26 results match your criteria: "Neuro-ophthalmic Manifestations of Vascular Eye Diseases"
Neuro-ophthalmic challenges and multi-morbidity in vasculitis among the older adults.
Expert Rev Clin Immunol
July 2024
Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA.
Article Synopsis
- Vasculitides are inflammatory disorders affecting blood vessels that can lead to serious eye-related issues and are particularly challenging for elderly patients due to factors like multiple health conditions and medications.
- The review covers various types of vasculitis, such as Cogan Syndrome and Giant Cell Arteritis, along with their symptoms affecting the eyes and how common they are among different populations.
- Improving elderly care for these patients involves recognizing early signs of the disease, using advanced imaging techniques, and adopting holistic approaches to treatment that consider both medical and personal well-being.
Disturbances of Ocular Circulation in Color Doppler Imaging, Retinal Changes and Electrophysiological Tests with Neuro-Ophthalmological Clinical Symptoms in the Course of CADASIL Syndrome-A Case Report.
J Clin Med
March 2023
Scientific Association of Students 2nd Department of Ophthalmology, Pomeranian Medical University in Szczecin, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
Article Synopsis
- - The paper investigates ocular circulation issues and electrical activity changes in a patient with CADASIL, characterized by various neuro-ophthalmic symptoms like transient vision loss, migraines, and diplopia.
- - CADASIL diagnosis was confirmed through genetic testing for a mutation, immunohistochemistry showing specific material in blood vessels, and MRI revealing brain lesions and infarcts.
- - Findings like decreased blood flow in retinal arteries and retinal changes suggest that transient vision loss may result from altered blood dynamics and vessel narrowing in the eye, supported by observed changes in electroretinogram amplitudes and imaging results.
An Unusual Presentation of Neurosarcoidosis.
Am J Case Rep
September 2022
Northeast Ohio Medical University, Rootstown, OH, USA.
Article Synopsis
- * A case study of a 63-year-old man illustrates the complexities in diagnosing neurosarcoidosis, as he initially showed symptoms resembling hypertensive retinopathy, leading to misdiagnosis and worsening conditions.
- * The case emphasizes the importance of considering sarcoidosis as a potential diagnosis for unusual vascular symptoms and the benefits of a multidisciplinary approach in improving patient care for accurate and timely treatment.
Neuroradiologic Imaging of Neurologic and Neuro-Ophthalmic Complications of Coronavirus-19 Infection.
J Neuroophthalmol
December 2021
Department of Radiology (M. Marsiglia), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Neurology (BKC), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Ophthalmology (BKC), Massachusetts Eye & Ear, Harvard Medical School, Boston, Massachusetts; and Department of Radiology/Division of Neuroradiology (M. Maher), University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
Article Synopsis
- - This review examines the neurological and neuro-ophthalmic complications linked to COVID-19, drawing from a comprehensive analysis of existing literature.
- - Key complications include various disorders related to the visual pathways and central nervous system, such as optic neuritis, encephalitis, and thromboembolism, each identified through specific imaging findings.
- - Ongoing research aims to understand the diverse manifestations and long-term effects of COVID-19 on the nervous system, which is critical for effective treatment and understanding the disease's mechanisms.
Afferent and Efferent Neuro-Ophthalmic Complications of Coronavirus Disease 19.
J Neuroophthalmol
June 2021
Department of Ophthalmology and Visual Sciences (AKT), University of Iowa Hospital and Clinics, University of Iowa Carver College of Medicine, Iowa City, Iowa; Departments of Ophthalmology and Neurology (MD), New York- Presbyterian Hospital, Weill Cornell Medical College, New York City, New York; Department of Ophthalmology (BKC), Massachusetts Eye & Ear; and Department of Neurology (BKC), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Article Synopsis
- * Identified complications include both afferent issues (like optic neuritis and vision loss) and efferent issues (like cranial neuropathies and eye movement disorders).
- * Proposed causes for these conditions involve immunological responses, blood vessel changes, and direct effects of the virus on the nervous system.
Post COVID-19 Ophthalmic Manifestations in an Asian Indian Male.
