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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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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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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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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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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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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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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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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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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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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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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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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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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