Isolated Cranial Nerve 6 Palsy in 2 Patients With COVID-19 Infection: Erratum
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Errata Source Type: research

Acute Care Treatment of Migraine: Erratum
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Errata Source Type: research

Idiopathic Intracranial Hypertension and Anemia: A Matched Case-Control Study: Erratum
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Errata Source Type: research

Neuro-Ophthalmic Features of Autoimmune Encephalitides: Letter to the Editor
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Idiopathic Intracranial Hypertension and Anemia: A Matched Case–Control Study: Response
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Idiopathic Intracranial Hypertension and Anemia: A Matched Case–Control Study
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Bilateral Atypical Retrobulbar Optic Neuritis Associated With Tuberculosis in an Immunocompetent Patient: Response
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Fung T, Pradeep A. Bilateral Atypical Retrobulbar Optic Neuritis Associated With Tuberculosis in an Immunocompetent Patient: Response
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Case of Progressively Worsening Vertical Nystagmus
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: UPFRONT Case Source Type: research

Double Vision and Headache
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: UPFRONT Case Source Type: research

Pituitary Macroadenoma Presenting With Monocular Temporal Hemianopia
Abstract: A 35-year-old primigravida woman presented to the eye emergency department with reduced visual acuity in the right eye. Humphrey visual field testing showed a monocular right eye temporal hemianopia before delivery. An MRI after delivery revealed a largely symmetrical pituitary macroadenoma with chiasmal compression. This is a rare presentation of a pituitary macroadenoma especially when the tumor is largely symmetrical. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Trainees' Corner Source Type: research

Neurosarcoidosis and Ocular Inflammation: A Case Series and Literature Review
Conclusion: NS is an uncommon, but potentially life-threatening, manifestation of sarcoidosis with ocular involvement up to 25% of patients. Patients presenting with neuro-ophthalmic manifestations of sarcoidosis are more likely to have other sites of involvement requiring ophthalmologists to maintain a high index of suspicion for systemic disease. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Trainees' Corner Source Type: research

Vision Loss From Giant Cell Arteritis in Patients With Other Ocular Diagnoses
We present 3 cases illustrating this point including a patient with advanced glaucoma with worsening vision from posterior ischemic optic neuropathy from GCA, a patient with arteritic anterior ischemic optic neuropathy (AAION) erroneously diagnosed as optic neuritis without elevated inflammatory blood markers due to corticosteroid use, and a patient with AAION and a history of nonarteritic anterior ischemic optic neuropathy in her fellow eye and untreated obstructive sleep apnea. GCA should be kept in the differential diagnosis for patients over 50 years of age even if they carry other ocular diagnoses. Temporal artery bio...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Trainees’ Corner Source Type: research

In Memoriam: James Finbarr (Barry) Cullen
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: In Memoriam Source Type: research

Oculomotor Nerve Palsy Due to Unusual Causes
Conclusions: Localizing the lesion of oculomotor nerve palsy and careful examination of the imaging is crucial. Aberrant regeneration, cyclic pupil changes, and past medical history of amblyopia, strabismus, or radiation are also very helpful for diagnosis. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Worldwide Neuro-Ophthalmology Source Type: research

Neuro-Ophthalmology at American Academy of Ophthalmology 2020 Virtual
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Neuro-Ophthalmology News Source Type: research

The American Headache Society Hosted the 2020 Virtual Scottsdale Headache Symposium
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Neuro-Ophthalmology News Source Type: research

The 47th Annual Meeting of the North American Neuro-Ophthalmology Society Occurring Virtually
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Neuro-Ophthalmology News Source Type: research

