fractures that prevent th...
208 Isolated Optic Neuritis/NeuropathyRalph A. Sawyer, MDPapilledema usually results in bilateral optic disc edema without visual loss. The blind spot may enlarge initially, but progressive visual field loss may occur with chronic optic disc edema. Asymmetric or frankly unilateral optic disc edema may occur due to structural disc fractures that prevent th...
209 Neuro-Ophthalmic Vascular DiseaseRobert F. Saul, MDIn image 93_29, taken during the episode, note the change in caliber of the blood vessels.
210 Neuro-Ophthalmic Vascular DiseaseRobert F. Saul, MDImage 93_30 is immediately after the attack, note the slight redness to the macula.
211 Neuro-Ophthalmic Vascular DiseaseRobert F. Saul, MDImage 93_28 shows the fundus before the attack.
212 Neuro-Ophthalmic Vascular DiseaseLarry P. Frohman, MDThis 23-year-old woman has had insulin-dependent diabetes mellitus since age 3. She was diagnosed with Sydenham's chorea in early childhood and had grand mal seizures from age 13 to 15. She has been hypertensive since age 18. Her vision was 20/25 OD and 20/40 OS, with dyschromatopsia OS, and a 1.8 l...
213 Neuro-Ophthalmic Vascular DiseaseLarry P. Frohman, MDThis 27-year-old woman had no past ocular history and presented with 3 weeks of redness OS that has been treated by the referring doctor as allergic conjunctivitis. She was referred for evaluation when she developed binocular diplopia. Her past medical history included phlebitis and one miscarriage ...
214 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...
215 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...
216 Chiasmal SyndromesShlomo A. Dotan, MDA 52-year-old, morbidly obese man with a past medical history that included ischemic cardiac disease with a history of angioplasty, COPD, hypertension, and NIDDM, presented with a severe headache. The next day he had a frozen OD, complete right ptosis, and an unreactive middilated right pupil with V...
217 Chiasmal SyndromesShlomo A. Dotan, MDA 52-year-old, morbidly obese man with a past medical history that included ischemic cardiac disease with a history of angioplasty, COPD, hypertension, and NIDDM, presented with a severe headache. The next day he had a frozen OD, complete right ptosis, and an unreactive middilated right pupil with V...
218 Chiasmal SyndromesShlomo A. Dotan, MDA 52-year-old, morbidly obese man with a past medical history that included ischemic cardiac disease with a history of angioplasty, COPD, hypertension, and NIDDM, presented with a severe headache. The next day he had a frozen OD, complete right ptosis, and an unreactive middilated right pupil with V...
219 Ocular Manifestations of Congenital/Inherited DiseasesMark J. Kupersmith, MDThis 9-year-old girl, who had complained of recurrent spontaneous bleeding from the palate and slight swelling and increased warmth over the left cheek, was found to have Wyburn-Mason syndrome. Image 1993_16 shows a small area of arteriovenous shunt on the left optic disc in this patient, who has no...
220 Ocular Manifestations of Congenital/Inherited DiseasesMark J. Kupersmith, MDThis 9-year-old girl, who had complained of recurrent spontaneous bleeding from the palate and slight swelling and increased warmth over the left cheek, was found to have Wyburn-Mason syndrome. Image 1993_16 shows a small area of arteriovenous shunt on the left optic disc in this patient, who has no...
221 Isolated Optic Neuritis/NeuropathyAnthony C. Arnold, MDThis 42-year-old male with pseudotumor cerebri and chronic papilledema demonstrated refractile bodies, which can be seen with chronic optic disc edema. This image exhibits decreased disc edema and resolution of the refractile bodies OD after therapy. Pair with 96_01, 96_02, 96_03, 96_05, and 96_06.
222 Isolated Optic Neuritis/NeuropathyAnthony C. Arnold, MDThis 42-year-old male with pseudotumor cerebri and chronic papilledema demonstrated refractile bodies, which can been seen with chronic optic disc edema. This image demonstrates later recurrence of the refractile bodies with worsening papilledema OD. Pair with 96_01, 96_02, 96_03, 96_04, and 96_06.
223 Isolated Optic Neuritis/NeuropathyAnthony C. Arnold, MDThis 42-year-old male with pseudotumor cerebri and chronic papilledema demonstrated refractile bodies, which can be seen with chronic optic disc edema. This image demonstrates later recurrence of the refractile bodies with worsening papilledema OD. Pair with 96_01, 96_02, 96_03, 96_04, and 96_05.
224 Ocular Manifestations of Congenital/Inherited DiseasesLarry P. Frohman, MDThis 14-year-old boy presented with sudden visual loss of the right eye that occurred 3 weeks before and due to a central retinal vein occlusion. His ocular history was quite complicated. He had had a resection of a lymphangioma of the left upper lid at age 7 months and underwent left orbitotomy for...
225 Ocular Manifestations of Congenital/Inherited DiseasesLarry P. Frohman, MDThis 14-year-old boy presented with sudden visual loss of the right eye that occurred 3 weeks before and due to a central retinal vein occlusion. His ocular history was quite complicated. He had had a resection of a lymphangioma of the left upper lid at age 7 months and underwent left orbitotomy for...
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