A G Lee

..Several optical, medical, and surgical treatments have been used with some success in specific forms of nystagmus...

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..To describe skull base osteomyelitis, an uncommon complication of chronic otitis media in the post-antibiotic era, as a cause for diplopia...

..A research agenda-setting process for geriatric ophthalmology might provide a structural framework for future research efforts in the field...

..To describe the clinical features of a visual variant Alzheimer's disease, a disorder that might be seen by the ophthalmologist with visual symptoms and signs...

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..To determine whether acetazolamide or furosemide produce allergic cross-reactions in patients with self-reported "sulfa allergy."..

..Ophthalmology should strive to develop applicant selection tools that might be useful for predicting residency performance and that would align with the ACGME competency mandate for tools to predict future performance as a physician...

..This article updates and reviews the neuro-ophthalmic features of infectious disease...

..Assessment of surgical competence is also included in the mandate. We describe our local efforts to meet this new mandate...

..Ophthalmologists should be aware of the various etiologies for eye pain and the specific and distinctive features that make the diagnosis...

..To provide an update on imaging of the brain and orbit for ophthalmologists...

..To describe the neuro-ophthalmic presentations of a rare intracranial tumor, hemangiopericytoma...

..To describe the pregnancy outcomes after the use of acetazolamide in pregnant patients with idiopathic intracranial hypertension (IIH)...

..To report the diagnostic yield for the evaluation of isolated and unexplained optic atrophy...

..To define the rate of visual field loss in patients with optic nerve head drusen (ONHD)...

..To describe the use of the journal club as a tool to teach and assess competency in practice-based learning (PBL) and improvement among residents in ophthalmology...

..The approach to a patient with OPG must be individualized based on tumor location, radiographic or clinical progression, the presence of NF1, and a risk-benefit comparison for treatment...

..This case highlights the need for effective sphenoid sinus packing and for ophthalmic monitoring after trans-sphenoidal surgery...

..To report visual loss resulting from chiasmal involvement by primary central nervous system lymphoma (PCNSL)...

..giant cell arteritis (GCA) is a systemic vasculitis that may affect the optic nerve and cause blindness (e.g. ischemic optic neuropathy). Orbital inflammatory disease, however, is an uncommon presentation of GCA...

..To describe an ophthalmology wet laboratory (OWL) curriculum for residents in training...

..Idiopathic facial nerve palsy is a common neurologic condition but episodes of ophthalmoplegia in these patients are uncommon...

..Earlier recognition and treatment of these disorders makes a difference in final out-come. Appropriate evaluation and management may be vision or life saving...

..Clinicians should recognize the specific syndromes associated with CPEO, characterized by variable systemic, neurologic, or other findings. Treatment is limited, but newer therapies are being investigated...

..To determine the feasibility of screening for depression, dementia, and functional impairment in an ophthalmology outpatient clinic...

..CONCLUSION: An implementation matrix for teaching and assessing surgical competence might be useful for local compliance with the ACGME mandate...

..To assess resident surgical experience in vitreoretinal surgery (VRS) in the United States...

..To the authors' knowledge, there is no standardized and widely used curriculum for teaching and assessing resident competencies in retinal lasers...

..To treat a 30-year-old man with a ventriculoperitoneal shunt who had progressive visual loss...

..CONCLUSIONS: SA was a common finding in men meeting the modified Dandy criteria for IIH in adults. Treatment of sleep apnea with nocturnal oxygenation may improve the signs and symptoms of IIH in affected men...

..Once subfoveal extension occurs, the visual outcome tends to be unfavorable. No patients had recurrence of SRNVM after the resolution of the papilledema...

..We hope that our institutional work and experience will stimulate other programs to participate more fully in the ACGME Outcomes Project...

..A coordinated, thoughtful, and standardized effort will be required to meet the challenge...

..To determine whether institution of a structured surgical curriculum for ophthalmology residents decreased the rate of sentinel surgical complications...

..The study includes a review of the literature and discussion of evaluation, management, and treatment options...

..To assess the resources, progress, and barriers for program director (PD) compliance with the Accreditation Council for Graduate Medical Education (ACGME) mandate...

..To describe the outcome of a patient with visual loss and optic nerve edema that resulted from osteopetrosis who underwent an optic nerve sheath fenestration (ONSF)...

..Future work should focus on the field testing of tools for validity, reliability, feasibility, and cost-effectiveness...

..To report a case series of neuro-ophthalmic sarcoidosis manifestations from a predominantly Caucasian Midwest population...

..Clinicians should consider the diagnosis of myasthenia gravis in an older patient presenting with diplopia or ptosis...

..To evaluate recurrent or delayed worsening of papilledema and visual function in patients with idiopathic intracranial hypertension (IIH) followed for more than 10 years...

..CSCR (precipitated by steroids) should be considered in the differential diagnosis as increasing the steroid dose for presumed visual loss secondary to GCA might worsen rather than improve the visual outcome...

..The presence of these vessels is a nonspecific sign of chronic retinal venous compression in patients with optic disc edema including IIH...

..To report a case of optic disc edema with adjacent retinal ischemia in ulcerative colitis...

