Author: Jonathan Trobe, MD, 2009License: Unless otherwise noted, this material is made available under theterms of the Cre...
Citation Key                          for more information see: http://open.umich.edu/wiki/CitationPolicyUse + Share + Ada...
COMMON EYE SYMPTOMS            Jonathan D. Trobe, MD  Departments of Ophthalmology and Neurology     University of Michiga...
Causes of Transient Visual Loss•  Monocular       1. If abrupt onset, usually ischemia to   retina or optic nerve       2....
Intraluminal Retinal Artery (Hollenhorst) Plaque Source Undetermined
Causes of Transient Visual Loss•  Binocular    1. Visual cortex ischemia    2. Migraine
Source Undetermined
S. Jähnichen (Wikimedia Commons)
S. Jähnichen (Wikimedia Commons)
S. Jähnichen (Wikimedia Commons)
Causes of Acute          Persistent Visual Loss1.Vitreous hemorrhage2. Retinal detachment3. Retinal hemorrhage4. Retinal i...
Causes of Acute         Persistent Visual Loss6. Optic nerve infarction (ischemic optic     neuropathy)7. Optic neuritis8....
Causes of Acute         Persistent Visual Loss9. Occipital lobe infarction
Causes of Acute        Persistent Visual Loss10. Psychogenic illness
Vitreous HemorrhageSource Undetermined
Retinal DetachmentSource Undetermined
Retinal DetachmentSource Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Macular HemorrhageSource Undetermined
Macular InfectionSource Undetermined
Source Undetermined
Retinal Artery OcclusionSource Undetermined
Normal RetinaSource Undetermined
Retinal Vein OcclusionSource Undetermined
Optic Nerve InfarctionSource Undetermined
Optic NeuritisSource Undetermined
Occipital Lobe Infarction   Source Undetermined
Causes of Flashes of Light•  Monocular  1. Vitreoretinal traction  2. Impending retinal vascular occlusion•  Binocular  1....
Source Undetermined
Source Undetermined
S. Jähnichen (Wikimedia Commons)
Causes of Floaters•    Aging or myopic vitreous•    Vitreous detachment•    Vitreous hemorrhage•    Vitreous inflammation
Source Undetermined
Causes of Diplopia•     Binocular     1.  Ocular misalignment     2.  Psychogenic•     Monocular      1. Uncorrected refra...
Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006.
Causes of Optic Disc Excavation•  Physiologic•  Glaucoma•  Other optic neuropathies
Source Undetermined
Source Undetermined
Source Undetermined
Additional Source Information               for more information see: http://open.umich.edu/wiki/CitationPolicySlide 5 – S...
Additional Source Information                 for more information see: http://open.umich.edu/wiki/CitationPolicySlide 31 ...
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11.21.08(b): Common Eye Symptoms

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11.21.08(b): Common Eye Symptoms

