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Surgical Management of Idiopathic Intracranial Hypertension in Pregnancy.
Karimaghaei, Sam MD; Raviskanthan, Subahari MBBS; Karimaghaei, Cina MD; Mortensen, Peter W. MD; Malik, Amina I. MD; Zhang, Yi J. MD; Lee, Andrew G. MD
doi : 10.1097/WNO.0000000000001658
Volume 42(4) pgs. 419-609,e558-e610 December 2022
Tracking Eye Movements for Diagnosis in Myasthenia Gravis: A Comprehensive Review.
Nguyen, Minh N. L. MBBS, BBSc; van der Walt, Anneke MBChB, PhD, FRACP, AFRACMA; Fielding, Joanne PhD, BSc (Hons), BA; Clough, Meaghan PhD, PGDip, BA; White, Owen B. FRACP, PhD, MD, MSc, MBBS
doi : 10.1097/WNO.0000000000001668
Around 60%--75% of myasthenia gravis (MG) patients initially present with nonspecific ocular symptoms. Failed recognition of these symptoms may delay the diagnosis of MG up to 5 years or more, leading to a reduced likelihood of remission and increased morbidity.
Normative Data and Conversion Equation for Spectral-Domain Optical Coherence Tomography in an International Healthy Control Cohort.
Kenney, Rachel PhD; Liu, Mengling PhD; Hasanaj, Lisena MPA; Joseph, Binu MBBS; Al-Hassan, Abdullah A. MD; Balk, Lisanne PhD; Behbehani, Raed MD; Brandt, Alexander U. MD; Calabresi, Peter A. MD; Frohman, Elliot M. MD, PhD; Frohman, Teresa PA-C; Havla, Joachim MD; Hemmer, Bernhard MD; Jiang, Hong MD; Knier, Benjamin MD; Korn, Thomas MD; Leocani, Letizia MD; Martinez-Lapiscina, Elena H. MD, PhD; Papadopoulou, Athina MD; Paul, Friedemann MD; Petzold, Axel MD, PhD; Pisa, Marco MD; Villoslada, Pablo MD; Zimmermann, Hanna M.Eng; Ishikawa, Hiroshi MD; Schuman, Joel S. MD; Wollstein, Gadi MD; Chen, Yu MPH, PhD; Saidha, Shiv MBBCh, MD, MRCPI; Thorpe, Lorna E. MPH, PhD; Galetta, Steven L. MD; Balcer, Laura J. MD, MSCE
doi : 10.1097/WNO.0000000000001717
Spectral-domain (SD-) optical coherence tomography (OCT) can reliably measure axonal (peripapillary retinal nerve fiber layer [pRNFL]) and neuronal (macular ganglion cell + inner plexiform layer [GCIPL]) thinning in the retina. Measurements from 2 commonly used SD-OCT devices are often pooled together in multiple sclerosis (MS) studies and clinical trials despite software and segmentation algorithm differences; however, individual pRNFL and GCIPL thickness measurements are not interchangeable between devices. In some circumstances, such as in the absence of a consistent OCT segmentation algorithm across platforms, a conversion equation to transform measurements between devices may be useful to facilitate pooling of data.
Should Aquaporin-4 Antibody Test Be Performed in all Patients With Isolated Optic Neuritis?.
