11.21.08(b): common eye symptoms
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Slideshow is from the University of Michigan Medical School's M2 Neurosciences sequence View additional course materials on Open.Michigan: openmi.ch/med-M2NeuroTRANSCRIPT
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Author: Jonathan Trobe, MD, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution 3.0 License: http://creativecommons.org/licenses/by/3.0/
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COMMON EYE SYMPTOMS
Jonathan D. Trobe, MD Departments of Ophthalmology and Neurology
University of Michigan Medical School
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Causes of Transient Visual Loss
• Monocular 1. If abrupt onset, usually ischemia to retina or optic nerve 2. Local causes: papilledema or impending retinal or optic nerve vascular occlusion 3. Remote causes: cervical carotid artery stenosis or systemic hypotension
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Intraluminal Retinal Artery (Hollenhorst) Plaque
Source Undetermined
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Causes of Transient Visual Loss
• Binocular 1. Visual cortex ischemia
2. Migraine
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Source Undetermined
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S. Jähnichen (Wikimedia Commons)
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S. Jähnichen (Wikimedia Commons)
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S. Jähnichen (Wikimedia Commons)
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Causes of Acute Persistent Visual Loss
1.Vitreous hemorrhage 2. Retinal detachment 3. Retinal hemorrhage 4. Retinal infection 5. Retinal artery occlusion
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Causes of Acute Persistent Visual Loss
6. Optic nerve infarction (ischemic optic neuropathy)
7. Optic neuritis 8. Optic nerve compression/infiltration by
cancer
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Causes of Acute Persistent Visual Loss
9. Occipital lobe infarction
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Causes of Acute Persistent Visual Loss
10. Psychogenic illness
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Vitreous Hemorrhage
Source Undetermined
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Retinal Detachment
Source Undetermined
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Retinal Detachment
Source Undetermined
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Source Undetermined
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Source Undetermined
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Source Undetermined
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Macular Hemorrhage
Source Undetermined
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Macular Infection
Source Undetermined
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Source Undetermined
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Retinal Artery Occlusion
Source Undetermined
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Normal Retina
Source Undetermined
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Retinal Vein Occlusion
Source Undetermined
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Optic Nerve Infarction
Source Undetermined
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Optic Neuritis
Source Undetermined
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Occipital Lobe Infarction
Source Undetermined
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Causes of Flashes of Light
• Monocular 1. Vitreoretinal traction 2. Impending retinal vascular occlusion
• Binocular 1. Migraine 2. Occipital lobe ischemia
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Source Undetermined
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Source Undetermined
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S. Jähnichen (Wikimedia Commons)
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Causes of Floaters
• Aging or myopic vitreous • Vitreous detachment • Vitreous hemorrhage • Vitreous inflammation
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Source Undetermined
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Causes of Diplopia • Binocular
1. Ocular misalignment 2. Psychogenic
• Monocular
1. Uncorrected refractive error 2. Corneal lesion 3. Cataract
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Trobe, J. The Physician’s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006.
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Causes of Optic Disc Excavation
• Physiologic • Glaucoma • Other optic neuropathies
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Source Undetermined
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Source Undetermined
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Source Undetermined
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Slide 5 – Source Undetermined Slide 7 – Source Undetermined Slide 8 – “Beginning aura of a migraine” S. Jähnichen (Wikimedia Commons) http://commons.wikimedia.org/wiki/File:Fortifikation_(Migr%C3%A4ne).jpg replaced an image of an aura forming around a wrist watch from Trobe, J. The Physician’s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006. Slide 9 – “Mid-stage of migraine aura” S. Jähnichen (Wikimedia Commons) http://commons.wikimedia.org/wiki/File:Negatives_Skotom_(Brandenburger_Tor_Blaue_Stunde)_1.jpg replaced an image of an aura forming around a wrist watch from Trobe, J. The Physician’s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006. Slide 10 – “Full aura of migraine” S. Jähnichen (Wikimedia Commons) http://commons.wikimedia.org/wiki/File:Gesichtsfeldausfall_(Brandenburger_Tor_Blaue_Stunde)_1.jpg replaced an image of an aura forming around a wrist watch from Trobe, J. The Physician’s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006. Slide 15 – Source Undetermined Slide 16 – Source Undetermined Slide 17 – Source Undetermined Slide 18 – Source Undetermined Slide 19 – Source Undetermined Slide 20 – Source Undetermined Slide 21 – Source Undetermined Slide 22 – Source Undetermined Slide 23 – Source Undetermined Slide 24 – Source Undetermined Slide 25 – Source Undetermined Slide 26 – Source Undetermined Slide 27 – Source Undetermined Slide 28 – Source Undetermined Slide 29 – Source Undetermined
Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy
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Slide 31 – Source Undetermined Slide 32 – Source Undetermined Slide 33 – “Mid-stage of migraine aura” S. Jähnichen (Wikimedia Commons) http://commons.wikimedia.org/wiki/File:Negatives_Skotom_(Brandenburger_Tor_Blaue_Stunde)_1.jpg replaced an image of an aura forming around a wrist watch from Trobe, J. The Physician’s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006. Slide 35 – Source Undetermined Slide 37 – Trobe, J. The Physician’s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006. Slide 39 – Source Undetermined Slide 40 – Source Undetermined Slide 41 – Source Undetermined
Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy