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OPHTHALMOLOGY
1.2A DISORDERS OF THE OPTIC NERVE
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OUTLINE
Anatomy of the Optic Nerve
Evaluation of Patients with Optic Nerve Disorders
Optic Nerve Disorders
ANATOMY
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Optic nerve
Optic chiasma
Optic tract
Lateral geniculate body
Optic radiation
Visual cortex
Superior colliculus of the midbrain
Putamen
Long association bundle - inferior occipitofrontal fasciculus
Pulvinar of the thalamus
Calcarine fissure
Posteroinferior horn of the lateral ventricle
Ophthalmology
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~1mm long
Longest
S-shaped
Eye pain?
Headache?
Unilateral/bilateral involvement?
Ophthalmology
Ophthalmology
Ultrasound
CT scan
MRI
OPTIC NERVE DISORDERS
Papilledema
Optic neuritis
Anterior ischemic optic neuropathy
Toxic optic neuropathy
Optic atrophy
Leber hereditary optic neuropathy
PAPILLEDEMA
Swelling of optic nerve head secondary to raised CSF pressure
Causes:
Ophthalmology
OPTIC NEURITIS
Inflammatory edema of the optic
nerve
Foremost symptom: severe
visual loss
Eye pain aggravated by eye
movement
Usu. Unilateral
RAPD detected
Swollen hyperemic optic disc
LATE SIGNS
Color
Cat-scratch fever
Lyme disease
Syphilis
Localized hyperfluorescence
Increasing localized
hyperfluorescence
Generalized hyperfluorescence
Ophthalmology
High-magnification shows
giant cells
Chloramphenicol
Chlorpropamide
Disulfiram
Arsenic
Radiation
Ophthalmology
END OF TRANX