{"title":"Optic nerve head drusen causing disc hemorrhage and disc edema","authors":"Helene M. Hordines O.D","doi":"10.1016/S0953-4431(99)00020-X","DOIUrl":"10.1016/S0953-4431(99)00020-X","url":null,"abstract":"<div><p><span>Optic nerve head drusen or hyaline bodies represent calcific material that is confined to the anterior lamina cribrosa but within the optic nerve head. These calcium deposits are believed to be derived from the axonal debris resulting from alterations in </span>axoplasmic flow<span>. Optic nerve heads with drusen are small in size, have an elevated appearance and irregular margins. The presence of optic nerve head drusen can cause visual field defects<span> and may alter the vascular supply to the nerve. Progressive damage is possible and can result in ischemic optic neuropathy. The following is a case report of a patient with optic nerve head drusen, greater in the left eye than in the right, who presented with hemorrhage and disc edema in the left eye caused by the drusen.</span></span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 2","pages":"Pages 109-113"},"PeriodicalIF":0.0,"publicationDate":"1999-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00020-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56470044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optic nerve head melanocytoma with microtropia in the fellow eye","authors":"Robert B. Austin O.D, Amelia G. Bartolone","doi":"10.1016/S0953-4431(99)00015-6","DOIUrl":"10.1016/S0953-4431(99)00015-6","url":null,"abstract":"<div><p><span>A 56-year-old male presented with a deeply pigmented lesion overlying the optic nerve head in the left eye and decreased </span>visual acuity<span> in the right eye. He was diagnosed as having a melanocytoma of the optic nerve head O.S. and amblyopia/eccentric fixation due to microtropia O.D. Although these two entities are not related clinically, they both present interesting and challenging differential diagnoses and management strategies.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 2","pages":"Pages 97-102"},"PeriodicalIF":0.0,"publicationDate":"1999-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00015-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of glaucoma suspect patients with congenital optic disc anomalies","authors":"Nadia S. Zalatimo O.D.","doi":"10.1016/S0953-4431(99)00017-X","DOIUrl":"10.1016/S0953-4431(99)00017-X","url":null,"abstract":"<div><p><span>Congenital optic disc anomalies including optic disc drusen, optic pits, tilted discs, and optic nerve colobomas, can produce </span>visual field defects<span><span> that may be difficult to differentiate from glaucoma. This presents a diagnostic challenge in the patient with both a congenital optic nerve anomaly and elevated </span>intraocular pressure (IOP). Patients with anomalous discs and visual field loss along with elevated IOP should be considered for anti-glaucoma therapy because of the difficulty detecting glaucoma damage. The case reports presented will discuss management of patients with optic disc anomalies and progressive visual field loss.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 2","pages":"Pages 63-74"},"PeriodicalIF":0.0,"publicationDate":"1999-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00017-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case of bilateral morning glory disc anomaly and associated transsphenoidal encephalocele","authors":"Susannah Marcus O.D.","doi":"10.1016/S0953-4431(99)00018-1","DOIUrl":"10.1016/S0953-4431(99)00018-1","url":null,"abstract":"<div><p>Morning glory disc anomaly<span><span> (MGDA) is a congenital ocular defect characterized by a funnel shaped excavation of the posterior fundus incorporating the optic nerve head. Not only has the condition been associated with both rhegmatogenous and non-rhegmatogenous retinal detachments, it has been associated with systemic abnormalities such as midline and paramidline facial anomalies, transsphenoidal </span>encephalocele<span>, and endocrine abnormalities. Coordinated care of these patients may be useful in ruling out associated systemic anomalies, especially in children where intervention can be beneficial in correcting growth pattern abnormalities related to endocrine dysfunction.