glaucoma is a major cause of worldwide irreversible blindness. the central role of raised intraocular pressure (iop) is being questioned as many patients continue to demonstrate a clinically downhill course despite initial control of iop. the latest concept of recognizing glaucoma as a multifactorial, progressive, neurodegenerative disease of retinal ganglion cells (rgcss) associated with chara...

OBJECTIVE To refine the criteria for the diagnosis of amiodarone-related optic neuropathy by including a broader spectrum of clinical features, thus helping to differentiate this entity from nonarteritic anterior ischemic optic neuropathy coincidentally affecting a patient taking amiodarone. METHODS A retrospective case review of 22 patients who developed optic neuropathy while taking amiodar...

Sir, We appreciate the thoughtful commentary from Drs Lujan and Horton (2013) based on their patient with Kjer’s dominant optic atrophy with retinal inner nuclear layer microcysts. Their case highlights an emerging understanding that inner nuclear microcysts are not specific to multiple sclerosis. We—and others— have now identified them in neuromyelitis optica (Gelfand et al., 2013; Sotirchos e...

Sir, We appreciate the thoughtful commentary from Drs Lujan and Horton (2013) based on their patient with Kjer’s dominant optic atrophy with retinal inner nuclear layer microcysts. Their case highlights an emerging understanding that inner nuclear microcysts are not specific to multiple sclerosis. We—and others— have now identified them in neuromyelitis optica (Gelfand et al., 2013; Sotirchos e...

Fig. 1. (A) Patient with posttraumatic enophthalmos and hypoglobus of the right eye. (B) Upward gaze limitation was noted on preoperative day 1. A B or a nerve sheath injury whereas direct damage to the optic nerve during dissection and insertion of implant materials is also possible. We report a case of a patient with postoperative traumatic optic neuropathy due to indirect nerve damage after ...

introduction: timely diagnosis and treatment of post traumatic, elevated intracranial pressure (eicp), could reduce morbidity and mortality, as well as improve patients’ outcome. this study is trying to evaluate the diagnostic accuracy of sonographic optic nerve sheath diameter (onsd) in detection of eicp. methods: sonographic onsd of patients with head trauma or cerebrovascular accident suspic...

Sir, We appreciate the thoughtful commentary from Drs Lujan and Horton (2013) based on their patient with Kjer’s dominant optic atrophy with retinal inner nuclear layer microcysts. Their case highlights an emerging understanding that inner nuclear microcysts are not specific to multiple sclerosis. We—and others— have now identified them in neuromyelitis optica (Gelfand et al., 2013; Sotirchos e...