Siantar, Rosalynn G. MBBS, MMed, FRCOphth, FAMS; Ibrahim, Farah N.I. MBBS, MMed; Htoon, Hla M. BDS, PhD; Tow, Sharon L.C. MBBS, FRCS(Ed), FAMS; Goh, Kong Yong MBBS, MMed, FRCS(Ed), FRCOphth, FAMS; Loo, Jing Liang MBBS, MMed, FRCS(Ed), FAMS; Lim, Su Ann MBBS, MMed, FRCS(Ed); Milea, Dan MD, PhD; Tien, Melissa C.H. MBBS, MMed, FAMS; Chen, Zhiyong MBBS, MRCP, MMed; Yeo, Tianrong MBBS, MRCP, MMed, FAMS, MCI; Chai, Josiah Y.H. MBBS, MRCP, FRCP, FAMS; Singhal, Shweta MBBS, MMed, FRCOphth, FAMS, PhD; Chin, Chee Fang MBChB, MMed, MRCS(Ed), FRCS(Ed), FAMS; Tan, Kevin BMedSci, BMBS, MRCP, FAMS, MS-HPEd
doi : 10.1097/WNO.0000000000001573
Optic neuritis (ON) may be the initial manifestation of neuromyelitis optica spectrum disorder (NMOSD). Aquaporin-4 antibody (AQP4 Ab) is used to diagnose NMOSD. This has implications on prognosis and is important for optimal management. We aim to evaluate if clinical features can distinguish AQP4 Ab seropositive and seronegative ON patients.
Gliomas of the Optic Nerve: A SEER-Based Epidemiologic Study.
Dihowm, Fatma MD, MS; Alvarado, Luis A. MS; Margo, Curtis E. MD, MPH
doi : 10.1097/WNO.0000000000001630
To determine whether patients with biopsy-confirmed optic nerve glioma differ in clinical features and outcomes from those diagnosed by neuroradiologic imaging alone. Methods: Retrospective comparative analysis. Pilocytic astrocytomas (PAs) and gliomas of the optic nerve were identified through ICD-O codes in the Surveillance, Epidemiology, and End Results (SEER) cancer registry from 1975 through 2017.
Optic Disc Drusen in Patients With Ocular Hypertension: A Case Series and Review of the Literature.
Kohli, Darrell MD; Chen, John J. MD, PhD; Bhatti, M. Tariq MD; Moore-Weiss, Jodi M. OD; Roddy, Gavin W. MD, PhD
doi : 10.1097/WNO.0000000000001647
The identification of glaucomatous optic neuropathy in the setting of optic disc drusen (ODD) is a challenge, and the decision of whether to offer treatment in the form of intraocular pressure (IOP) reduction is controversial. Here, we present a series of patients with coexisting ocular hypertension and ODD to evaluate clinical features, treatment options, and progression of optic neuropathy. In addition, a review of the literature on ODD with elevated IOP is provided.
One-Year Changes in Optic Nerve Head Parameters in Recovered COVID-19 Patients.
Burgos-Blasco, Barbara MD, PhD, FEBO; Guemes-Villahoz, Noemi MD; Vidal-Villegas, Beatriz MD, PhD; Martinez-de-la-Casa, Jose M. MD, PhD; Garcia-Feijoo, Julian MD, PhD; Donate-Lopez, Juan MD, PhD; Martin-Sanchez, Francisco J. MD, PhD; Gonzalez-Armengol, Juan J. MD, PhD; Mendez-Hernandez, Carmen D. MD, PhD
doi : 10.1097/WNO.0000000000001626
The main purpose was to evaluate the changes in peripapillary retinal nerve fiber layer (RNFL) thickness and vessel density (VD) in post-COVID-19 patients during 12-month follow-up. Methods: In this prospective study, patients with COVID-19 who were attended in the Hospital Clinico San Carlos (Madrid, Spain) were included.
A Consensus Statement on the Terminology for Automated Visual Field Abnormalities.
Kruger, Joshua M. MD, PhD; Almer, Zina MD; Almog, Yehoshua MD; Aloni, Eyal MD; Bachar-Zipori, Anat MD; Bialer, Omer MD; Ben-Bassat Mizrachi, Iris MD; Horowitz, Josepha MD; Huna-Baron, Ruth MD; Ivanir, Yair MD; Jabaly-Habib, Haneen MD; Klein, Ainat MD; Krasnitz, Irena MD; Leiba, Hana MD; Maharshak, Idit MD; Marcus, Mira MD; Ostashinsky, Michal MD; Paul, Michael MD; Rappoport, Daniel MD; Stiebel-Kalish, Hadas MD; Rath, Eitan Z. MD; Tam, Guy MD; Walter, Eyal MD; Johnson, Chris A. PhD
doi : 10.1097/WNO.0000000000001622
A multitude of terms have been used to describe automated visual field abnormalities. To date, there is no universally accepted system of definitions or guidelines. Variability among clinicians creates the risk of miscommunication and the compromise of patient care. The purposes of this study were to 1) assess the degree of consistency among a group of neuro-ophthalmologists in the description of visual field abnormalities and 2) to create a consensus statement with standardized terminology and definitions.
