In this case report, we describe a case of isolated oculomotor nerve palsy associated with antibodies to mitotic spindle apparatus (anti-MSA). A 28-year-old female patient had acute, painful vertical diplopia. She had limited depression and adduction in the right eye. There was no relative afferent pupillary defect. Brain magnetic resonance imaging showed no abnormal findings. Laboratory tests ...

Most patients receive conservative treatment — lubrication of the eye to reduce symptoms related to disturbance of the tear film. About 5% of patients will need more aggressive therapy (e.g., systemic corticosteroids, orbital radiation, surgical removal of orbital walls) to prevent vision loss caused by either compression of the optic nerve by enlarging extraocular muscles or corneal ulceration...

Six months later, she noticed proptosis of the right eye and her diplopia persisted. Our examination showed acuity of 20/20 OU and a left relative afferent pupillary defect. She had 3 mm of right proptosis, -3 adduction deficit in her right eye and -2 abduction deficit in her left eye with -1 elevation deficit bilaterally. There was no nystagmus. Saccades were normal. She had one Lisch nodule a...

Patients suffering from severe orbital trauma are at risk for numerous complications, including orbital compartment syndromes. This can result in an afferent pupillary defect, which must be evaluated for on physical examination. Unfortunately, these at-risk patients are often challenging to examine properly due to surrounding edema. Point-of-care ultrasonography can be used as an adjunct to the...

Purpose: To quantify the specificity and sensitivity of RTVue-100, Optovue parameters at determining the presence of a relative afferent pupillary defect (RAPD) by coupling their values with the instrument normative data base (NDB) and the presence of a RAPD. To generate the distribution for the focal loss volume (FLV) percentage, by coupling its value to the instrument NDB and presence of a RA...

BACKGROUND Anecdotally, increasing number of patients are seen at Korle Bu Teaching Hospital (KBTH) with brain tumour. Neuro-ophthalmic symptoms and signs may help in timely diagnosis and intervention. OBJECTIVE To evaluate the neuro-ophthalmic and clinical characteristics of brain tumour in patients presenting at a tertiary hospital in Ghana. STUDY DESIGN A prospective case series involvin...

We report a case of anterior ischemic optic neuropathy associated with udenafil. A 54-year-old male presented with an acute onset visual field defect of the right eye after udenafil use. Examination revealed a relative afferent pupillary defect and a swollen disc. Automated visual fields revealed an enlarged blind spot and a narrowed visual field. Fluorescein angiography revealed both an inferi...

PURPOSE To evaluate the progressive lesions affecting the visual system in a patient with subacute sclerosing panencephalitis (SSPE). METHODS The authors observed a 15-year-old boy with SSPE. Since the diagnosis was made before the appearance of ocular manifestations, the authors recorded the progressive ocular lesions using various ophthalmic examinations. RESULTS The patient showed no oph...

An 18-year-old woman with poorly controlled insulindependent diabetes mellitus had 3 days of worsening nasal discharge, right facial pain and erythema, and headache. Lumbar puncture showed 250 nucleated cells/ L with neutrophil predominance, elevated protein of 81 mg/dL, and normal glucose. She was treated for presumed meningitis, but then rapidly developed right-side symptoms including facial ...