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Neuro-ophthalmology Review First HourThomas M. Bosley, MD Professor of Ophthalmology King Saud University
Neuro-ophthalmology Afferent Efferent Other Anatomy ExaminationDiagnoses Tests
Afferent Anatomy Anatomy Examination Diagnoses Tests
Human Afferent Visual SystemPolyak, THE VERTEBRATE VISUAL SYSTEM, 1957
Afferent Visual SystemVisual acuity Color vision Visual field Pupil examination Fundoscopy Anatomy Examination Diagnoses Tests
Examination Visual acuity Color vision Visual field Pupil examinationFundoscopy Distance Near Ishihara AOC Confrontation Goldmann Humphrey Light Dark Direct ophthalmoscopy Slit lamp and lens Indirect ophthalmoscopy
35 yo woman Reported 3 months of gradual visual loss OU7 months pregnant Rapid visual loss OU over 1 week before N-O evaluation VA at presentation OD 20/40 and OS NLP
Normal sagittal scan
Post-op visual fields
Before Temporal Lobectomy
After temporal lobectomy
Afferent Visual SystemCompression Trauma Inflammation Ischemic Congenital and genetic problems Anatomy Examination Diagnoses Tests
Afferent Diagnoses Compression Trauma Inflammation IschemicCongenital and genetic problems Intraorbital ON Intracranial ON Optic chiasm Optic tract Posterior afferent system
Afferent Diagnoses Compression Trauma Inflammation IschemicCongenital and genetic problems Globe Intraorbital ON Optic canal Optic chiasm Occipital lobe
25 yo man Firecracker exploded near left eye NLP OS
Afferent Diagnoses Compression Trauma Inflammation IschemiaCongenital and Genetic problems Optic neuritis Orbital pseudotumor Other
27 yo woman Developed blurred vision OD and mild right periorbital pain VA 20/50 MRI abnormal Diagnosis multiple sclerosis
28 yo woman Developed modest left periorbital pain 3 weeks agoSome blurring of vision OS B-scan showed posterior scleritis
Afferent Diagnoses Compression Trauma Inflammation IschemiaCongenital and genetic problems Non-arteritic ischemic optic neuropathy Central retinal artery occlusion Other retinal emboli Giant cell arteritis with ION
Giant Cell Arteritis, Day 2
Giant Cell Arteritis, Day 4
Afferent Diagnoses Compression Trauma Inflammation IschemiaCongenital and genetic problems Congenital retinal dystrophies Optic nerve hypoplasia Leber hereditary optic neuropathy Dominant and recessive optic atrophy Glaucoma
14 yo girl Vision OS began to decline gradually without painFirst visit with VA OD 20/40 and OS CF at 3’ Pale, flat optic disks OU VA 1 month later CF at 3’ OU VA 10 months later 20/20 OU Diagnosis LHON-like optic neuropathy
VF 1 month later
VF 10 months later
Afferent Visual SystemDuring exam Neuro-imaging Blood tests Ultrasound Anatomy Examination Diagnoses Tests
Tests During exam Neuro-imaging Blood tests Ultrasound Visual fieldsA- and B-scans OCT ERG/VEP CT scan MRI scan Vasculitis (ESR, CBC, ANA, VDRL) Uremia (BUN, Creatinine, U/A Liver function tests (SGOT, SGPT, alkaline phosphatase) Electrolytes Genetic evaluation Orbital color Doppler Carotid Doppler ultrasound
In the name of god Clinical eye examination Hamid Fesharaki MD Eye department Isfahan University of medical sciences History & physical examination.
Visual Field Examinations
Visual field examinations Week 6 Interpreting of visual fields.
A Management Algorithm for Temporal Arteritis How Not to Miss this Blinding Disease Duncan P. Anderson, MD University of British Columbia Division of Neuro-Ophthalmology.
Grand Round Dr Amir H Mani Fellow NUH. History 27 years Indian, F C/o Progressive BOV for 1/12 RE(27 /08/05) Had RE photophobia and pain month back Similar.
Normal Tension Glaucoma: Who Needs Neuroimaging? Julie Falardeau, MD, FRCSC Casey Eye Institute Devers Eye Institute Portland, Oregon.
MedPix Medical Image Database COW - Case of the Week Case Contributor: Steven J Goldstein Affiliation: University of Kentucky.
Postoperative Visual Loss Marybeth A. Grazko MD. Postoperative Visual Loss Impairment or total loss of sight following an otherwise uncomplicated surgical.
Dr Mahmood Fauzi ASSIST PROF OPHTHALMOLOGY AL MAAREFA COLLEGE
Central retinal artery and vein Optic nerve Vitreous body Conjunctiva
Innovative Color Vision Testing (simultaneous congenital & acquired)
UBC Ophthalmology Interest Group Seminar Series
VISUAL LOSS IN THE ELDERLY
Leo Semes, OD Professor, Optometry UAB, Birmingham, AL.
Evaluation of the Mature Cataract Baxter McLendon MD FACS Clinical Professor of Ophthalmology Medical University of South Carolina Charleston, South Carolina.
Approach to a case of vitreous haemorrhage Sandeep Saxena MS, FRCSEd Professor Department of Ophthalmology KGMU, Lucknow September 27, 2014.
Department of ophthalmology,CMU4h Ophthalmologic hospital,CMU
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