Category: Neuro
A Case of Incidental Diagnosis of Subclinical Sectoral Non-Arteritic Anterior Ischemic Optic Neuropathy in a Glaucoma Suspect
Save as PDFDifferentiating NAION from glaucoma can be challenging, particularly when the ischemic event is mild, subclinical, sectoral, or evaluated outside of the acute phase. Both conditions result in retinal ganglion cell loss and visual field defects, but their pathophysiological mechanisms differ.
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A Case Of Pituitary Apoplexy With Cavernous Sinus Involvement
Save as PDFPituitary apoplexy case in an 81‑year‑old woman presenting with ptosis, fixed globe, visual field loss and adrenal crisis, stressing rapid MRI, steroids…
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When Prostate Cancer Reaches the Orbit: A Case Report
Save as PDFThis case of orbital apex metastasis from prostate adenocarcinoma underscores the importance of maintaining suspicion for space-occupying lesions…
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Diagnosis and Management of Posterior Cortical Atrophy from an Eye Care Perspective
Save as PDFPosterior cortical atrophy (PCA) is a neurodegenerative condition presenting with visual symptoms secondary to posterior cortical dysfunction…
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Alice in Wonderland Syndrome in a Young Woman with past TBI
Save as PDFAlice-in-Wonderland Syndrome” (AIWS) can result in macropsia, micropsia, pelopsia, telopsia or a combination of factors. Patients with a history of…
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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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