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Juvenile ocular myasthenia gravis - University of Iowa Respiratory failure during newborn period Patent foramen ovale Peripheral pulmonic stenosis on the left Medications None relevant Allergies None Family History: High myopia in mother and maternal grandmother Social History: Non-contributory Review of Systems: Negative except for what was detailed in the history of present illness
INITI AL PRESENTATION Past Medical History Prematurity, born at 27 weeks’ gestation Respiratory failure during newborn period Patent foramen ovale Peripheral pulmonic stenosis on the left
Micropsia as a Rare Manifestation of Occipital Stroke Cardiogenic embolic sources most commonly result from atrial fibrillation, but can also be caused by valvular disease, dilated cardiomyopathy, left atrial or ventricular thrombus, patent foramen ovale (PFO), or congestive heart failure (4) Signs Symptoms Unilateral occipital strokes most commonly present with contralateral homonymous hemianopia
Micropsia as a Rare Manifestation of Occipital Stroke Large artery disease commonly results from thromboses from atherosclerotic plaques Cardiogenic embolic sources most commonly result from atrial fibrillation, but can also be caused by valvular disease, dilated cardiomyopathy, left atrial or ventricular thrombus, patent foramen ovale (PFO), or congestive heart failure (4)
Idiopathic Intracranial Hypertension (Pseudotumor cerebri): Introduction Idiopathic intracranial hypertension (IIH), previously known as pseudotumor cerebri and benign intracranial hypertension, is an increasingly common cause of visual field damage across the United States As its name suggests, IIH is characterized by increased intracranial pressure with symptoms that can mimic those seen by mass lesions within the cranial vault (hence the former
Punctal Atresia - webeye. ophth. uiowa. edu If punctal involvement is suspected, it is important to distinguish between punctal stenosis or occlusion and true punctal atresia to determine the appropriate course of management It has been anecdotally reported that the presence of a dimple overlying the punctum increases the likelihood of the presence of a patent canalicular system
Aqueous Misdirection - University of Iowa A patent iridotomy iridectomy in the setting of a flat or shallow anterior chamber is another clue to this diagnosis (4) Distinguishing aqueous misdirection from other clinical entities can be difficult
EyeRounds. org - Ophthalmology - The University of Iowa Good flow was seen to cross a patent anterior communicating artery so the fistula was treated with right internal carotid artery sacrifice, using coil embolization Fortunately, the right ophthalmic artery remained perfused via collateral circulation
Double stent intubation for canalicular obstruction The patent portion of the canaliculus is then identified and a hard stop is palpated There was some concern for a nasolacrimal duct obstruction; therefore the system is irrigated which reveals no obstruction A Crawford stent is then placed through the punctum and retrieved from the cut end of the canaliculus
Atlas Entry - Cilioretinal Artery Occlusion A 67-year-old man with history of type 2 diabetes mellitus, hyperlipidemia, and uncontrolled hypertension presented with a central visual field deficit of sudden onset in his right eye Visual acuity on presentation was 20 25 in both eyes, and funduscopic examination revealed an isolated cilioretinal artery occlusion (CLRAO) in his right eye (Figure 1) Work-up revealed significant right