Category: Neuro Nuggets

Problematic Proptosis

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An 81-year-old male was admitted to the hospital for weakness in his extremities and binocular diplopia. His past medical history included prior prostate cancer s/p radiation and hormone therapy, ureteral carcinoma, atrial fibrillation, type 2 diabetes mellitus, hypertension, and stage 4B diffuse large B-cell lymphoma (DLBCL).

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Junctional Scotoma From Self-Inflicted Transnasal Penetrating Foreign Body

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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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General Practitioner from Mérida, Yucatán, and a proud graduate of UPAEP.
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Dr. Rett is the Editor-in-Chief of the Journal of Medical Optometry and the secretary for the American Board of Certification…
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Dr. Leslie Wilderson, OD, FAAO, Dipl AAO earned both her Bachelor of Science in Vision Science and Doctor of Optometry…
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Dr. Emily Coan graduated from the Southern California College of Optometry in 2025 and completed a residency in Ocular Disease…
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Dr. Wang graduated from the New England College of Optometry in 2025. She completed her ocular disease residency at the…