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Acute Vision Loss

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21. A Young Man With Progressive Vision and Hearing Loss. (PubMed)

A Young Man With Progressive Vision and Hearing Loss. A 37-year-old man with a history of progressive bilateral sensorineural hearing loss presented to a neuro-ophthalmology clinic with an acute left homonymous hemianopsia. In this article, we discuss the clinical approach and differential diagnosis of progressive combined vision and hearing loss and guide the reader to discover the patient's ultimate diagnosis.

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2016 JAMA neurology

22. A case report of primary orbital non-Hodgkin’s lymphoma causing complete vision loss (PubMed)

A case report of primary orbital non-Hodgkin’s lymphoma causing complete vision loss A 29-year-old male with acquired immunodeficiency syndrome presented with a week of left eye blurriness, which then progressed to complete vision loss. On exam, the left pupil was nonreactive to light, and fundoscopy showed significant optic nerve edema. CT and MRI of the left orbit showed a mass lesion compressing the posterior aspect of the sclera with diffuse thickening and contrast enhancement (...) for relatively acute blindness without other symptoms, especially in patients with AIDS.

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2016 GMS Ophthalmology Cases

23. Final recommendation statement: vision in children ages 6 months to 5 years: screening.

, atropine eye drops, or Bangerter occlusion foils), or surgical interventions for some causes of refractory strabismus. Suggestions for Practice Regarding the I Statement Potential Preventable Burden Untreated amblyopia is not likely to spontaneously resolve. Treatment efficacy decreases with age, with a risk of irreversible vision loss. Untreated vision abnormalities can result in short- and long-term physical and psychological harms, such as accidents and injuries, experiencing bullying behaviors (...) Final recommendation statement: vision in children ages 6 months to 5 years: screening. Final recommendation statement: vision in children ages 6 months to 5 years: screening. | National Guideline Clearinghouse success fail May JUN 09 2017 2018 2019 19 May 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites

2017 National Guideline Clearinghouse (partial archive)

24. Disseminated neurocysticercosis presenting as isolated acute monocular painless vision loss (PubMed)

Disseminated neurocysticercosis presenting as isolated acute monocular painless vision loss Neurocysticercosis, the most common parasitic infection of the nervous system, is known to affect the brain, eyes, muscular tissues and subcutaneous tissues. However, it is very rare for patients with ocular cysts to have concomitant cerebral cysts. Also, the dominant clinical manifestation of patients with cerebral cysts is either seizures or headache. We report a patient who presented with acute (...) monocular painless vision loss due to intraocular submacular cysticercosis, who on investigation had multiple cerebral parenchymal cysticercal cysts, but never had any seizures. Although such a vision loss after initiation of antiparasitic treatment has been mentioned previously, acute monocular vision loss as the presenting feature of ocular cysticercosis is rare. We present a brief review of literature along with this case report.

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2014 Journal of neurosciences in rural practice

25. Atypical Wernicke's syndrome sans encephalopathy with acute bilateral vision loss due to post-chiasmatic optic tract edema (PubMed)

Atypical Wernicke's syndrome sans encephalopathy with acute bilateral vision loss due to post-chiasmatic optic tract edema A middle aged male presented with acute bilateral vision loss, 4 weeks after undergoing gastric bypass surgery for gastric carcinoma. He had normal sensorium, fundoscopy, normal pupillary reaction to light, but had mild opthalmoparesis and nystagmus with ataxia. Magnetic resonance imaging of the brain revealed post-chiasmatic optic tract edema along with other classical

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2014 Annals of Indian Academy of Neurology

26. The evaluation of acute vision loss: central serous chorioretinopathy. (PubMed)

The evaluation of acute vision loss: central serous chorioretinopathy. Acute vision loss is frightening to patients and may represent serious pathology that is irreversible if not intervened upon quickly. We present a case of a 36-year-old man with sudden onset of unilateral painless central visual disturbance described as flashes of light. His emergency department examination was normal, and an ophthalmologic consult found fluid accumulation in the subretinal space on optical coherence (...) tomography, confirming a diagnosis of central serous chorioretinopathy. Central serous chorioretinopathy is a poorly understood disease associated with type A personality and elevated glucocorticoids. Although there is no proven treatment regimen for acute disease, vision problems usually resolve. Some patients have recurrent episodes that can lead to permanent visual loss

2014 American Journal of Emergency Medicine

27. Acute visual loss and optic disc edema followed by optic atrophy in two cases with deeply buried optic disc drusen: a mimicker of atypical optic neuritis (PubMed)

Acute visual loss and optic disc edema followed by optic atrophy in two cases with deeply buried optic disc drusen: a mimicker of atypical optic neuritis Sudden visual loss and optic disc edema caused by optic neuritis (ON) is usually followed by significant visual recovery. However, little or no recovery occurs when the loss is caused by atypical ON, especially in patients with neuromyelitis optica (NMO). Optic disc drusen (ODD) is a cause of pseudo optic disc edema and may be a predisposing (...) factor for non-arteritic anterior ischemic optic neuropathy (NAION), thereby mimicking atypical ON. In such cases, if globular concretions are seen protruding from the disc substance, ODD may be suspected. The purpose of this paper is to describe two patients with acute visual loss followed by optic disc atrophy initially labeled as atypical ON. Though not suspected on clinical examination, optical coherence tomography (OCT) revealed deeply buried ODD as a predisposing factor for NAION.Case 1: A 48