Peripapillary Microvascular and Structural Parameters in Atrophic Nonarteritic Anterior Ischemic Optic Neuropathy and Their Unaffected Fellow Eyes.
Hondur, Gozde MD; Budakoglu, Ozlem MD
Interdisciplinary Protocol for the Management of Vision-Threatening Papilledema.
Brady, Taylor MD; Vegunta, Sravanthi MD; Crum, Alison V. MD; Marx, Douglas MD; Patel, Bhupendra C. K. MD; Seay, Meagan D. DO; Schmidt, Richard H. MD, PhD; Warner, Judith E. A. MD; Digre, Kathleen B. MD; Katz, Bradley J. MD, PhD
doi : 10.1097/WNO.0000000000001594
This study evaluates the effectiveness of a multidisciplinary protocol for management of patients with papilledema and vision loss secondary to increased intracranial pressure. Methods: Retrospective record review of all adult patients who presented with vision-threatening papilledema (VTPE) and were treated under this protocol. Patients are admitted for lumbar drain placement and diuretics and followed daily to determine if they may be managed medically or require surgery (optic nerve sheath fenestration [ONSF] and/or cerebrospinal fluid [CSF] shunting). Results: Nineteen patients were included.
Comparison of the Range of Lumbar Cerebrospinal Fluid Pressure in Adults With Normal Cerebrospinal Fluid Pressure and in Idiopathic Intracranial Hypertension.
Bateman, David E. MD, FRCP; Wingrove, Barbara MS
doi : 10.1097/WNO.0000000000001578
Lumbar puncture CSF pressure measurements in a large group of adults (116) having lumbar puncture (LP) for diagnostic reasons with no clinical indication of raised intracranial pressure were used to establish the normal range of CSF pressure.
Can Lumbar Puncture Be Safely Deferred in Patients With Mild Presumed Idiopathic Intracranial Hypertension?.
Vosoughi, Amir R. BSc; Margolin, Edward A. MD; Micieli, Jonathan A. MD, CM
doi : 10.1097/WNO.0000000000001411
Lumbar puncture (LP) is considered an essential component of the diagnosis of idiopathic intracranial hypertension (IIH) and ruling out IIH mimics, such as meningeal inflammation and neoplastic disease. Such mimics are unlikely in patients who are systemically well and fit the clinical demographic of IIH. It is important to take into account the risks of performing a LP as patients commonly experience mild adverse effects and infrequently more serious ones including psychological distress.
Early Retinal Microcirculation in Nonfunctioning Pituitary Adenomas Without Visual Field Defects Using Optical Coherence Tomography Angiography.
Chou, Yuyu MD; Wang, Xuqian MD; Wang, Ye PhD; Gan, Linyang MD; Xing, Bing MD; You, Hui MD; Ma, Jin PhD; Zhong, Yong PhD
doi : 10.1097/WNO.0000000000001562
For patients with nonfunctioning pituitary adenoma (NFPA) without manifesting visual acuity impairment or visual field defect (VFD), more sensitive and objective assessment methods will allow earlier detection before irreversible damage to the visual system. This study aimed to evaluate retinal vessel densities (VDs) alterations in these patients using optical coherence tomography angiography and to determine its diagnostic abilities.
Long-Term Disability Outcomes for Patients With Ischemic Stroke Presenting With Visual Deficits.
