By Andrew G. Lee, Jacinthe Rouleau, Reid Longmuir
Neuro-ophthalmology, like in any box of drugs, has many components the place controversy exists in analysis and remedy. Controversies in Neuro-Ophthalmology offers a accomplished evaluation at the medical presentation, analysis, and administration of neuro-ophthalmic issues and particularly addresses parts the place there's a common loss of consensus among practitioners.
Each bankruptcy opens with a case to demonstrate a pertinent controversy after which poses a scientific query. the problem is then mentioned by means of international major specialists to supply a balanced standpoint. Designed to foster lively debate between colleagues, this booklet is key studying for neuro-ophthalmologists, ophthalmologists, and neurologists.
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The booklet contains chosen papers awarded on the eleventh eu convention on Eye pursuits (Turku, Finland, 2001). The convention sequence brings jointly researchers from a number of disciplines with an curiosity to review behavioral, neurobiological and medical elements of eye pursuits. This quantity involves 5 sections: I.
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A couple of large studies have found that the risk of fellow eye involvement does not change with aspirin use or discontinuation of smoking. Brimonidine has shown some neuroprotective testing in vasculopathic patients properties in animal models of optic nerve damage but remains unproven in humans. (1) Recent papers have suggested a possible role for radial optic neurotomy, vitrectomy, intravitreal steroids, or bevacizumab; but the number of patients involved is small and the data are not convincing.
Given these constraints the 15–30 mm recommendation is reasonable. Second, adequate processing of the TAB with appropriate sectioning and review by an experienced pathologist is necessary. Wasser reported a case where insurance company insistence on an inexperienced third party laboratory led to a biopsy initially being read as negative that was re-read as positive. (15) Third, there is an economic cost associated with TAB, with bilateral biopsies obviously costing more than unilateral biopsies.
Motility exam is normal. 3). Pro: Treat traumatic optic neuropathy with high-dose steroid or possibly surgery Nicholas Volpe At this point in time there is no definitive treatment trial to guide decision making in traumatic optic neuropathy (TON). The patient described presumably has fairly isolated posterior indirect traumatic optic neuropathy with severe vision loss. The diagnostic criteria for posterior indirect traumatic optic neuropathy include a nonpenetrating injury with a blow to the face or forehead causing decreased acuity and color vision, a visual field defect, a RAPD in unilateral cases, and normal appearing fundus.
Controversies in Neuro-Ophthalmology by Andrew G. Lee, Jacinthe Rouleau, Reid Longmuir