</span></span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 2","pages":"Pages 81-87"},"PeriodicalIF":0.0,"publicationDate":"1999-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00018-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lyme disease: case report and review","authors":"James E Stottlemyer O.D","doi":"10.1016/S0953-4431(99)00019-3","DOIUrl":"10.1016/S0953-4431(99)00019-3","url":null,"abstract":"<div><p><span><span>Lyme disease is a multi-system, infectious disease that is responsible for a multitude of ocular and systemic manifestations. Patients who harbor the disease may present to the eye care professional with </span>conjunctivitis<span>, keratitis<span><span>, diplopia, and/or optic nerve disease. Left untreated, Lyme disease may result in chronic and disabling </span>sequelae. Since early diagnosis and treatment of the disease is crucial, optometrists should be familiar with the ocular, neuro-ophthalmic and systemic manifestations. The following paper presents a case in which Lyme disease manifested as </span></span></span>optic disc edema<span> and a sixth nerve palsy. Also included in this paper is a general review of the signs, symptoms, staging, diagnosis, treatment and prevention of the disease.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 2","pages":"Pages 89-95"},"PeriodicalIF":0.0,"publicationDate":"1999-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00019-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optic disc size, an important consideration in the glaucoma evaluation","authors":"Michael D. Hancox O.D.","doi":"10.1016/S0953-4431(99)00012-0","DOIUrl":"10.1016/S0953-4431(99)00012-0","url":null,"abstract":"<div><p><span>As primary eye care providers, optometrists must sort through various historical and clinical information to properly diagnose and manage glaucoma. Clinicians routinely use the cup-to-disc ratio as an indicator of the health of the optic nerve. Specifically, alleging that a large cup-to-disc ratio indicates optic nerve damage. Research has shown that the </span>optic disc and optic cup dimensions vary widely in the normal population. Simple clinical techniques exist for measuring the size of the optic disc, thereby allowing for a better understanding of the cup-to-disc ratio.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 2","pages":"Pages 59-62"},"PeriodicalIF":0.0,"publicationDate":"1999-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00012-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contact lens associated giant papillary conjunctivitis","authors":"Zoe Kalimera Lazarou, O.D","doi":"10.1016/S0953-4431(99)00008-9","DOIUrl":"10.1016/S0953-4431(99)00008-9","url":null,"abstract":"<div><p><span>Giant papillary conjunctivitis (GPC) is an ocular inflammation which is often, but not exclusively related to contact lens wear. The symptoms include itchy eyes, ocular discomfort, reduced contact lens tolerance and blurred vision. The signs of GPC are large conjunctival papillae, excess mucus production and </span>hyperemia. The treatment of GPC includes: discontinuation of lens wear; re-education on proper lens hygiene; changing contact lens type and design; and/or pharmacological agents. A review of the clinical characteristics of GPC along with its treatment and management are discussed.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 1","pages":"Pages 33-35"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00008-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lyndon C Wong, O.D , Nancy N Wong, O.D., M.S , Zoe Kalimera Lazarou, O.D
{"title":"Non-traditional therapies for vernal and atopic keratoconjunctivitis","authors":"Lyndon C Wong, O.D , Nancy N Wong, O.D., M.S , Zoe Kalimera Lazarou, O.D","doi":"10.1016/S0953-4431(99)00005-3","DOIUrl":"10.1016/S0953-4431(99)00005-3","url":null,"abstract":"<div><p><span>Vernal and atopic keratoconjunctivitis are ocular allergies<span> which may result in debilitating visual sequelae. Refractory cases which fail to respond to traditional anti-allergy medical therapies may benefit from novel medical approaches. Moreover, advanced inflammatory surface disease with scarring may require </span></span>penetrating keratoplasty for optical improvement. This paper examines the role of non-traditional therapies in the treatment of vernal and atopic keratoconjunctivitis.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 1","pages":"Pages 17-20"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00005-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunological mechanisms of allergic eye disease","authors":"Shelly R Hay, O.D","doi":"10.1016/S0953-4431(99)00006-5","DOIUrl":"10.1016/S0953-4431(99)00006-5","url":null,"abstract":"<div><p>Understanding the pathophysiology of allergic eye disease involves knowledge of the body's immunologic responses. Although these immunologic mechanisms remain, to some extent, elusive, four major types of hypersensitivity reactions have been identified. The classification provides an organized approach to understanding the major mechanisms of the immune response. A review of the components of the immune system and a detailed discussion of the four hypersensitivity reactions will be discussed.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 1","pages":"Pages 21-24"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00006-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}