By Lanning B. Kline, MD
Presents a symptom-driven method of the analysis and therapy of significant neuro-ophthalmic stipulations. With the focal point at the sufferer, this booklet emphasizes exam and applicable adjunctive experiences, together with a dialogue of diagnostic imaging modalities, and leads the reader throughout the occasionally refined manifestations of neuro-ophthalmic illness to anatomical localization of lesions and definitive analysis. an summary of the anatomy of visible pathways is observed via many illustrations. final significant revision 2009 2010.
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Additional info for 2011-2012 Basic and Clinical Science Course, Section 5: Neuro-Ophthalmology (Basic & Clinical Science Course)
5t Louis: Mosby; 2002. Rootman J, Stewart B, Goldberg RA. Orbital Surgery: A Conceptual Approach. Philadelphia: Lippincott; \995 . Afferent Visual Pathways It is important to recogni ze that any disturbance in affere nt function may result in the same complaints of visual loss seen with pathology affecting th e retina, optic nerve, and visual pathways (Fig 1- 17). Retina The posterior segment transduces the focused electromag netic image photochemicall y into a series of impulses. ) Photochemical transductio n takes place within the outer segments of the rods (approximately 80- 120 m illion, distributed un iformly over th e reti na except at the fovea) and cones (approxi mately 5- 6 mi llion, with a peak distribution at the fovea and approximately 50% within 30") .
J 24 • Neuro-Ophthalmology the central retinal vein and in the choro idal veins, which exit the sclera through the vortex veins. Anteri orly, th e episcleral venous plexus collects both blood fro m the anterior uveal ci rculation and aqueous percolating th rough the Schlemm ca nal. These 3 primary venous drainage pathways (Fig 1-14) empty main ly into the superior ophthalmic vein, which runs A Figure 1·14 Venous drainage of the orbit. A, Lateral view of venous drainage of the orbit and adjacent plexus.
SlIrgical Nellroallgiography. 2nd cd. Vol I. Clinical Vascular Anatomy (md Varifltio1lS. New York: Springer; 2001. CHAPTER 1: Neuro-Ophthalm ic Anatomy. uperior pe~osal SinUS \ Inferior petrosal sinus Figure 1·1 6 Anatomy of the cavernous sinus dra inage system. J Nolte J. The Human Brain: All Introduction 10 Its Fun ctional AllatOIllY. 5th ed. 5t Louis: Mosby; 2002. Rootman J, Stewart B, Goldberg RA. Orbital Surgery: A Conceptual Approach. Philadelphia: Lippincott; \995 . Afferent Visual Pathways It is important to recogni ze that any disturbance in affere nt function may result in the same complaints of visual loss seen with pathology affecting th e retina, optic nerve, and visual pathways (Fig 1- 17).