小测试:头部轻微右倾

一名26岁的患者出现头部轻微向右倾斜,轻微的“V”型,右下斜肌功能过强,右上斜肌功能减退,小角度内斜视。她双眼视力均为20/20(6/6)。在10岁之前做过两次眼肌手术,但目前没有详细资料。您从刚获得眼底照片的同事那里听说了这个病人。病人已经离开诊所,您的同事正在征询您的意见。     开始测试  

Lecture: Management of Neuro-ophthalmic Causes of Diplopia

This case-based webinar will cover diagnostic testing and management of patients with common causes of binocular diplopia. Topics will include ocular motor cranial nerve palsies, myasthenia gravis, thyroid eye disease, and the sagging eye syndrome. Lecturer: Dr. Karl Golnik, Neuro-ophthalmologist from the University of Cincinnati, Ohio USA. Transcript DR GOLNIK: Well, greetings, everybody. And thanks … Read more

小测试:视幻觉

一位89岁女性前来就诊,主诉在过去一天里,双眼均出现了视力模糊和“看到多种颜色”的情况。除了看到异常的颜色,她还说看到了多种奇怪的形状。她否认有任何眼痛、飞蚊症或以往有过这种情况。她双眼有新生血管性年龄相关性黄斑变性(ARMD)病史,用抗VEGF和类固醇治疗过。她双眼还患有原发性开角型青光眼(POAG),目前正在使用他氟前列素滴眼液。她双眼均为人工晶状体眼。她右眼视力是在2英尺指数,左眼为20/400(她的正常基线)。右眼IOP为13 mmHg,左眼为16 mmHg。眼前节检查中显见右眼后囊混浊。散瞳眼底检查可见双眼杯盘比0.95伴双眼黄斑区视网膜下液体积聚。周围视网膜平坦,无脱离或撕裂。图为右眼照片。     开始测试  

Lecture: Approach to the Patient with Double Vision

This webinar will cover the history, exam and diagnostic evaluation of the patient who presents with double    vision. At the completion of the webinar, the participant should be able to: 1. Describe important historical questions 2. Describe critical portions of the motility exam 3. Outline management strategy based on the history and exam Lecturer: … Read more

Lecture: Optic Neuritis: Etiology, Evaluation, and Management Updates

During this live webinar, we will review our current understanding of the etiology of optic neuritis, of various causes, appropriate serologic and radiographic evaluation of affected patients, prognosis, and updates in the management options for optic neuritis. Lecturer: Devin D. Mackay, Director of Neuro-Ophthalmology, Indiana University School of Medicine, Indiana, USA Transcript DR MACKAY: Hello, … Read more

Quiz: Visual Hallucinations

This 89-year-old female presents with a complaint of blurry vision and “seeing multiple colors” in both eyes for the past day.  In addition to the unusual colors, she also reports seeing multiple strange shapes.  She denies any pain, floaters, or previous episodes.  She has a history of neovascular age related macular degeneration (ARMD) in both … Read more

Lecture: Ocular Myasthenia Gravis

During this live webinar, Dr. Mackay will discuss the pathophysiology, diagnosis, and treatment of ocular myasthenia gravis. We will review common examination findings in patients with myasthenia with patient videos and review medical literature relevant to the disease. Participants will also learn about the utility of diagnostic, pharmacologic, and electrophysiologic testing in the evaluation of … Read more