Horizontal Gaze Palsy, Scoliosis, and Split Pons Sign in a 6-Year-Old Girl
Abstract: A 6-year-old girl presented with complaints of absent horizontal eye movements since birth. There was also associated progressive scoliosis for past 1 year. Neuroimaging revealed split pons sign, butterfly-shaped medulla, and prominent inferior olivary nuclei. The presence of congenital horizontal gaze palsy, childhood onset progressive scoliosis, and abnormal neuroimaging findings confirmed the diagnosis of horizontal gaze palsy with progressive scoliosis. This case highlights the importance of neuroimaging in a child presenting with horizontal gaze palsy and scoliosis that helped for starting early rehabili...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Pseudo-Gaze Deviation Resulting From Positive Angle Kappa and Esotropia
Abstract: A 6-year-old boy was referred for constant right gaze deviation. Rather than a gaze deviation, he constantly seemed to look on the left side of any displayed target. Examination revealed the association of a highly positive angle Kappa and an esotropia of equal values. He also exhibited signs of ocular albinism with no associated infantile nystagmus syndrome. The X-linked ocular albinism was confirmed genetically, explaining the presence of a positive angle Kappa. A highly positive angle Kappa can be associated with a convergent strabismus; in case both values offset each other, this can result in a constant ...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Recurrent Third Nerve Palsy Secondary to Instrinsic Schwannoma of the Third Cranial Nerve
Abstract: A 78 year-old woman has experienced multiple episodes of transient right third nerve palsy over the course of 15 years and has undergone multiple imaging studies as well as investigations for myasthenia gravis and giant cell arteritis in search for the diagnosis. When seen after the most recent episode, MRI with contrast and Fast-Imaging Employing Steady-State Acquisition protocol revealed a subtle enlargement and enhancement of the cisternal and proximal cavernous portions of the right third cranial nerve. An empiric diagnosis of schwannoma intrinsic to third cranial nerve was made. All patients with cyclica...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Reversal of Iris Heterochromia in Adult-Onset Acquired Horner Syndrome
Abstract: Iris heterochromia is typically seen in association with congenital Horner syndrome. A man in his 40s with congenital iris heterochromia, blue in the right and brown in the left, presented with left-sided Horner syndrome. This was associated with recent change in color of his brown left iris to blue similar to the right iris. This case demonstrates a unique case of adult-onset Horner syndrome with reversal of iris heterochromia. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Seven-Year Follow-Up of a Patient With a Retained Needlefish Jaw Fragment Abutting Against His Left Internal Carotid Artery
Abstract: A 51-year-old man presented to the ophthalmology service with binocular diplopia and facial numbness. The patient was returning from a trip to Mexico. He reported having been hit in the left periocular region by a fish while swimming. Local doctors repaired a laceration in the left lateral canthus shortly after the incident. Orbital imaging revealed 2 needle-like foreign bodies corresponding to retained pieces of a needlefish jaw in the left orbit. Given the location of the foreign bodies, observation with repeat imaging was deemed more appropriate than surgical exploration. Subsequent imaging studies showed ...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Hemorrhagic Intracranial Cavernoma Presenting as a Homonymous Horizontal Sectoranopia
Abstract: Hemorrhagic lateral geniculate nucleus (LGN) insults are rare but have been reported in association with tumors, vascular malformations, and trauma. The localization of LGN lesions is facilitated by recognition of pathognomonic visual field defects. A 21-year old woman developed a sudden onset painless left homonymous horizontal sectoranopia. Magnetic resonance imaging revealed a hemorrhagic cavernous malformation of the right temporal lobe. Optical coherence tomography (OCT) and Humphrey perimetry findings localized the lesion to the right LGN. Specifically, OCT testing revealed a right homonymous sectoranop...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Idiopathic Intracranial Hypertension Triggering Hemifacial Spasm
We present the case of a young woman with IIH who had hemifacial spasm as one of the presenting symptoms. Her symptoms resolved once she was treated for IIH with acetazolamide. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Optic Disc Edema and Posterior Globe Flattening Secondary to Ocular Hypotony: Case Report and Discussion Regarding Pathophysiology and Clinical Findings
We describe a case of a young female patient presenting with ocular hypotension (4 mm Hg) secondary to cyclodialysis, and optic disc edema (ODE) after a blunt trauma in the right eye (right eye). MRI showed posterior globe flattening of the right eye, drawing our attention to the pathophysiology behind these findings. The combination of ODE and posterior globe flattening, as observed in the present case of ocular hypotony, is known from other conditions such as intracranial hypertension and space-flight neuro-ocular syndrome, pointing to a common pathophysiological mechanism, possibly resulting from axoplasmic stasis at th...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Compressive Optic Disc Edema and Contralateral Papilledema: Type 2 Foster Kennedy Variant Syndrome
Abstract: A 43-year-old woman presented with progressive anosmia, self-neglect, and lethargy for 1 year. Brain MRI demonstrated a mass that was compressing the optic nerve in the right eye and had a significant mass effect and cerebral edema producing increased intracranial pressure. Examination revealed the patient to have a variant of Foster Kennedy syndrome involving ipsilateral compressive optic neuropathy with superimposed optic disc edema and contralateral papilledema. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Bilateral Morning Glory Anomaly With Optic Nerve Multiple Cysts
Abstract: We herein describe a pediatric case of bilateral morning glory anomaly whose retrobulbar cysts and renal disease were underdiagnosed, and finally, he was diagnosed with renal coloboma syndrome. We recommend patients with colobomatous optic nerve malformations undergo a complete workup to avoid missed diagnosis, which includes (i) general physical examination looking for heart defects, genitourinary, auricular, and midline facial defects among other abnormalities; (ii) simple nephrologic investigations such as routine urine test and/or renal ultrasound to check for renal hypoplasia; and (iii) neuroimaging chec...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Gazing Into the Crystal Ball: Calciphylaxis Causing Striking Retinal Vascular Calcification, Ocular Ischemic Syndrome, Crystalline Retinopathy, and Ischemic Optic Neuropathy
Abstract: A 72-year-old woman with membranous glomerulonephritis and failed renal transplant on peritoneal dialysis presented with bilateral vision loss. She reported several months of diminishing right eye vision that worsened after cataract extraction. On presentation, visual acuity was hand motion in the right and 20/100 in the left eye with a right afferent pupillary defect. Confrontation visual fields were constricted bilaterally. Intraocular pressure was 23 in the right eye, and there was diffuse right eye central corneal opacity with iris neovascularization. Fundus examination revealed bilateral pale optic nerve...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Magnetic Resonance Angiogram Findings of Internal Carotid Artery Narrowing and Anterior Cerebral Artery Hypoplasia Associated With Optic Atrophy After Neonatal Extracorporeal Membrane Oxygenation
Abstract: We use MRA to elucidate a potential association of unilateral optic atrophy in infancy, ipsilateral internal carotid artery narrowing after extracorporeal membrane oxygenation, and ipsilateral hypoplasia of the A1 segment of the anterior cerebral artery. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Paracentral Acute Middle Maculopathy Mimicking Retrobulbar Optic Neuropathy
Abstract: A 70-year-old woman presented with acute awareness of decreased color vision in her right eye. Fundus examination and a flash electroretinography (ERG) were both normal. A multifocal ERG (mfERG) however revealed foveal depression, and thinning of inner nuclear layer was noted on macular optical coherence tomography (OCT), and a diagnosis of resolved paracentral acute middle maculopathy was made. Clinicians should be aware of the complementary role of OCT and mfERG in unexplained acute central visual loss to distinguish retinal from neuro-ophthalmic etiologies. Structural ocular imaging with OCT shows features...
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Absence of Decussation in Optic Pathway Inflammation in Neuromyelitis Optica and Its Implications for Astrocyte Localization
Abstract: A 39-year-old woman presented with acute visual loss in her right eye. Brain and orbit MRI demonstrated T2 hyperintensity along a long section of her right optic nerve, chiasm, and tract with no evidence of decussation of the inflammation. Subsequent seropositivity for the aquaporin 4 antibody confirmed a diagnosis of neuromyelitis optica. Posterior pathway involvement is typical in neuromyelitis optica and supports the hypothesis that the condition is an astrocytopathy. Furthermore, the absence of decussation in the condition may be a function of astrocyte localization within the chiasm. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Handheld Optical Coherence Tomography in a Young Infant With Albinism and Fovea Plana
We describe our handheld OCT acquisition protocol and compare the morphological features with a healthy, age-matched control subject. (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Photo and Video Essay Source Type: research

