Items tagged “ophthalmology”

41 results found
Article

Endophthalmitis

Endophthalmitis (plural: endophthalmitides) is a potentially sight-threatening condition that involves intraocular inflammation of any cause. It is distinguished from panophthalmitis in that it does not extend beyond the sclera. It is either infectious or non-infectious in etiology, but in clini...
Article

Adie pupil

Adie pupil (also known as tonic pupil) is caused by idiopathic degeneration of the ciliary ganglion, which sometimes occurs following a viral or bacterial illness. It is usually unilateral and typically affects young females 1. Adie pupil represents a large dilated "tonic pupil", which does not...
Article

Brown syndrome (orbit)

Brown syndrome refers to a failure of upward gaze while the eye is adducted secondary to an abnormality of the superior oblique tendon sheath complex. Pathology This abnormality is a little counter-intuitive and highlights how the action of the superior oblique is position-dependent and that e...
Article

Senile calcific scleral plaques

Senile calcific scleral plaques, also known as senile scleral plaques, are benign degenerations of the ocular sclerae, common in elderly individuals. They are a common incidental finding on CT. Epidemiology The prevalence of senile scleral plaques increases with age, from ~2.5% at age 60, to 2...
Article

Scleromalacia perforans

Scleromalacia perforans, or non-inflammatory necrotizing scleritis, is a severe and very rare form of scleritis. Epidemiology Associations rheumatoid arthritis Crohn disease ulcerative colitis systemic lupus erythematosus Behçet disease 5 relapsing polychondritis 5 granulomatosis with p...
Article

Trochlear nerve palsy

Trochlear nerve palsies, or fourth nerve palsies, result in weakness of the superior oblique muscle. Clinical presentation Vertical diplopia and ipsilateral hypertropia in the absence of ptosis, combined with a head tilt away from the affected side, are strongly suggestive of trochlear nerve p...
Article

Choroidal hemangioma

Choroidal hemangiomas are benign vascular hamartomatous tumors of the choroid. They present in two forms based on the extent of choroidal involvement: circumscribed choroidal hemangioma (CCH): solitary tumor with no systemic associations. diffuse choroidal hemangioma (DCH): usually in associat...
Article

Retina

The retina (plural: retinas/retinae) forms part of the optic pathway. It is a thin lining on the inner surface of the globe and converts visible light into a neural signal.  Arterial supply The blood supply of the retina is from two sources, supplying different portions of the organ. The integ...
Article

Sclera

The sclera (plural: scleras or sclerae) is the fibrous, opaque white, coat of the eye. It functions to protect the intraocular contents.  Summary location: posterior fifth-sixths of the eyeball blood supply: ciliary arteries innervation: ciliary nerves relations: anteriorly continuous with ...
Article

Orbital compartment syndrome

Orbital compartment syndrome is an ophthalmological emergency referring to an increased intraorbital pressure that may lead to permanent visual impairment if left untreated. Clinical presentation Findings on exam may include: decreased visual acuity 6 globe palpably tense and resistant to ma...
Article

Lenticonus

Lenticonus is a rare congenital abnormality characterized by conical bulging of the posterior or anterior lens surface. If the bulging is global rather than conical, the condition is referred to as lentiglobus 1. Clinical presentation It produces a decrease in visual acuity and irregular refra...
Article

Choroid (eye)

The choroid is part of the uveal layer of the eye along with the ciliary body and iris 1.   Summary location: posterior aspect of the globe function: vascularization of the outer retina arterial supply: posterior ciliary arteries innervation: short ciliary nerves, long ciliary nerves relat...
Article

Nasolacrimal injury

Nasolacrimal injuries are reported to be common and may result in temporary or permanent dysfunction.  Epidemiology Fracture of the nasolacrimal apparatus has been reported in ~10% of patients with craniofacial fracture, with ~10% of these reporting symptoms of epiphora or dacryocystitis 1.  ...
Article

Central retinal vein occlusion

A leading cause of monocular vision loss, central retinal vein occlusion (CRVO) is most commonly caused by thrombosis of the central retinal vein, resulting in retinal edema and hemorrhage. Terminology Occlusion of the central retinal vein is subclassified as ischemic and non-ischemic based on...
Article

Hollenhorst plaque

Hollenhorst plaques are seen on clinical examination of the retina and are the result of cholesterol emboli at the retinal arteriole bifrication 1. They most commonly originate from the carotid or aortic atheroscleroritc plaque 2. Hollenhorst plaques are a a risk factor for ischemic stroke and a...
Article

Dacryops

Dacryops, also known as lacrimal gland or duct cyst, is a rare phenomenon where a retention cyst is formed within the lacrimal gland due to duct obstruction. Epidemiology Dacryops is an uncommon benign orbital lesion with an incidence of 0.5-2% 1. It usually affects young adults or middle-aged...
Case

Brown syndrome

  Diagnosis almost certain
Henry Knipe
Published 31 Aug 2021
77% complete
MRI
Case

Thyroid eye disease

  Diagnosis certain
Shervin Sharifkashani
Published 08 Mar 2022
100% complete
CT
Case

Coloboma of the optic nerve head

  Diagnosis certain
Aws Qahtan Hamdi
Published 05 Sep 2022
94% complete
Ultrasound
Article

Hypermetropia

Hypermetropia, also known as long-sightedness or hyperopia, is a refractive disorder. Though it can happen in any age group, it usually starts from mid-late adulthood. Clinical presentation In this condition, distant objects are seen better than close objects. Pathology The blurriness of nea...

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