Ocul Immunol Inflamm
May 2021
Department of Neuro-ophthalmology, Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Article Synopsis
- - The text discusses various eye-related issues associated with COVID-19, such as conjunctivitis and retinal problems, highlighting significant potential impacts on vision.
- - A specific case involves a 66-year-old male who experienced severe vision blurring post-COVID-19, with diagnoses including central retinal artery occlusion and inflammation in both eyes.
- - The findings suggest that such eye complications may be linked to immune responses triggered by COVID-19, emphasizing the need for awareness of possible lasting eye effects even after recovery.
Neuro-ophthalmic complications of IgG4-related disease.
Curr Opin Ophthalmol
November 2018
Department of Neuro-Ophthalmology, Massachusetts Eye & Ear Infirmary, Boston, Massachusetts, USA.
Article Synopsis
- * Recent findings show that IgG4-RD is becoming recognized as a common cause of various previously unexplained disorders in the head and neck, including conditions affecting the eyes and brain; new presentations and better understanding of the underlying biology are also emerging.
- * Diagnosis primarily relies on the correlation between clinical features and pathology, with advanced tests like flow cytometry and PET-CT improving detection; treatment typically involves steroids, but new
What's in a name?
Surv Ophthalmol
September 2016
Department of Ophthalmology, University of Virginia Health System, Charlottesville Virginia, USA.
Article Synopsis
- * MRI scans revealed significant swelling in the right side of his brain, and lab tests showed elevated antibodies and a skin biopsy indicating vasculitis.
- * After starting treatments like prednisone and methotrexate, the patient experienced substantial improvements, highlighting the link between rheumatoid arthritis and potential neurological complications.
Ophthalmic manifestations of HIV in the highly active anti-retroviral therapy era.
West Indian Med J
May 2014
Department of Surgery, Radiology Anaesthesia and Intensive Care, the University of the West Indies and University Hospital of the West Indies, Kingston 7, Jamaica.
Article Synopsis
- * Many patients with eye conditions from HIV have low CD4 counts (< 200 cells/μL), and while cytomegalovirus (CMV) is a common opportunistic infection, its prevalence is lower in Africa compared to more frequent squamous cell carcinoma in that region.
- * Highly active antiretroviral therapy (HAART) has led to fewer opportunistic infections and complications but still presents risks, including immune recovery uveitis and persistent cases of CMV retinitis in patients with
Neuro-ophthalmology and pregnancy: what does a neuro-ophthalmologist need to know?
J Neuroophthalmol
December 2011
Department of Ophthalmology, University of Utah, Salt Lake City, Utah 84132, USA.
Article Synopsis
- - Managing pregnant women with neuro-ophthalmic disorders is complex due to pregnancy-related physiological changes that increase risks for vascular issues like retinal artery occlusion and pituitary apoplexy.
- - Conditions such as severe preeclampsia can lead to serious eye problems and neurological symptoms, while cranial neuropathies may develop during or after pregnancy.
- - Proper treatment of these complications is crucial and should balance medication risks, ensuring that the mother’s health is prioritized for the benefit of her baby.
Neuro-ophthalmic manifestations of a complicated cholesteatoma.
Optometry
March 2010
Nova Southeastern University College of Optometry, Fort Lauderdale, Florida, USA.
Article Synopsis
- - A cholesteatoma is a non-cancerous growth made up of skin cells and keratin that can occur in the ear, and in this case, it was found surrounding the internal carotid arteries, leading to various symptoms.
- - The patient experienced visual and ocular symptoms, including possible issues with optic nerve cupping and other signs like dizziness and facial pain, indicating the seriousness of the mass effect on nearby structures.
- - Primary care optometrists are key in identifying and managing cholesteatomas since they can affect vision and ocular functions, highlighting the importance of monitoring for changes in patients with such intracranial lesions.
[Idiopathic hypertrophic pachymeningitis: a case report].
Rev Neurol
May 2009
Departamento de Enfermedades Infecciosas del Sistema Nervioso y Neuropediatría, Instituto Nacional de Ciencias Neurológicas Oscar Trelles Montes, Lima, Peru.
