Neurosciences News

A 42-year-old man was playing squash when he noted an acute loss of vision in the inferior field of his right eye. He presented to the emergency room at Lahey Clinic 3 hours later. In addition to the visual field loss, the patient also noted some mild pressure behind the right eye. He denied any headaches, floaters or diplopia. A complete review of systems was positive only for nasal congestion associated with body aches 2 weeks before presentation.

A 68-year-old woman was transferred to Tufts Medical Center with worsening right-sided periorbital swelling and diplopia. She had previously been followed by an outside ophthalmologist for 1 month for presumed preseptal cellulitis.

There should be a focus on reunifying the fields of neurology and ophthalmology in an effort to enhance patient outcomes, according to a physician.

A 64-year-old woman presented with bilateral vision loss that began about 2 weeks before presentation. She first noted peripheral vision loss in the left eye, which progressed to involve her central vision. Within a few days, she noted a decrease in vision in her right eye. She also described a right periorbital throbbing sensation that started earlier in the month.

Varying degrees of postoperative improvement were seen after vertical rectus muscle transposition to correct abducens nerve palsy, and the technique was shown to be successful and safe, according to a study.

Stem cells are viewed as both an ethical controversy and an effective tool for the treatment of human ophthalmic diseases. Research shows promise for stem cells to become a future option in treating ocular conditions, including proliferative diabetic retinopathy and age-related macular degeneration.

PHILADELPHIA — A small cluster of giant cell arteritis cases may be associated with the presence of environmental toxins, a speaker told colleagues here.

A 46-year-old woman was referred to the New England Eye Center for evaluation of diplopia. Since childhood she had experienced episodes of severe migraine headaches followed by ptosis of the left upper eyelid and binocular diplopia. The episodes would occur about once per year with the diplopia lasting for 2 to 3 days. After an episode 3 years ago, however, the diplopia persisted. She denied any other neurological symptoms or history of trauma.

Two imaging modalities assisted the identification of subclinical ganglion cell loss in multiple sclerosis patients with normal vision, a study showed.

CHICAGO — Because optic sheath meningioma is a slowly progressing, benign ophthalmic tumor, careful monitoring should be the first line of management, but when treatment is called for, fractionated stereotactic radiotherapy can be highly effective, according to a speaker here.