..CONCLUSION: Ethambutol toxicity affects not only the optic nerve but probably other retinal elements based upon abnormal mfERG findings...

..Future research should provide evidence that these interventions produce improved educational and patient outcomes and show proof of competence in systems based learning among residents and clinicians in practice...

..Future study is necessary to determine if journal club can improve educational outcomes and promote lifelong competence in practice-based learning...

..Florid papilloedema and optic neuropathy are not commonly seen but are still consistent with the diagnosis of Wernicke encephalopathy. The most striking feature remains the dramatic recovery after replacement of thiamine...

..To design and implement a valid tool for assessment of ophthalmology resident on-call performance...

..CONCLUSION: ALCL should be considered to be a very rare but potential cause of optic neuropathy. To our knowledge, this is the first reported case of ALCL causing an optic neuropathy...

..To compare and contrast 2 methods of quantitating papilledema, namely, optical coherence tomography (OCT) and Modified Frisén Scale (MFS)...

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..Clinicians should consider the diagnosis of SFT when confronted with an adult patient having an orbital soft tissue mass demonstrating the distinctive magnetic resonance imaging findings...

..Benign conditions may be evaluated and treated by primary care practitioners. Red eyes due to serious conditions may be vision threatening and require early detection and referral...

..To report a case of Wernicke encephalopathy after gastric bypass surgery resulting in vision loss, ophthalmoplegia, and ataxia, all of which reversed with a single dose of IV thiamine...

..To describe the characteristics and significance of acquired oculomotor nerve paresis with cyclic spasm...

..The differential diagnosis for vascular occlusion in systemic lupus erythematosus includes antiphospholipid antibody, systemic lupus erythematosus-related vasculitis, hypercoaguable state, or Libman-Sachs endocarditis...

..An enlarged corpus callosum was noted which led to a brain biopsy and a diagnosis of gliomatosis cerebri...

..The patient was treated with prednisone and had significant improvement of his vision. Muslin wrapping of aneurysms should probably be avoided in aneurysms near the optic apparatus...

..We conclude that conventional MRI when used with diffusion-weighted MR imaging may be invaluable in detecting mitochondrial-related CNS dysfunction...

..We report a case of LHON in a 72-year-old man and we emphasize the importance of testing for LHON in all cases of unexplained bilateral and sequential optic neuropathy with a ceco-central or central scotoma...

..Eventually an orbital apex lesion was found and proved to be an orbital schwannoma. Rapid growth of an orbital schwannoma should be included in the differential diagnosis of progressive visual loss in a pregnant patient...

..Optic disk edema in most of these cases is probably on the spectrum of ischemic optic neuropathy rather than increased intracranial pressure...

..The diagnostic yield of neuroimaging in patients with a normal examination and isolated, unilateral eye/facial pain referred to a neuro-ophthalmologist is low...

..Although various mechanisms have been proposed (e.g., venous thrombosis, medication side effect, and immunologic or inflammatory disease) none have been proven to be causal...

..The aim of this study is to provide a clinical update on optic neuritis (ON), its association with multiple sclerosis (MS), and neuromyelitis optica (NMO)...

..Intermediate dysconjugacy was not detected by 25% of the evaluators. In the most severe cases, INO was not identified by only 6%. Oculographic techniques significantly enhance the precision of INO detection compared to the clinical exam...

..The literature on familial pars planitis is reviewed. To the author's knowledge this is the first case of familial pars planitis as the presenting sign of possible demyelinating disease...

..Visual loss may be the presenting or predominant feature in X-linked adrenoleukodystrophy...

..To our knowledge this is the first reported case of venous thrombosis following jugular bulb surgery in the English language ophthalmologic literature...

..We recommend that patients and families with known Leber hereditary optic neuropathy should be asked about the use of over-the-counter drugs or supplements, and it may be prudent to advise patients against using such dietary supplements...

..Comprehensive spine imaging should be a part of the evaluation of a patient with papilledema who has normal brain imaging but abnormal spinal fluid constituents...

..The patient developed retrobulbar pain and ophthalmoplegia that slowly improved over time. Hypertonic saline may cause ophthalmoplegia and pain if inadvertently given as a retrobulbar injection...

..The combination of high T1 signal and low T2 signal in a mass should suggest melanin. An exceedingly rare condition, this is the first English report of its presentation with a third cranial nerve palsy...

..To highlight the four International Curricula of Ophthalmic Education developed by the Task Forces of the International Council of Ophthalmology, published in Klinische Monatsblätter für Augenheilkunde in November 2006...

..Accordingly, the patient underwent a neostigmine bromide test that demonstrated evidence of co-existing myasthenia gravis...

..To test a linear model relating the regional loss in retinal nerve fiber (RNFL) thickness to the corresponding regional loss in sensitivity with data from patients with previous anterior ischemic optic neuropathy (AION)...

..CONCLUSIONS: Septic arthritis and embolic stroke are suggestive of endocarditis and sepsis. Endogenous endophthalmitis in this case led to transesophageal echocardiography, which was diagnostic for endocarditis...