Publications by authors named "Marcel P M ten Tusscher"

A 56-year-old man with a medical history of alcoholic cirrhosis presented with acute bilateral loss of vision. On admission, the patient had pale skin and low arterial pressure. Ophthalmic examination demonstrated a visual acuity of 6/9 in the right eye and the absence of light perception in the left.

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Article Synopsis
  • The study investigates the role of interhemispheric connections in human binocularity, focusing on the corpus callosum (CC) in individuals with infantile esotropia (IE).
  • Using diffusion tensor imaging, researchers found that subjects with IE had a higher number of callosal fibers linking visual cortical areas compared to controls, indicating significant interhemispheric connectivity differences.
  • The findings suggest that abnormal pruning of transcallosal fibers during development in IE alters the visual pathways, emphasizing the importance of the CC in developing binocular vision.
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Purpose: Two Caucasian Belgian families were diagnosed with autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS). The ophthalmological findings in both ARSACS disease and carriers are described.

Methods: In addition to a complete ophthalmological assessment, in both patients and carriers, spectral-domain Optical Coherence Tomography scans of the peri-papillary retinal nerve fiber layer were performed.

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  • A 72-year-old woman experienced a painful right eye, with symptoms including redness and swelling in the conjunctiva.
  • During a slit lamp exam, she was initially treated with artificial tears, but after a month a firm mass appeared near her lacrimal gland.
  • Imaging revealed infiltrative structures in both orbits, and biopsies confirmed that the conjunctival swelling and lacrimal gland contained metastases from lobular breast carcinoma.
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A closer look at the evolution of the eye and the brain provides a possible explanation for both the origin of infantile esotropia and its motor characteristics. In the course of evolution, the eyes have moved from a lateral to a frontal position. Consequently, the monocular visual fields started to overlap resulting in a binocular visual field.

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Article Synopsis
  • Dissociated vertical divergence (DVD) is prevalent in infantile strabismus, where eye alignment differs based on fixation.
  • The theory that DVD originates from a primitive fish reflex is contradicted by neuroanatomical evidence.
  • A new hypothesis suggests that the lack of binocular development in the cortex leads to separate activation of subcortical pathways, impacting eye movement coordination.
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