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Trochlear Nerve Decompression by Endoscopic Suboccipital Supracerebellar Infratentorial Approach: A Technical Note: 2-Dimensional Operative Video.
Oper Neurosurg (Hagerstown)
January 2025
Department of Neurological Surgery, The Ohio State University, Columbus, Ohio, USA.
Background And Importance: Superior oblique myokymia (SOM) is a rare, acquired aberration of the innervation of the superior oblique, resulting in episodic monocular contraction of the superior oblique muscle characterized by intermittent rotatory eye movement causing diplopia and oscillopsia. Several treatment modalities have been described to treat SOM, including medication and surgical interventions. There is a paucity of reports describing microvascular decompression (MVD) of the trochlear nerve near the root entry zone for the treatment of a neurovascular conflict.
View Article and Find Full Text PDFStrabismus surgery for patients with acquired nonaccommodative esotropia based on monocular occlusion test.
J AAPOS
December 2024
Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Purpose: To evaluate the outcome of surgery based on a monocular occlusion test in patients with acquired nonaccommodative esotropia (ANAET).
Methods: Patients with ANAET in which the angle of esodeviation increased by at least 10 after 1 hour of monocular patching were enrolled prospectively.
Results: A monocular occlusion test was performed for 32 patients, of whom 14 patients showed significant change in the angle of esotropia.
Neuro-ophthalmic evaluation and management of pituitary disease.
Eye (Lond)
August 2024
Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand.
Neuro-ophthalmic evaluation is a crucial component of the diagnostic and prognostic assessment of pituitary disease and compressive chiasmopathy, and can inform the timing of vision-restoring tumour resection surgery. The most common disease affecting the pituitary with neuro-ophthalmic implications are pituitary adenomas. Neuro-ophthalmic manifestations include decreased vision, abnormal colour vision and impaired visual field or diplopia.
View Article and Find Full Text PDFCase report: Bilateral optic nerve sheath meningocele: clinical aspects.
Front Ophthalmol (Lausanne)
May 2024
Institut Clínic d'Oftalmologia, Hospital Clinic, Barcelona, Spain.
Optic nerve sheath meningocele is an enlargement of the sheath itself, consisting of a collection of cerebrospinal fluid along the perineural space. It should be considered primary if it is not associated with orbital-cerebral neoplasm or with cranio-orbital junction malformations. We report three cases of bilateral primary idiopathic optic nerve sheath meningocele, two of them with gradual vision loss.
View Article and Find Full Text PDFAn Update on Dragged-Fovea Diplopia Syndrome.
Semin Ophthalmol
July 2024
Department of Ophthalmology, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Dragged-fovea diplopia syndrome (DFDS) is a type of binocular double vision caused by a displacement of the fovea in one or both eyes due to retinal disorders including epiretinal membranes or other maculopathies. DFDS induces diplopia through a mismatch between peripheral motor fusion and central (foveal) fusion. It can be diagnosed by utilizing the Lights on - Lights off test.
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