Category: Neuro
Bilateral Optic Nerve Edema Leading to the Diagnosis of Ocular Syphilis
Save as PDFA 40-year-old Caucasian male presented with loss of vision related to bilateral optic nerve edema with serological confirmation of syphilis and…
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A pilot crossover study comparing yoked and split prisms for collision judgment asymmetry after stroke
Save as PDFSplit prisms improve the rightward collision judgment asymmetry in patients with LVSN after stroke, and results support online visual referencing of…
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A Case Series of Ophthalmic Manifestations of Facial Botox Injections
Save as PDFThree patients, all with ocular adverse events secondary to botulinum neurotoxin facial injections, were examined to rule out more serious etiology of…
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Ocular Tilt Reaction Associated with Infratentorial Microhemorrhages and Siderosis
Save as PDFSiderosis is a rare condition where hemosiderin deposition into the central nervous system leads to progressive neurologic symptoms. Hemosiderin is…
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Recurrent Painful Ophthalmoplegic Neuropathy: An Update On Ophthalmoplegic Migraine
Save as PDFRecurrent painful ophthalmoplegic neuropathy (RPON) is a rare condition characterized by recurrent episodes of headache accompanied by ipsilateral paresis…
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A Case of Paralytic Lagophthalmos Following Melanoma Surgery Induced Seventh Nerve Palsy
Save as PDFThe management of facial nerve palsy following wide local excision and linear closure for facial malignant melanoma can present a unique set of…
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A Review of Ocular Myasthenia Gravis and Its Differential Diagnoses
Save as PDFMyasthenia gravis is a condition that often mimics other common conditions, leading clinicians to consider more likely differentials first. The hallmark findings…
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Diplopia Detective
Save as PDFWelcome to the Journal of Medical Optometry’s Diplopia Detective, a series where we discuss interesting cases of diplopia using both a thoughtful…
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Blurred Margins: An Account of Optic Neuritis in the USSR
Save as PDFHere, we have a patient’s perspective of optic neuritis⎼which is unique enough in itself to bear further inspection. But because the narrative is by an American paleontologist in Soviet Georgia,
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Dolicoectatic Compression of the Optic Tract: A Case Report
Save as PDFDolichoectasia is an arterial disease that causes dilation or tortuosity of the impaired vessel. It most commonly affects the vertebrobasilar system and the internal carotid artery. Although most cases are asymptomatic, the condition may manifest by symptoms of headache, vertigo, visual disturbance, or signs of cranial nerve impairment.
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Charles Bonnet Syndrome Precipitated by Brimonidine Tartrate
Save as PDFCharles Bonnet Syndrome (CBS) induced by brimonidine tartrate ophthalmic solution has rarely been reported. CBS is a condition characterized by visual hallucinations in patients with vision loss and clear cognition. This condition is more prevalent in the elderly population, between the ages of 75 and 84 years old.
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A Surprise Diagnosis from a Unilateral Hearing Loss and Vertigo Case from Cerebellopontine Angle Tumor
Save as PDFCerebellar pontine angle meningioma is rare in ophthalmic practices because it has a variety of nonspecific symptoms that can be misleading…
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The Road To Retrograde Recovery
Save as PDFThis month’s column highlights a patient that was diagnosed with a non-functioning pituitary macroadenoma and underwent trans-sphenoidal resection
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Complications of a Giant Cavernous Carotid Artery Aneurysm
Save as PDFCavernous carotid aneurysms (CCAs) differ from other intracranial aneurysms in that most are asymptomatic and are generally considered benign as there is a low risk of rupture. More common than complications from rupture are complications from the mass effect of the aneurysm itself on nearby structures.1,2 This report describes a case of a giant right CCA that progressed in size despite multiple surgical repairs that resulted in near- complete ophthalmoplegia and neurotrophic keratitis which led to a perforated corneal ulcer and subsequent enucleation.
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Pesky Papilledema
Save as PDFA 41 y.o. Black female with HIV presented with intermittently blurred “fuzzy” vision in both eyes, peripheral numbness, nausea, and headaches…
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Primary central nervous system diffuse large B-cell lymphoma presenting as homonymous hemianopia
Save as PDFPost-transplant lymphoproliferative disorder rarely affects the central nervous system although it can have visually significant consequences depending on the location of intracranial involvement.
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An optometrically driven approach: diagnosing a patient with active thyroid eye disease in the setting of Hashimoto’s thyroiditis
Save as PDFA 57-year-old white female presented with a complaint of intermittent binocular horizontal diplopia with dull ache behind her left eye, described as dull…
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A Multidisciplinary Approach in the Management of Hemifacial Spasm
Save as PDFPatients with hemifacial spasm are often misdiagnosed. This is a case report of a patient with eyelid myokymia who presents with worsening symptoms. Proper diagnosis of hemifacial spasm warrants an MRI revealing: microvascular compression displacing the right 7th cranial nerve at the root exit zone. The role of optometrists and different management options are discussed.
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