Johnson, Natalie; Nisar, Tariq MPH; Criswell, Amber BA, CCRC; McCane, David BA, CCRC; Lee, Jason RN, BNS, SCRN; Chiu, David MD; Gadhia, Rajan MD
doi : 10.1097/WNO.0000000000001624
Ischemic strokes in both the anterior and posterior circulation can lead to visual deficits, which can affect functional ability. Thrombolytic therapies are often withheld to patients with visual deficits because of either being missed on initial evaluation or because of the misconception that their deficits are not as severe or as disabling. Alternatively, delays in patient arrival for emergent evaluation lead to missed opportunities for acute stroke treatment.
Sharp Edge Eye Syndrome: A Case Report and Survey of Self-Identified Individuals.
Reynolds, Merrick S. MS; Katz, Bradley J. MD, PhD; Digre, Kathleen B. MD; Brintz, Ben J. PhD; Olson, Lenora M. PhD; Warner, Judith E. A. MD
doi : 10.1097/WNO.0000000000001650
Sharp edge eye syndrome (SEES), sometimes known as visual looming syndrome, is a condition in which the patient experiences ocular pain or discomfort when viewing or mentally picturing sharp objects and edges. Patients may present for medical care because they perceive the condition to represent an ophthalmic problem or a sign of a more serious underlying condition. An individual case report of SEES is included to aid in illustrating syndrome characteristics.
Pharmacologic Mydriasis Secondary to Topical Glycopyrronium Tosylate Cloths: Clinical Characterization From a Multicenter Analysis.
Kaufman, Aaron R. MD; Gulati, Shawn MD, MPH; Pula, John H. MD; Janetos, Timothy M. MD, MBA; Cherayil, Neena R. MD; Chiu, Eric MD; Shepherd, Emily Anne MD; Golnik, Karl C. MD, MEd; Garcia-Valenzuela, Enrique MD, PhD; MacIntosh, Peter W. MD; Johnson, Brooke T. DO; Curnyn, Kimberlee M. MD
doi : 10.1097/WNO.0000000000001567
Topical glycopyrronium tosylate (GT) is an anticholinergic medication for treatment of axillary hyperhidrosis. Pharmacologic mydriasis and anisocoria from topical GT has been reported and may be underrecognized. This study aims to clinically characterize patients presenting with pharmacologic mydriasis from exposure to this medication. Methods: This study is a retrospective observational case series.
Is Gadolinium Staining of the Brain a Real Concern When Ordering Brain MRI?: Pro vs Con.
Costello, Fiona E. MD; Falardeau, Julie M. MD; Lee, Andrew G. MD; Van Stavern, Gregory P. MD
Point Counter-Point: Thymectomy in Ocular Myasthenia Gravis.
Vickers, Aroucha DO; Adesina, Ore-ofe MD; Lee, Andrew G. MD; Van Stavern, Gregory P. MD
A Great Conversation With John (Jack) B. Selhorst.
Seay, Meagan D. DO; Calix, Rachel A. MD; Digre, Kathleen B. MD
Literature Commentary.
doi : 10.1097/WNO.0000000000001747
AB In this issue of Journal of Neuro-Ophthalmology, Drs. Marc J. Dinkin, Deborah I. Friedman, and Mark L. Moster discuss the following 6 articles: 1. Mollan SP, Mitchell JL, Yiangou A, Ottridge RS, Alimajstorovic Z, Cartwright DM, Hickman SJ, Markey KA, Singhal R, Tahrani AA, Frew E, Brock K, Sinclair AJ. Association of amount of weight lost after bariatric surgery with intracranial pressure in women with idiopathic intracranial hypertension. Neurology.
Antiaquaporin 4-Related Optic Neuritis and Myelitis Post-COVID-19 Infection.
Kivanany, Pouriska B. PhD; Raviskanthan, Subahari MBBS; Mortensen, Peter W. MD; Lee, Andrew G. MD
Blinding Anemia: A Case of Bilateral Sequential Nonarteritic Ischemic Optic Neuropathy Secondary to Warm Autoimmune Hemolytic Anemia.
O'Keeffe, Benjamin MB ChB; Avery, Neil MBChB, FRANZCO; Aburn, Neil MBChB, FRANZCO
Bilateral Optic Nerve Enhancement in Posterior Ischemic Optic Neuropathy Secondary to Hypovolemic Shock.
