Amalric Triangular Choroidal Infarction in Giant Cell Arteritis
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
The patient presented with ocular ischemic syndrome and corneal edema in the fellow eye. In the right eye on angiography there is temporal non-perfusion as well as choroidal hyperfluorescent infarcts in the late phases. ESR and CRP were elevated. Diagnosis of GCA was made. The patient retained 20/3…
Carotid Cavernous Fistula with Ocular Ischemic Syndrome
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Slit lamp photo with dilated epi-scleral veins. Fundus photo with retinal hemorrhages. FA with severe non perfusion, leakage from the disc, and laser scars. MRI/MRA demonstrates left distal precavernous/proximal cavernous ICA fistula into the cavernous sinus with arterialized flow. There is resulta…
Grade 5 Papilledema From Idiopathic Intracranial Hypertension
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Increased intracranial pressure leading to bilateral optic nerve edema. Grade 5 is considered when all vessels are partially obscured by edema.
Pediatric Leber's Hereditary Optic Neuropathy
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Maja Kostic, MD, PhD; Byron L. Lam, MD; Nimesh A. Patel, MD
Presenter/Faculty: Kostic, Lam, Patel
A 7-year-old patient with fundus photos showing temporal optic nerve pallor OU. Vision was 20/400 and 20/800. Ganglion cell layer of the patients male first cousin reveals diffuse thinning.
Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Byron L. Lam, MD
Vetted Date: May 12, 2025
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fowler, Lam
Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma A 34-year-old woman presented with 2 weeks of diplopia. The patient had binocular horizontal diplopia with a right cranial nerve 6 palsy and moderate-to-severe headache of 1-week duration. Magnetic resonance imaging (MRI) of the brain and orb…
Neuro-Ophthalmology
Specialty: Neuro-Ophthalmology
Type: Medical Student Education
Include in Catalogue?: Yes
Presenter(s): Chris R. Alabiad, MD
Presenter/Faculty: Alabiad
In this module, we will look at:
Anatomy / Pathways / Light Reflex
Optic Neuritis
Papilledema
NAION
Giant Cell Arteritis
Inherited Optic Neuropathies
Other Optic Neuropathies
Vitamin A Deficiency
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Byron L. Lam, MD
Vetted Date: May 12, 2025
Presenter(s): Nicole J. Topilow, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Topilow
Vitamin A Deficiency A 73-year-old woman with a past medical history significant for Crohn’s disease and recently diagnosed colon cancer with recent sigmoid colon resection, presented with ten days of blurry vision in both eyes and nyctalopia. Onset of her symptoms was during a hospitalization fo…
Retinitis Pigmentosa
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
Fundus photo with peripheral hyperpigmentation and bone spicules. Angiogram demonstrating peripheral atrophy and mild vessel leakage. OCT with cystoid macula edema.
Idiopathic Intracranial Hypertension
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: David T. Tse, MD
Vetted Date: May 28, 2025
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Maeng, Tse
Idiopathic Intracranial Hypertension A 39-year-old male presented to the BPEI ER with blurry vision in his right eye for 2 weeks. Examination revealed CF OD, 20/60 OS vision, right APD, and bilateral disc edema. OCT showed diffusely elevated RNFL thickness and HVF 30-2 was not able to be performed …
Intracanalicular Optic Nerve Sheath Meningioma
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Byron L. Lam, MD
Vetted Date: May 12, 2025
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fan, Lam
Intracanalicular Optic Nerve Sheath Meningioma A middle-aged patient with a PMH of breast cancer, migraines, and hyperlipidemia presents to the Bascom Palmer ER with a chief complaint of headache and left eye blurry vision for the past month. Recent work-up outside is remarkable for normal laborato…
Spontaneous Intracranial Hypotension
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Byron L. Lam, MD
Vetted Date: May 12, 2025
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Vila-Delgado
Spontaneous Intracranial Hypotension A patient presented with sudden onset of postural headaches that improved with recumbency associated with nausea, vomit, photophobia and phonophobia of 5 days of evolution followed by binocular horizontal diplopia at distance and in left gaze. Patient denied rec…
Ocular Bartonella Henselae Infection
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Albini, MD; Jason C. Fan, MD, PhD; Benjamin R. Lin, MD; Landon J. Rohowetz, MD
Presenter/Faculty: Albini, Fan, Lin, Rohowetz
A patient with ocular Bartonella henselae infection manifesting as neuroretinitis and branch retinal artery occlusion.
Leukemic Optic Neuropathy
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Byron L. Lam, MD
Vetted Date: May 12, 2025
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lieux
Leukemic Optic Neuropathy Leukemic optic neuropathy is a rare entity that is characterized as optic nerve dysfunction resulting from direct infiltration of neoplastic leukocytes. It is an indicator of central nervous system involvement, and it is a neuro-ophthalmic and oncologic emergency that warr…
Leukemic Optic Nerve Infiltrate
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Byron L. Lam, MD; Caroline L. Lieux, MD
Presenter/Faculty: Lam, Lieux
A pediatric patient with leukemic infiltrate of the optic nerve in both eyes.
Radiation Optic Neuropathy
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Byron L. Lam, MD
Vetted Date: May 12, 2025
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Venincasa
Radiation Optic Neuropathy A patient with a history of skull base meningioma status-post gamma knife radiation presented with three weeks of decreased vision in both eyes. She had no light perception in the right eye and a visual acuity of 20/50 in the left. Magnetic resonance imaging of the brain …
POEMS Syndrome
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anas Yasin, MD
Faculty Discussant(s): Joshua Pasol, MD
Presenter/Faculty: Pasol, Yasin
POEMS Syndrome A patient presented for evaluation of grade 4 optic disc swelling in both eyes. The patient has a history of polyneuropathy both sensory and motor involving the upper limbs more than lower limbs consistent with a diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP) a…
Potential Pitfalls in Pediatric Neuro-Ophthalmology
Specialty: Neuro-Ophthalmology
Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): R. Michael Siatkowski, MD, MBA
Presenter/Faculty: Siatkowski
Traumatic Optic Neuropathy
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Byron L. Lam, MD
Vetted Date: May 12, 2025
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lin
Traumatic Optic Neuropathy A patient presented with no light perception four days following being hit in the eye with a curling iron. Besides decreased vision, an afferent pupillary defect, and periorbital edema/ecchymosis, clinical exam including of the optic nerve was otherwise unremarkable. Init…
Optic Nerve Pit
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Byron L. Lam, MD
Vetted Date: May 12, 2025
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lieux
Optic Nerve Pit Optic nerve anomalies are rare entities with a variety of clinical presentations. They can be classified according to anomalies of disc size, disc conformation, or by the presence of abnormal tissue on the optic nerve head, or pseudoswelling. Here, we present a child with an inciden…
Idiopathic Intracranial Hypertension Complicated by Peripapillary Choroidal Neovascular Membrane Formation
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carlos E. Mendoza Santiesteban, MD; Landon J. Rohowetz, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Mendoza, Rohowetz, Yannuzzi
Fundus photo demonstrating grade 1 optic nerve head edema in the right eye and grade 3 optic nerve head edema in the left eye. The left eye also demonstrates retinal folds, subretinal hemorrhage, and leakage on fluorescein angiography consistent with a choroidal neovascular membrane.