You searched for "Idiopathic"
BT vs. conservative treatment only for sixth nerve palsies
This German retrospective review evaluation compared rates of improvement and outcome criteria in a large cohort with 2 treatment branches for sixth nerve palsy. Recovery was defined as no diplopia in primary gaze, angle ≤10 prism dioptres and improved abduction...
Consultations for ‘papilledema’ for inpatients and in the emergency department
This study aimed to establish the final diagnosis and outcomes for neuro-ophthalmology emergency department (ED) and inpatient consultations for ‘papilledema’. Neuro-ophthalmology consults from ED and inpatient wards for adults referred with ‘papilledema’ were prospectively collected for 12-months in a single...
Ranibizumab safety in pregnancy
Vascular endothelial growth factor (VEGF) plays a pivotal role during pregnancy, and systemic anti-VEGF administration during this period should thus be avoided. VEGF is expressed in multiple embryonic and foetal tissues during development, with the highest levels found in the...
MRI characteristics of NMO, MOG and MS-related ON
This review article examined differences of MRI appearances that can help clinicians assess and manage these important neuro-ophthalmic disorders. It also examined the role of optic nerve MRI as a prognostic indicator in acute optic neuritis (ON). The major findings...Imaging papilloedema vs. pseudo-papilloedema
Quite often, in the working week as an ophthalmic photographer, you will be given that patient with ‘swollen discs’ to image. These swollen discs could be a number of things, but mainly fall into one of two categories: papilloedema or...
The Neuro-Ophthalmology Survival Guide, 3rd Edition
Neuro-ophthalmology, a challenging ophthalmic subspecialty, demands an understanding of neuro-anatomical pathways, nuanced examination and advanced imaging. For ophthalmology trainees, foundation doctors, neurologists and emergency clinicians, it can feel daunting to frequently encounter optic neuritis, visual field defects and cranial nerve...Choroidal folds
Choroidal folds are undulations of the choroid, Bruch’s membrane and pigment epithelium, with wrinkling of the overlying retina. They may be idiopathic but can also be caused by a number of different conditions. Case report A 60-year-old male patient was...Friendly felines and a spot diagnosis
A nine-year-old girl presented to me in eye casualty with a three-week history of blurred vision in her left eye. Otherwise she was apparently well, with no past ophthalmic, medical, drug or relevant family history. Visual acuity was 6/4 right...
Bardet Biedl refractive error
This is a retrospective cross-sectional study of 45 patients with genetically diagnosed Bardet Biedl syndrome. Patients with biallelic defects in any gene known to cause Bardet Biedl syndrome were eligible for inclusion. Patients underwent cycloplegic refraction and keratometry. The mean...
Piggyback toric IOLs in complex cases
This study evaluates the outcome of toric sulcus fixated lenses (MS 614/714 TPB (Human Optics, Germany) in 21 eyes with high astigmatism. The cases included previous penetrating keratoplasty (n=15), post cataract surgery astigmatism (n=3), rotation of in-the-bag toric IOL (n=1),...Quiz Apr/May 2023
History A 76-year-old female presented at her local district general hospital with right decreased visual acuity, glare, and foreign body sensation, in addition to longer-term dry eyes. She was otherwise well. Her past medical history included hypertension. On examination: vision...