Article Synopsis
- - Hypertrophic pachymeningitis is a condition characterized by thickening of the dura mater, commonly causing chronic headaches and various neurological issues, especially in males.
- - A case study of a 61-year-old male revealed symptoms starting with frontotemporal headaches and leading to vision problems and ptosis, ultimately diagnosed through MRI and confirmed via biopsy after ruling out other causes of meningitis.
- - The condition is often underdiagnosed; hence, it's crucial to consider it in patients with chronic meningitis symptoms when other causes have been excluded, and treatment with high-dose steroids can lead to symptom improvement.
Most cases labeled as "retinal migraine" are not migraine.
J Neuroophthalmol
March 2007
Departments of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA.
Article Synopsis
- - The term "retinal migraine" often mislabels cases of monocular visual loss that typically do not fit the official criteria established by the International Headache Society (IHS).
- - A literature review revealed that out of numerous patients with transient monocular visual loss, only 16 showed signs consistent with retinal migraine, and only 5 met the strict IHS criteria for diagnosis.
- - The findings suggest that true retinal migraine is extremely rare in cases of transient visual loss, and many such instances are likely due to "presumed retinal vasospasm" rather than actual migraines.
[Ocular manifestations in patients with human immunodeficiency virus infection before and after the introduction of highly active antiretroviral therapy].
Lijec Vjesn
December 2005
Klinika za infektivne bolesti Dr. Fran Mihaljević, Zagreb.
Article Synopsis
- The study aimed to analyze and compare the occurrence of eye-related changes in HIV-infected patients before and after they started highly active antiretroviral therapy (HAART) at a hospital in Zagreb.
- It included 85 patients, examining their eye health in two distinct periods: before (1995-1997) and after HAART (1998-2000), finding a significant decrease in mortality rates and ophthalmic issues after starting HAART.
- Notable results included a drop in CMV retinitis episodes and improved visual acuity among patients treated during the HAART era, highlighting HAART's effectiveness in preserving patients' eye health.
The kidney, cancer, and the eye: current concepts.
Surv Ophthalmol
January 2006
The New York Eye Cancer Center, and the New York University School of Medicine, New York, NY 10021, USA.
Article Synopsis
- - The article explores the connections between kidney tumors, particularly renal cancers, and various eye conditions, emphasizing that renal cancers can spread to the eye, necessitating careful detection.
- - It highlights how kidney-related tumors like Wilms tumor can present ocular symptoms, such as aniridia, serving as important diagnostic indicators, and discusses various syndromes linking kidney diseases to eye problems.
- - The review stresses the importance of regular eye check-ups for patients with renal tumors due to potential ocular side effects from treatments, and advocates for the active role of ophthalmologists in managing these cases to improve patient outcomes.
Ocular manifestations of systemic lupus erythematosus.
Curr Opin Ophthalmol
December 2002
Retina and Vitreous Service, Clinica Oftalmologica, Centro Caracas PH-1, Av. Panteon, San Bernardino, Caracas 1010, Venezuela.
Article Synopsis
- Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that can impact various body systems, especially the eyes.
- The most common eye issue related to SLE is keratoconjunctivitis sicca, but serious vision problems often arise from retinal and neuro-ophthalmic complications.
- Ophthalmologists should monitor patients with eye-related lupus symptoms closely for signs of systemic disease, as these eye issues can indicate more serious health problems elsewhere.
Neurologic, ophthalmic, and neuropsychiatric manifestations of pediatric systemic lupus erythematosus.
Optom Vis Sci
August 2000
Illinois Eye Institute, Illinois College of Optometry, Chicago 60616, USA.
Article Synopsis
- Systemic lupus erythematosus (SLE) is an autoimmune disorder that can affect multiple systems in the body, and there is limited research on its effects on the nervous system and eyes in children.
- The case of an 8-year-old patient with suspected SLE showcased symptoms like skin rash, joint pain, headaches, seizures, and papilledema due to obstructive hydrocephalus.
- The study highlights the need for careful monitoring and a collaborative approach to manage the significant neurological and psychiatric challenges that can arise in children with SLE.
The cavernous sinus.
Neurosurg Clin N Am
October 1999
Department of Ophthalmology, University of Virginia Medical Center, Charlottesville, USA.
