Emergencies in Neuro-Ophthalmology: A Case Based Approach

199 Pages·2010·0.21 MB·English

by  Andrew G. Lee

Emergencies in
Neuro-Ophthalmology
A Case Based Approach
7615tpNew.indd 1 7/13/10 9:01 AM
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk
Emergencies in
Neuro-Ophthalmology
A Case Based Approach
Andrew G Lee
The Methodist Hospital, USA
Paul W Brazis
Mayo Clinic, USA
Mansoor Mughal Fabiana Policeni
&
University of Iowa Hospitals and Clinics, USA
World Scientific
NEW JERSEY • LONDON • SINGAPORE • BEIJING • SHANGHAI • HONG KONG • TAIPEI • CHENNAI
7615tpNew.indd 2 7/13/10 9:01 AM
Published by
World Scientific Publishing Co. Pte. Ltd.
5 Toh Tuck Link, Singapore 596224
USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601
UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE
Library of Congress Cataloging-in-Publication Data
Emergencies in neuro-ophthalmology : a case based approach / Andrew G. Lee . [et al.].
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-981-4295-01-7 (hardcover : alk. paper)
ISBN-10: 981-4295-01-9 (hardcover : alk. paper)
1. Neuroophthalmology--Case studies. 2. Ophthalmologic emergencies--Case studies.
I. Lee, Andrew G.
[DNLM: 1. Optic Nerve Diseases--diagnosis--Case Reports. 2. Emergencies--Case Reports.
3. Optic Nerve Diseases--therapy--Case Reports. WW 280 E53 2010]
RE725.E44 2010
617.7'32--dc22
2010011911
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library.
Copyright © 2010 by World Scientific Publishing Co. Pte. Ltd.
All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means,
electronic or mechanical, including photocopying, recording or any information storage and retrieval
system now known or to be invented, without written permission from the Publisher.
For photocopying of material in this volume, please pay a copying fee through the Copyright
Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to
photocopy is not required from the publisher.
Typeset by Stallion Press
Email: [email protected]
Printed in Singapore.
Emergencies in neuro-ophthalmology.pmd 1 9/8/2010, 10:37 AM
b892_FM.qxd 6/29/2010 10:38 AM Page v
Dedication
Drs. Lee and Brazis would like to dedicate this volume to
Dr. Neil R. Miller, their teacher, friend, and source of inspiration.
b892_FM.qxd 6/29/2010 10:38 AM Page vi
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk
b892_FM.qxd 6/29/2010 10:38 AM Page vii
About the Authors
Andrew G. Lee MD is currently the Chairman of The Methodist
Hospital (TMH) Department of Ophthalmology, and a Professor of
Ophthalmology, Neurology and Neurosurgery, Weill Cornell Medical
College. He is an Adjunct Professor of Ophthalmology at the University
of Iowa Hospitals and Clinics, and a Clinical Professor of
Ophthalmology, UTMB Galveston.
Paul W. Brazis MD is Professor of Ophthalmology and Neurology at
the Mayo Clinic, Jacksonville, Florida.
At the time of this publication, Mansoor Moghul MD and Fabiana
Policeni MD were fellows in Neuro-ophthalmology at the University
of Iowa Hospitals and Clinics.
vii
b892_FM.qxd 6/29/2010 10:38 AM Page viii
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk
b892_FM.qxd 6/29/2010 10:38 AM Page ix
Preface
The management of emergent neuro-ophthalmic conditions can be
a life saving encounter for the general ophthalmologist. This book is
designed to help the comprehensive ophthalmologist to make emer-
gency triage decisions for initial evaluation and treatment of potentially
vision- or life-threatening conditions. This text is case-based and
is intended to provide the reader with the opinion and expertise of
two neuro-ophthalmologists. One, Dr. Lee is an ophthalmology-based
neuro-ophthalmologist and the other, Dr. Brazis is a neurology-based
neuro-ophthalmologist. Dr. Moghul and Dr. Policeni collected and
collated the case vignettes during their fellowship with Dr. Lee at the
University of Iowa Hospitals and Clinics.
It is the goal of this text to provide a concise, easy to read, and
practical guide to the emergent evaluation of these neuro-ophthalmic
conditions. This book is designed to be a quick read and not to be all
inclusive or comprehensive. The reader is directed to longer and
more comprehensive neuro-ophthalmic texts for this information. It
is also not our intention to provide anatomy, pharmacology, physiol-
ogy, or other basic mechanisms of disease. Instead, this text is meant
to be a quick reference and resource for the clinician in the emer-
gency room or in the clinic facing a potentially vision- or life-
threatening emergency and to provide immediate guidance for
potentially “high stakes” decision making. We also wish to empha-
size that the recommendations of this text represent the authors’ own
opinions on management and are not intended to be, nor should they
be, construed as a “standard of care.” The case vignettes are based
upon real clinical cases but the clinical details of each case have
ix