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2018 BMC ophthalmology

28. Decreased Vision as Initial Presenting Symptom of Acute Lymphoblastic Leukemia: A Case Report (PubMed)

Decreased Vision as Initial Presenting Symptom of Acute Lymphoblastic Leukemia: A Case Report This case illustrates that hematologic disorders must be considered as a potentially life-threatening cause for vision loss. Proper laboratory workup and timely interdisciplinary approach are essential to ensure the best possible care for ophthalmic patients. Historically, before the use of bone marrow biopsy, the ophthalmologist was often asked to assist in the diagnosis of leukemia. Since

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2016 Case reports in ophthalmology

29. Acute Zonal Cone Photoreceptor Outer Segment Loss. (PubMed)

Acute Zonal Cone Photoreceptor Outer Segment Loss. The diagnostic path presented narrows down the cause of acute vision loss to the cone photoreceptor outer segment and will refocus the search for the cause of similar currently idiopathic conditions.To describe the structural and functional associations found in a patient with acute zonal occult photoreceptor loss.A case report of an adolescent boy with acute visual field loss despite a normal fundus examination performed at a university (...) ERG but with near-normal rod-mediated vision according to results of 2-color dark-adapted perimetry. Full-field flash ERG findings were normal in both eyes. The outer nuclear layer and inner retinal thicknesses were normal.Localized, isolated cone dysfunction may represent the earliest photoreceptor abnormality or a distinct entity within the acute zonal occult outer retinopathy complex. Acute zonal occult outer retinopathy should be considered in patients with acute vision loss and abnormalities

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2017 JAMA ophthalmology

30. Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery 2019

is a rare and disabling complication. For this Advisory, “perioperative visual loss” refers to permanent impairment or total loss of sight associated with a spine procedure during which general anesthesia is administered. The perioperative period includes the time from the immediate preoperative assessment through discharge from the acute healthcare facility. Conditions addressed in this Advisory include posterior ischemic optic neuropathy, anterior ischemic optic neuropathy, central and branch retinal (...) be used on a case-by-case basis to rule out intracranial causes of visual loss as well as to visualize an abnormal optic nerve. Finally, consultants and members of the participating organizations strongly agree with the recommendation that additional management may include optimizing hemoglobin or hematocrit values, hemodynamic status, and arterial oxygenation. Advisory Recommendations for Postoperative Management Assess the vision of a high-risk patient when the patient becomes alert ( e.g

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2019 American Society of Anesthesiologists

31. Pitfalls in the Use of Ocular Ultrasound for Evaluation of Acute Vision Loss. (PubMed)

Pitfalls in the Use of Ocular Ultrasound for Evaluation of Acute Vision Loss. Retinal detachment is a true medical emergency. It is a time-critical, vision-threatening disease often first evaluated in the Emergency Department (ED). Diagnosis can be extremely challenging and confused with other ocular pathology. Several entities can mimic retinal detachment, including posterior vitreous detachment and vitreous hemorrhage. Ocular ultrasound can assist the emergency physician in evaluating (...) with acute onset of bilateral visual loss that was concerning for retinal detachment. Rapid evaluation of the intraocular space was performed using bedside ocular ultrasound. Bedside ocular ultrasound correctly diagnosed retinal detachment in the right eye. Posterior vitreous detachment in the left eye was incorrectly diagnosed as retinal detachment.This case illustrates the importance of bedside ocular ultrasound and highlights some of the pitfalls that can occur when evaluating for retinal detachment

2013 Journal of Emergency Medicine

32. Acute Vision Loss: A Fuzzy Presentation of Sarcoidosis. (PubMed)

Acute Vision Loss: A Fuzzy Presentation of Sarcoidosis. Acute vision loss is a devastating problem for patients and a challenging diagnostic dilemma for Emergency Physicians. This chief complaint is one in which we must be adept at quickly evaluating and initiating either care or referral.This case reviews the approach to acute vision loss and shows the importance of expanding the differential in atypical and complex presentations.A 31-year-old, previously healthy, white woman presented (...) diagnosis to include on the differential of many chief complaints that present to the ED, including acute vision loss and dyspnea.Published by Elsevier Inc.

