we should consider whether it is necessary to use acronyms as opposed to the full terminology. With advancements in smartphrase technology in our electronic health record (EHR) systems perhaps we can move to using full terminology in our clinical notes to decode the alphabet soup for the sake of our fellow medical colleagues.
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The case presented here is unique in that the visual field defect was highly suggestive of optic nerve and chiasm damage. The transnasal route of injury in this case is similar to the route of pituitary tumor surgical removal (i.e. transsphenoidal). To the best of our knowledge, this may be the first published case of transnasal penetrating foreign body injury that resulted in a junctional scotoma.
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In the context of our topic of evidence-based medicine, are our experiences and expert opinions a reliable source of evidence? If not, why not? If so, how much should we rely on experience and opinion (whether ours or others) to guide our clinical decision-making?
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Voriconazole is in the class of triazole antifungal medications which can cause various ocular side effects including subjective visual disturbances. This emphasizes the importance of ancillary testing to evaluate for ocular toxicity
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Macular neovascularization (MNV) is a pathophysiological precursor to local tissue destruction. Age-related macular degeneration is the predominant disease for MNV incidence. The spectrum of macular neovascular morphologies can be studied with optical coherence tomography angiography (OCTA) imaging and observed for vision-threatening activity.
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