Article Synopsis
- The parasellar region, especially the cavernous sinus, is a key area where vital structures for vision pathways intersect, making it prone to lesions.
- Lesions in this area often lead to symptoms such as double vision, decreased vision, pain, and numbness, which are referred to as neuro-ophthalmic complaints.
- Surgical procedures in the cavernous sinus can cause complications related to these visual issues, highlighting the need for rehabilitative efforts for patients with skull-base conditions.
Ophthalmologic manifestations of internal carotid artery dissection.
Am J Ophthalmol
October 1998
Department of Neurology, Lariboisière Hospital, Paris, France.
Purpose: To report the ophthalmologic symptoms and signs associated with extracranial internal carotid artery dissection.
Methods: One hundred forty-six consecutive patients with extracranial internal carotid artery dissection were evaluted; 29 were studied retrospectively from 1972 to 1984 and 117 prospectively from 1985 to 1997.
Results: Sixty-two percent of patients (91/146) with extracranial internal carotid artery dissection had ophthalmologic symptoms or signs that were the presenting symptoms or signs of dissection in 52% (76/146).
[Vision disorders in inflammatory-rheumatic diseases].
Ther Umsch
January 1996
Augenklinik, Universitätsspital Zürich.
The association of visual disturbances and rheumatic disease has been known for centuries. This review provides a synopsis of the ocular conditions that are associated with inflammatory rheumatic disease. The major ophthalmic manifestations of the rheumatic diseases include keratoconjunctivitis sicca, ulcerative keratitis, scleritis, uveitis, retinal vascular disease, and neuro-ophthalmic lesions.
View Article and Find Full Text PDFVascular disease.
Curr Opin Ophthalmol
December 1995
University of Virginia Health Sciences Center, Department of Ophthalmology, Charlottesville 22908, USA.
Article Synopsis
- The past year has seen significant activity in neuro-ophthalmology, marked by the release of a major randomized multicentered trial that underscores the importance of such trials in clinical research.
- Research highlights the crucial role of vascular problems in causing neuro-ophthalmic diseases.
- Advancements have been made in understanding vascular issues, including their risk factors and eye-related symptoms, along with improvements in treatment techniques for patients experiencing these vascular challenges.
Neuro-ophthalmic features of cerebral venous obstruction.
Arch Neurol
September 1995
Midwest Eye Institute/Methodist Hospital, Indianapolis, USA.
Objective: To characterize the neuro-ophthalmologic manifestations of impaired cranial venous outflow.
Design: A retrospective study of 20 patients who developed increased intracranial pressure as the result of impaired cerebral drainage.
Setting: Three neuro-ophthalmologic referral centers.
Clinical pearls in optometric management of the geriatric patient.
J Am Optom Assoc
January 1994
VA Medical Center, Boston, MA 02215.
Background: Painstaking attention to detail is absolutely necessary for optometrists to provide the appropriate clinical management of the geriatric patient.
Methods: Clinical management techniques (pearls) are discussed which aid in the diagnosis and treatment of problems specific to geriatric patients. Factors noted in patient presentation are stressed and include physical appearance, ability to move about, and use of other senses.
[Periphlebitis retinae ("Rucker")--a symptom of disseminated encephalomyelitis].
Klin Monbl Augenheilkd
January 1989
Univ.-Augenklinik Tübingen, Abt. Allgemeine Augenheilkunde mit Poliklinik.
Article Synopsis
- * Of these five patients, three also had Encephalomyelitis disseminata, while one had optic neuritis without this condition, and the last was under observation for a potential diagnosis.
- * The low incidence of retinal periphlebitis in this group may result from most patients presenting their demyelinating diseases for the first time, highlighting the variable inflammatory activity in such diseases.
Article Synopsis
- - A 23-year-old woman with systemic lupus erythematosus (SLE) experienced homonymous hemianopia after a stroke due to her condition following childbirth.
- - A CT scan revealed a calcarine cortical infarct, indicating damage to the area of the brain responsible for vision processing.
- - The authors suggest considering collagen vascular diseases, like SLE, when diagnosing homonymous hemianopia in younger patients.