Mechanical Strabismus Following Ocular Surgery (Video)

Strabismus or diplopia after ocular surgery, particularly one that is otherwise uncomplicated, is a distressing situation for patients and physicians alike. Multiple mechanisms play a role in this phenomenon, including decreased visual acuity leading to sensory deviations, defects in the supranuclear fusion system resulting in manifest deviations, and changes in refractive error resulting in fixation switch or aneisokonia/anisophoria. The focus of this presentation is postoperative strabismus secondary to iatrogenic mechanical causes.NTLemspathology; VBcomplications; Medical Knowledge; Patient Care; Practice-Based Learning and Improvemen

Optic Neuropathy in Hodgkin's Lymphonma

Loss of vision OS with orbital pain; Headache; ParesthesiaA 24-year old man presented with an acute loss of vision OS.VA: 20/20 OD; CF OSMRILymphomatous infiltration of thoracic meninges.Corticosteroids; Antineoplastic agents; XRTAttache

Mechanical Strabismus Following Ocular Surgery

Strabismus or diplopia after ocular surgery, particularly one that is otherwise uncomplicated, is a distressing situation for patients and physicians alike. Multiple mechanisms play a role in this phenomenon, including decreased visual acuity leading to sensory deviations, defects in the supranuclear fusion system resulting in manifest deviations, and changes in refractive error resulting in fixation switch or aneisokonia/anisophoria. The focus of this presentation is postoperative strabismus secondary to iatrogenic mechanical causes.NTLemspathology; VBcomplications; Medical Knowledge; Patient Care; Practice-Based Learning and Improvemen

The Spectrum of Idiopathic Orbital Myositis: Clinical and Echographic Findings

We performed a retrospective chart review on seventy? five patients, age 9-84, with idiopathic orbital myositis. Females were affecttd more than mice as often as males. The majority of patients (68%) had single muscle involvement, with the later and medial recti affected most frequently (33.% and 29/o of yes, respectively). Forty-five percent of affected muscles functioned normally, while the remainder were farrly equally distnbuted between paretic, restncllve, or combined paretic-restrictive myopathies

Common Errors in Dx and Management of Pediatric Motility Disorders

Neuro-ophthalmologists are widely skilled in diagnosing and managing a large range of ocular motility disorders. However, the same disorders in children as opposed to adults are characterized by significantly different etiologies and clinical management strategies, requiring knowledge of such in order to provide the highest quality of care to these patients

Tensilon Testing in Normal and Strabismic Patients

Interpretation of the Tensilon test may be difficult in the absence of a clearly defined endpoint such as ptosis or clinically obvious ophthalmoparesis. Previous studies have examined the effect of Tensilon on ocular motility in both normal and nonmyasthenic strabismics via the Hess screen and the Lancaster red-green test

Neuro-Ophthalmic Manifestations of Nonatherosclerotic Cerebrovascular Disease

The complaint of headache is frequently encountered in neuro-ophthalmology. We present four cases of nonatherosclerotic occlusive cerebrovascular disease associated with headache, each presenting with interesting neuro-ophthalmologic complications. These include homonymous hemianopia with hemiballismus, amaurosis fugax, oculosympathetic paresis, and ocular ischemia. The underlying etiologies are complicated migraine, idiopathic carotid occlusion, carotid dissection, and pulseless disease, respectively