Non-Idiopathic Chronic Uveitis

Floaters; Decreased vision OSA 50-year old female with a 6-month history of floaters and decreased vision OS attributed to chronic vitritis and iridocyclitis. Previous history significant for an asymptomatic lymphoproliferative disorder resembling chronic lymphocytic leukemia.VA: 20/30 OD, 20/200 OSCTIntraocular lymphocytic inflammation ODSurgery; XRT; Corticosteroid

Management of Orbital Tumors

Optic nerve glioma of childhood and optic nerve meningioma.CFpediatricadulttumor

Ischemic Optic Neuropathy Decompression Trial (IONDT)

Non-arteritic ischemic optic neuropathy (NAION), the most common cause of acute optic nerve disease in the elderly causes permanent and severe visual loss through decreased central visual acuity, peripheral visual field loss, or both. No proven treatment currently exists to reverse or arrest this loss. NAION strikes both eyes in up to 40% of affected patients. 4 To date, incidence and prevalence data have not been available; however, data collected by Dr. Kelman from a sample of U.S. neuro-ophthalmologists has suggested that 6,100 ner cases are seen each year in the U.S., or an annual incidence of 2.44 per 100,000.CLiond

Management of Orbital Tumors

OPTIC NERVE GLIOMA OF CHILDHOOD Incidence: 1.5% of children presenting with proptosis 17% of orbital tumors of childhood 1.5% of adults presenting with biopsied orbital lesions 10%-50% association with neurofibromatosi

Quantitative Analysis of Ischemic Optic Neuropathy

Visual fields of patients with anterior ischemic optic neuropathy (AION)There classified according to quantitative criteria, using the OCTOPUS perimeter. Although a significant altitudinal pattern of field loss was found in 55.' of perimetric examinations, the "spared" hemifields routinely showed some loss of sensitivity. This finding, along with the diffuse loss of sensitivity in a high percentage of visual fields, indicates more extensive involvement of the circulation of the anterior optic nerve head than has previously been suggested. Furthermore, patients with diabetes mellitus were found to have a statistically separable pattern of visual field loss compared to those with hypertension or combined hypertension and diabetes. The pathophysiologic implications of the visual fields in AION and their relationship to the clinical findings were investigated

Ocular Motility in Thyroid Eye Disease Evaluation and Surgery

Evaluation of diplopia in the patient with Thyroid Eye Disease requires differentiating between monocular and binocular diplopia, both of which may occur.curriculum_fellow; GVSthyroidorbitopathy; VBorbitalpathologythyroidorbitopath

Pituitary Carcinoma, Will Travel

Diplopia; PtosisA 56-year old female with intermittent diplopia and left ptosis.CTPituitary adenomaSurgery; XRT; Antineoplastic agents; Anti-inflammatory agent

Graves' Dysthyroid Ophthalmopathy: The Relationship of Clinical Signs to Extraocular Muscle Volume

classification systems: a. Werner (original and modified) --groups clinical signs and symptoms without prognostic or etiologic significance b. Van Dyck --adds new signs, but otherwise similar to Werner

Orbital Cellulitis and Paranasal Sinus Disease

Bacterial orbital cellulitis is an acute, infectious process of the orbital soft tissues. Accurate diagnosis and effective management of this potentially vision- and life-threatening disease is essential. In the pre-antibiotic era, death from meningitis occurred in 17% of cases and blindness occurred in 20% of cases.CLorbitalinfections; CForbitalmanifestationsofinflammatio