  1. 1. Author: Jonathan Trobe, MD, 2009License: Unless otherwise noted, this material is made available under theterms of the Creative Commons Attribution 3.0 License:http://creativecommons.org/licenses/by/3.0/We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize yourability to use, share, and adapt it. The citation key on the following slide provides information about how youmay share and adapt this material.Copyright holders of content included in this material should contact open.michigan@umich.edu with anyquestions, corrections, or clarification regarding the use of content.For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use.Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosisor a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Pleasespeak to your physician if you have questions about your medical condition.Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
  2. 2. Citation Key for more information see: http://open.umich.edu/wiki/CitationPolicyUse + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (USC 17 § 105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation LicenseMake Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (USC 17 § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (USC 17 § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  3. 3. COMMON EYE SYMPTOMS Jonathan D. Trobe, MD Departments of Ophthalmology and Neurology University of Michigan Medical School
  4. 4. Causes of Transient Visual Loss•  Monocular 1. If abrupt onset, usually ischemia to retina or optic nerve 2. Local causes: papilledema or impending retinal or optic nerve vascular occlusion 3. Remote causes: cervical carotid artery stenosis or systemic hypotension
  5. 5. Intraluminal Retinal Artery (Hollenhorst) Plaque Source Undetermined
  6. 6. Causes of Transient Visual Loss•  Binocular 1. Visual cortex ischemia 2. Migraine
  7. 7. Source Undetermined
  8. 8. S. Jähnichen (Wikimedia Commons)
  9. 9. S. Jähnichen (Wikimedia Commons)
  10. 10. S. Jähnichen (Wikimedia Commons)
  11. 11. Causes of Acute Persistent Visual Loss1.Vitreous hemorrhage2. Retinal detachment3. Retinal hemorrhage4. Retinal infection5. Retinal artery occlusion
  12. 12. Causes of Acute Persistent Visual Loss6. Optic nerve infarction (ischemic optic neuropathy)7. Optic neuritis8. Optic nerve compression/infiltration by cancer
  13. 13. Causes of Acute Persistent Visual Loss9. Occipital lobe infarction
  14. 14. Causes of Acute Persistent Visual Loss10. Psychogenic illness
  15. 15. Vitreous HemorrhageSource Undetermined
  16. 16. Retinal DetachmentSource Undetermined
  17. 17. Retinal DetachmentSource Undetermined
  18. 18. Source Undetermined
  19. 19. Source Undetermined
  20. 20. Source Undetermined
  21. 21. Macular HemorrhageSource Undetermined
  22. 22. Macular InfectionSource Undetermined
  23. 23. Source Undetermined
  24. 24. Retinal Artery OcclusionSource Undetermined
  25. 25. Normal RetinaSource Undetermined
  26. 26. Retinal Vein OcclusionSource Undetermined
  27. 27. Optic Nerve InfarctionSource Undetermined
  28. 28. Optic NeuritisSource Undetermined
  29. 29. Occipital Lobe Infarction Source Undetermined
  30. 30. Causes of Flashes of Light•  Monocular 1. Vitreoretinal traction 2. Impending retinal vascular occlusion•  Binocular 1. Migraine 2. Occipital lobe ischemia
  31. 31. Source Undetermined
  32. 32. Source Undetermined
  33. 33. S. Jähnichen (Wikimedia Commons)
  34. 34. Causes of Floaters•  Aging or myopic vitreous•  Vitreous detachment•  Vitreous hemorrhage•  Vitreous inflammation
  35. 35. Source Undetermined
  36. 36. Causes of Diplopia•  Binocular 1.  Ocular misalignment 2.  Psychogenic•  Monocular 1. Uncorrected refractive error 2. Corneal lesion 3. Cataract
  37. 37. Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006.
  38. 38. Causes of Optic Disc Excavation•  Physiologic•  Glaucoma•  Other optic neuropathies
  39. 39. Source Undetermined
  40. 40. Source Undetermined
  41. 41. Source Undetermined
  42. 42. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicySlide 5 – Source UndeterminedSlide 7 – Source UndeterminedSlide 8 – Beginning aura of a migraine S. Jähnichen (Wikimedia Commons)http://commons.wikimedia.org/wiki/File:Fortifikation_(Migr%C3%A4ne).jpg replaced an image of an aura formingaround a wrist watch from Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy ofOphthalmology, 2006.Slide 9 – Mid-stage of migraine aura S. Jähnichen (Wikimedia Commons)http://commons.wikimedia.org/wiki/File:Negatives_Skotom_(Brandenburger_Tor_Blaue_Stunde)_1.jpg replacedan image of an aura forming around a wrist watch from Trobe, J. The Physician s Guide to Eye Care. 3e.American Academy of Ophthalmology, 2006.Slide 10 – Full aura of migraine S. Jähnichen (Wikimedia Commons)http://commons.wikimedia.org/wiki/File:Gesichtsfeldausfall_(Brandenburger_Tor_Blaue_Stunde)_1.jpg replacedan image of an aura forming around a wrist watch from Trobe, J. The Physician s Guide to Eye Care. 3e.American Academy of Ophthalmology, 2006.Slide 15 – Source UndeterminedSlide 16 – Source UndeterminedSlide 17 – Source UndeterminedSlide 18 – Source UndeterminedSlide 19 – Source UndeterminedSlide 20 – Source UndeterminedSlide 21 – Source UndeterminedSlide 22 – Source UndeterminedSlide 23 – Source UndeterminedSlide 24 – Source UndeterminedSlide 25 – Source UndeterminedSlide 26 – Source UndeterminedSlide 27 – Source UndeterminedSlide 28 – Source UndeterminedSlide 29 – Source Undetermined
  43. 43. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicySlide 31 – Source UndeterminedSlide 32 – Source UndeterminedSlide 33 – Mid-stage of migraine aura S. Jähnichen (Wikimedia Commons)http://commons.wikimedia.org/wiki/File:Negatives_Skotom_(Brandenburger_Tor_Blaue_Stunde)_1.jpg replacedan image of an aura forming around a wrist watch from Trobe, J. The Physician s Guide to Eye Care. 3e.American Academy of Ophthalmology, 2006.Slide 35 – Source UndeterminedSlide 37 – Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006.Slide 39 – Source UndeterminedSlide 40 – Source UndeterminedSlide 41 – Source Undetermined

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