Tavakoli, Mehdi MD; Vaphides, Michael S. DO
Horner Syndrome With a Positive Harlequin Sign in an Adolescent Male.
Thatcher, Mitchell D. BSc; Ong-Tone, Lindsay MB ChB, FRCSC
Ocular Palatal Tremor With Face "Twitches".
ElKasaby, Mohamed MD; Alqahtani, Abdullah MD; Ghasia, Fatema F. MD; Shaikh, Aasef G. MD, PhD
Infliximab-Induced Optic Perineuritis and Facial Myositis.
Mukharesh, Loulwah MD; Tinsley, Amanda MD
Afferent and Efferent Pupillary Defect With a Right Cranial Nerve Sixth Palsy (the Parkinson Sign) as the Presenting Symptom of Pituitary Apoplexy.
Ali, Amir BSA; Raviskanthan, Subahari MBBS; Mortensen, Peter W. MD; Lee, Andrew G. MD
Positional Obstruction of Ventriculoperitoneal Shunt in a Patient With Idiopathic Intracranial Hypertension.
Donaldson, Laura MD, PhD; Cote, Elie MD; Margolin, Edward MD
Bilateral Combined Hamartoma of the Retina and Retinal Pigment Epithelium in Neurofibromatosis Type 2.
Sprenger, Flavia MD; Hokazono, Kenzo MD, PhD; de Souza Crippa, Ana Chrystina MD, PhD; de Almeida Teixeira, Bernardo Correa MD
A Case of SUNCT With Neurovascular Compression.
Santos, Matthew C. MD; Eldaya, Rami W. MD; Van Stavern, Gregory P. MD
Retinal Input to the Primate Lateral Geniculate Nucleus Revealed by Injection of a Different Label Into Each Eye.
Spahr, Zachary R. BA; Economides, John R. PhD; Horton, Jonathan C. MD, PhD
doi : 10.1097/WNO.0000000000001472
AB The primate lateral geniculate nucleus has long been a favorite structure among anatomists because of its striking lamination. It has been shown that each lamina receives input from a different eye using various single label techniques but never by double labeling. Here, we illustrate the organization of retinal inputs to the lateral geniculate nucleus by injection of cholera toxin-B conjugated to Alexa Fluor-488 into the right eye and cholera toxin-B conjugated to Alexa Fluor-594 into the left eye. (C) 2022 by North American Neuro-Ophthalmology Society
Pseudoabducens Palsy of Lutz.
Sharma, Amit K. MD; Kim, David D. MD; Fraser, J. Alexander MD
Brown Syndrome Secondary to SARS-CoV-2.
Fernandez Tezanos, Patricia MD; Corona Peralta, Adalgisa MD
Obituary of Professor Satoshi Ishikawa (1932-2022).
Wakakura, Masato MD, PhD
15th European Neuro-Ophthalmology Society Meeting, Birmingham, England, June 20-23, 2022.
Digre, Kathleen B. MD; Seay, Meagan D. DO
The American Headache Society Met in Denver, June 9, 2022.
Digre, Kathleen B. MD; Seay, Meagan D. DO
Invasive Fungal Sinusitis in Patients With Coronavirus.
Vaphiades, Michael S. DO; Isen, Danielle DO; Musharoff, Max MD; Kline, Lanning B. MD
Unexplained Bilateral Optic Atrophy for Decades.
Charoenkijkajorn, Chaow MD; Cho, Junsang MD; Lee, Andrew G. MD
Acute, Bilateral Visual Loss in a Pediatric Patient.
Roll, Elizabeth H. MD; Frohman, Larry P. MD; Turbin, Roger E. MD
Ophthalmoplegia in Patient With Papilledema.
Hwang, Eric S. MD; Frohman, Larry MD
Abduction Deficit.
Tavakoli, Mehdi MD; DeBolske, Natalie N. MD; Foster, Robert C. MD
