Archives for March 2019

Neuro-ophthalmology Illustrated Chapter 8 – Optic Neuropathies 1

Questions:
1. What are optic neuropathies with an acute onset and with a normal optic nerve called?
2. What are optic neuropathies with an acute onset and with a swollen optic nerve head called?
3. After the onset of visual loss in a case of optic neuropathy, when does the optic nerve head become pale?
4. When is electrophysiologic testing is useful in acute optic neuropathies?
5. What does a painful orbital apex syndrome in a diabetic patient suggest
6. In addition to the optic nerve what structures pass through the optic canal?
7. What structures pass through the superior orbital fissure?
8. How is color vision typically affected in disease of the optic nerve?
9. How is the pupil typically affected in disease of the optic nerve?
10. How is the photostress test recovery typically affected in disease of the optic nerve?
11. How is the ERG typically affected in disease of the optic nerve?
12. How is the Amsler grid typically affected in disease of the optic nerve
13. How is color vision typically affected in disease of the macula?
14. How is the pupil typically affected in disease of the macula?
15. How is the photostress test recovery typically affected in disease of the macula?
16. How is the ERG typically affected in disease of the macula?
17. How is the Amsler grid typically affected in disease of the macula?

Neuro-ophthalmology Illustrated Chapter 7 – Retinal Vascular Diseases 3

Questions:
20. Radiation retinopathy a chronic, painless, progressive retinal vasculopathy. True or False?
21. Radiation retinopathy may be unilateral or bilateral and occur months or years after radiotherapy. True or False?
22. Radiation retinopathy is more common in patients with underlying retinal vascular disease (e.g., hypertension or diabetes). True or False?
23. What are 5 key findings of radiation retinopathy?
24. What are 6 complications of radiation retinopathy?
25. What is the chief feature of Purtscher retinopathy?
26. What is the significance of bilateral retinal vascular tortuosity?
27. What are 2 retinal vascular malformations?

Neuro-ophthalmology Illustrated Chapter 7 – Retinal Vascular Diseases 2

Questions:
12. What may develop in patients with severe stenosis or occlusion of the ipsilateral common carotid artery or internal carotid artery and poor collateral circulation? 

13. What condition should venous stasis retinopathy, or hypotensive retinopathy, suggest?
14. What are the symptoms of the ocular ischemic syndrome?
15. What are signs of the ocular ischemic syndrome?
16. What is the prognosis of the ocular ischemic syndrome?
17. What should be ruled out in a patient who has a rapidly worsening ocular ischemic syndrome?
18. What should be checked in all patients with headache and bilateral optic nerve swelling?
19. What 10 classic systemic disorders associated with retinal vasculitis?

Neuro-ophthalmology Illustrated Chapter 7 – Retinal Vascular Diseases 1

Questions:
1. What should be done for a patient with monocular vision loss, not due to nonarteritic anterior ischemic optic neuropathy, arteritic anterior ischemic optic neuropathy, or other ophthalmologic diseases, but with branch or central retinal artery occlusions or amaurosis fugax?
2. What causes central artery occlusion associated with pain?
3. What is the most common cause of ophthalmic artery occlusion?
4. What are the findings from ophthalmic artery occlusion?
5. What finding seen in acute central artery occlusion that is not seen with acute ophthalmic artery occlusion?
6. What work-up should be done when retinal emboli are found in an asymptomatic patient?
7. What is the appearance of cholesterol emboli?
8. What are common sources for cholesterol emboli?
9. What is the appearance of talc emboli?
10. What condition is associated with talc emboli?
11. In a patient with acute retinal ischemia what tests should be ordered for thrombophilia?