Torpedo maculopathy: in-vivo histology using optical coherence tomography.

Purpose: Recent reports of torpedo maculopathy have disclosed underlying irregularities within the chorioretinal tissue that have not been shown to induce disturbances in visual function. Optical coherence tomography (OCT) provides a unique means of assessing the chorioretinal organization and integrity of torpedo lesions in an in vivo setting that has yet to be explored. In agreement with reported cases, torpedo maculopathy appears to be a benign, non-progressive condition that subtends the horizontal raphe in the juxtafoveal region and imparts no disturbance in visual function.

Midline orofacial cleft defects in association with type 1 Duane's retraction syndrome.

Anomalies of ocular motility associated with Duane's retraction syndrome (DRS) have often been perceived as isolated phenomena arising as a result of congenital ocular miswiring between the lateral and medial recti muscles. Interestingly, the reporting of concomitant ocular and systemic anomalies arising in the setting of DRS discounts this narrow perception and highlights the importance of a thorough investigation for non-ocular comorbidities. A 37-year-old Caucasian male presented for a routine ocular examination with complaints of gradual reduction in uncorrected near vision.

Ophthalmic manifestations of an undifferentiated sinonasal carcinoma.

Introduction: Sinonasal undifferentiated carcinoma (SNUC) are uncommon, highly aggressive neoplasms arising in the nasal cavity and paranasal sinuses. Unlike the majority of sinonasal carcinomas, SNUC possess an uncertain histological origin and pleomorphic composition. Their heterogeneous composition prohibits their distinction from other more commonly encountered nasal tumors on the basis of imaging alone.

Presumed levothyroxine-induced pseudotumor cerebri in a pediatric patient being treated for congenital hypothyroidism.

Papilledema is considered a neuro-ophthalmic emergency because of its capacity to induce irreversible end-organ damage and the often grave nature of its precipitating factor. Even more concern is warranted when papilledema presents in a pediatric setting. After excluded the contributions of intracranial masses, congenital malformations, ischemic insults and acute infections, the investigation must focus on determining the contributions of other uncharacteristic causes of pediatric pseudotumor cerebri.

Bilateral abducens palsies and facial weakness as initial manifestations of a Chiari 1 malformation.

Purpose: Chiari I malformations are rare, congenital anomalies involving the caudal herniation of the cerebellar tonsils into the upper cervical spinal canal. Osseous abnormalities of the skull permit the extension of the hindbrain below the foramen magnum and engender syringohydromyelia formation. Neuroophthalmic manifestations are not uncommon; nevertheless, this is the first report of concomitant bilateral abducens palsies and facial nerve impairment as presenting manifestations of a Chiari I malformation.

Ulcerative keratitis associated with crack-cocaine abuse.

Background: Cocaine hydrochloride (C(17)H(21)NO(4)) is a powerful neuro-stimulatory alkaloid salt which has been abused by many cultures for thousands of years. Crack-cocaine, a derivative of cocaine, has gained notoriety for giving a quick "high" at a relatively lower cost. Crack-cocaine exposure has been reported to cause corneal disturbances ranging from subtle superficial punctuate keratitis to perforation.

Neurosensory detachment arising from a fractured inner-limiting membrane secondary to chronically elevated intraocular pressure.

Unlabelled: Diffuse optic nerve excavation and focal rim loss mimicking an optic pit have never been reported to predispose patients to serous detachments despite their relative frequency among patients with glaucoma. Recent reports of idiopathic macular schisis detachments occurring in the setting of elevated intraocular pressure without evidence of a contributing comorbidity have caused some to speculate that alternative mechanisms exist with the capacity to engender these retinal complications. Experimental simian research has unveiled the capacity of chronically elevated intraocular pressure to yield conduction portals between the posterior hyaloid face and the subretinal space by inducing microscopic fractures in the inner-limiting membrane.

Bilateral, persistent serous macular detachments with Waldenström's macroglobulinemia.

Purpose: Waldenström's macroglobulinemia is a rare, malignant lymphoplasmacytic disorder characterized by the monoclonal proliferation of immunoglobulin type M (IgM) producing B-lymphocytes. Ocular manifestations of Waldenström's macroglobulinemia have been described in association with the conjunctiva, cornea, uvea, retina, and periocular adnexa. Only rarely have macular findings, particularly serous macular detachments, been described in the presence of monoclonal hypergammaglobulinemias.