You searched for "Anisocoria"
A practical guide to anisocoria
Anisocoria means the presence of difference in the size of the right and left pupils. It is a sign of an abnormality in the efferent pathway. The first question facing the ophthalmologist is to ascertain if anisocoria is present or...A case report of alternating anisocoria with associated nasal congestion
The authors have described a group of healthy individuals who show alternating anisocoria, in a previous paper. In these cases, the pupil asymmetry alternates between eyes every few hours, with no observed instances when both pupils are equal in size....Retrospective safety assessment of apraclonidine for diagnosis of Horner’s syndrome in children
2 August 2022
| Lauren R Hepworth
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Paediatric Ophthalmology / Strabismus
Apraclonidine has been shown to reverse the anisocoria in Horner’s syndrome, with some reports of partial ptosis resolution. Side-effects of apraclonidine have been reported especially in children under six months old. The authors present a retrospective safety study of using...
Avoiding investigations through history taking and examinations to differentiate serious from comparably benign aetiology
1 December 2022
| Nameer K Rahman, Ishrat Rukhsana Bashir, Hiten G Sheth
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Ophthalmology
*Joint first authors. Introduction Anisocoria can be a sign of neurological deficit, necessitating numerous investigations [1]. This case report explores how expensive and time-consuming investigations can be avoided by thorough history taking and examination to differentiate serious from comparably benign...
A case of ipsilateral fourth nerve paresis and Horner’s syndrome
1 April 2020
| Claire Howard
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Neuro-Ophthalmology
The author presents a single case report of an exceptional association between fourth nerve palsy and ipsilateral Horner’s Syndrome. The case is presented alongside magnetic resonance images (MRI) which reveal a mass in the right cavernous sinus. The 54-year-old woman...
A rare case of oculomotor nerve palsy from presumed cavernous angioma
1 February 2019
| Claire Howard
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Neuro-Ophthalmology
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Cavernous angioma, infant, oculomotor nerve, oculomotor nerve palsy, schwannoma
Cavernous angiomas of the cranial nerves are extremely rare, and those of the oculomotor (third) nerve are rarer still. The authors present a single case study of presumed cavernous angioma involving the subarachnoid portion of the left third nerve, which...
An unusual third nerve palsy case report
1 August 2016
| Claire Howard
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Neuro-Ophthalmology
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Diplopia, ptosis, traumatic oculomotor nerve palsy
The authors present the unusual case of a 23-year-old male presenting to hospital with right eye pain, right upper eyelid ptosis, blurred vision and diplopia, developing immediately after a penetrating injury to his right upper eyelid. On assessment he was...
Childhood headaches
1 February 2015
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
The goal of this study was to compare headache resolution in children receiving or not receiving refractive correction. The authors conducted a retrospective review of 158 patients: 78 male and 80 female aged three to twelve years (mean eight). Twenty-seven...
A case report of Horner syndrome with neuromyelitis optica
1 August 2014
| Claire Howard
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Neuro-Ophthalmology
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Horner syndrome, neuromyelitis optica, NMO IgG antibody
This case report details a patient diagnosed with neuromyelitis optica (NMO) with an associated left Horner syndrome. The female patient presented with neck pain and right hemibody decreased pain and temperature sensation. She then went on to develop left ptosis...
Is it worth performing cataract surgery in amblyopic eyes?
1 February 2018
| Eulee Seow
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Cataract and Refractive
It was estimated that about 3% of all cataract surgeries in adults were performed in eyes that have pre-existing amblyopia, and there is a long-standing belief that eyes with amblyopia have limited benefit from cataract extraction in the adult age....
The assessment of pupils and pupillary reactions
1 October 2015
| Li Yen Goh
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Retina / Uvea / Vitreous
Understanding pupillary reactions is vital in understanding basic neuro-opthalmology. It is a skill required in eye casualty, clinics and perhaps most importantly, exams. To start at the beginning, the pupil is the central aperture of the iris, its size controlling...
Anisometropia following cataract surgery and its non-surgical treatment
1 April 2015
| Inderpaul S Sian, Antonio Berarducci
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Cataract and Refractive
The desired result of cataract surgery is improved visual acuity without the use of spectacles. In practice most patients following initial cataract extraction are likely to be symptomatic of anisometropia giving rise to prismatic effects (anisophoria) and unequal retinal image...