Acute Convergence and Divergence Paralysis in HIV-Related Rhombencephalitis
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Eyelid Closure Downbeat Nystagmus: A Rare Cause of Insomnia
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Successful Treatment of Superior Oblique Myokymia With Cannabidiol Oil
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Severe Chronic Progressive External Ophthalmoplegia–Associated Ptosis Successfully Treated With Scleral Lenses
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Horner Syndrome Due To Internal Carotid Artery Dissection With Normal Vascular Imaging: A Radiological Conundrum
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Presentation of High-Flow Cerebral Proliferative Angiopathy With Adie's-Like Pupil and Proptosis
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Immune-Mediated Optic Neuropathy in Chronically Immunosuppressed Transplant Patients
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Bilateral Optic Neuritis Secondary to Immune Etiology by anti-PD-L1 Antibody
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Bilateral Atypical Retrobulbar Optic Neuritis Associated With Tuberculosis in an Immunocompetent Patient
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

In-Flight G-Induced Retrobulbar Optic Neuropathy in a Fighter Pilot
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Nutritional Optic Neuropathy From Chronic Omeprazole Use
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Absent Foveal Avascular Zone in Autosomal Recessive Spastic Ataxia of Charlevoix-Saguenay
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Retinal Angiographic Evidence of Creutzfeldt-Jakob Disease Prion Disease in Humans
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Sea Fan Frond Neovascularization: A Unique Finding in a Patient With Susac Syndrome
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Paracentral Acute Middle Maculopathy as the Initial Presentation of Giant Cell Arteritis
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Paracentral Acute Middle Maculopathy as a Manifestation of Giant Cell Arteritis
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research

Giant Cell Arteritis Presenting as Bilateral Optic Perineuritis in an African Man
No abstract available (Source: Journal of Neuro-Ophthalmology)
Source: Journal of Neuro-Ophthalmology - June 1, 2021 Category: Opthalmology Tags: Clinical Correspondence Source Type: research