2013 Journal of Emergency Medicine

33. Evidence-based Clinical Practice Guideline Comprehensive Adult Eye and Vision Examination

of the regular use of sunglasses that effectively block at least 99 percent of UVA and UVB radiation and the use of hats with brims when outdoors. Consensus-Based Action Statement: Eye doctors should be aware of their patients’ dietary and supplementation practices and counsel them on good nutrition for eye health. Evidence-Based Action Statement: Individuals 60 years of age and older with central and/or peripheral vision loss should be counseled by their eye doctor about the potential for an increased risk (...) may lead to significant vision loss, and systemic conditions that may affect health or vision. (Evidence Grade: B/Recommendation) Evidence-Based Action Statement: Annual comprehensive eye and vision examinations are recommended for persons 65 years of age or older for the diagnosis and treatment of sight-threatening eye conditions and the timely correction of refractive errors (Evidence Grade: B/Strong Recommendation) Consensus-Based Action Statement: Adult patients should be advised by their eye

2015 American Optometric Association

34. Acute visual loss after ipilimumab treatment for metastatic melanoma (PubMed)

Acute visual loss after ipilimumab treatment for metastatic melanoma Ipilimumab, a humanized CLTA-4 antibody is a standard therapy in the treatment of advanced melanoma. While ipilimumab provides an overall survival benefit to patients, it can be associated with immune related adverse events (IrAEs).Here we describe a patient treated with ipilimumab who experienced known IrAEs, including hypophysitis, as well as a profound vision loss due to optic neuritis. There are rare reports of optic

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2016 Journal for immunotherapy of cancer

35. Sinusitis (acute): antimicrobial prescribing

periorbital oedema or cellulitis, a displaced eyeball, double vision, ophthalmoplegia, or newly reduced visual acuity intracranial complications, including swelling over the frontal bone, symptoms or signs of meningitis, severe frontal headache, or focal neurological signs. See the evidence and committee discussion on choice of antibiotic. 1.2 Choice of antibiotic 1.2.1 When prescribing antibiotics for acute sinusitis: follow the recommendations in table 1 for adults aged 18 years and over follow (...) /terms-and- conditions#notice-of-rights). Page 11 of 24Symptoms and signs Symptoms and signs Common symptoms and signs Adults with acute sinusitis usually present with: nasal blockage or congestion nasal discharge dental or facial pain or pressure reduction or loss of the sense of smell. Children (particularly young children) often present with non-specific symptoms in the upper respiratory tract. Symptoms of acute sinusitis in children may include the following, but these can be present for many

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

36. Neurogenic vision loss: Causes and outcome. An experience from a tertiary center in Northern India (PubMed)

intracranial hypertension, pituitary adenoma, acute disseminated encephalomyelitis, posterior reversible leukoencephalopathy- 3 (4.8%) cases each, cortical venous thrombosis 5 (7.9%), subacute scleroing panencephalitis- 4 (6.3%) cases.The diseases of anterior visual pathway were much more common than cortical vision loss. A majority of our patients had severe impairment of vision at presentation. (...) Neurogenic vision loss: Causes and outcome. An experience from a tertiary center in Northern India Vision loss can be a consequence of numerous disorders of eye and neural pathway conveying visual input to brain. A variety of conditions can affect visual pathway producing neurogenic vision loss. The presentation and course of vision loss depends on the site of involvement and underlying etiology. We conducted this unprecedented study to evaluate the characteristics and outcome of various

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2014 Journal of neurosciences in rural practice

37. Retinal Damage and Vision Loss in African-American Multiple Sclerosis Patients. (PubMed)

Retinal Damage and Vision Loss in African-American Multiple Sclerosis Patients. To determine whether African American (AA) multiple sclerosis (MS) patients exhibit more retinal damage and visual impairment compared to Caucasian American (CA) MS patients.A total of 687 MS patients (81 AAs) and 110 healthy control (HC) subjects (14 AAs) were recruited at 3 academic hospitals between 2008 and 2012. Using mixed effects regression models, we compared high- and low-contrast visual acuity (HCVA (...) rates compared to CAs (p = 0.004 and p = 0.046, respectively). AA MS patients had lower baseline HCVA (p = 0.02) and worse LCVA per year of disease duration (p = 0.039). Among patients with an acute optic neuritis (AON) history, AAs had greater loss of HCVA than CA patients (p = 0.012).This multicenter investigation provides objective evidence that AA MS patients exhibit accelerated retinal damage compared to CA MS patients. Self-identified AA ancestry is associated with worse MS-related visual

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2014 Annals of Neurology

38. Acute Vision Loss

Acute Vision Loss Acute Vision Loss Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Vision Loss Acute Vision Loss Aka: Acute (...) Vision Loss , Acute Blindness , Acute Persistent Vision Loss II. Differential Diagnosis: Acute Vision Loss based on pain Painful Painless (or Minimal or variable pain) (associated with ) Ocular tumor ( ) ( ) III. Differential Diagnosis: Acute unilateral Vision Loss Transient (early) Persistent (later) ( ) Nonarteritic anterior optic (see ) Tumor Occipital cortex infarction (vertebrobasilar thromboembolic event) Keratopathy Psychogenic visual loss IV. Differential Diagnosis: Acute bilateral Vision

2015 FP Notebook

39. Vision In Stroke cohort: Profile overview of visual impairment (PubMed)

Vision In Stroke cohort: Profile overview of visual impairment To profile the full range of visual disorders from a large prospective observation study of stroke survivors referred by stroke multidisciplinary teams to orthoptic services with suspected visual problems.Multicenter prospective study undertaken in 20 acute Trust hospitals. Standardized screening/referral forms and investigation forms documented data on referral signs and symptoms plus type and extent of visual impairment.Of 1,345 (...) hemianopia. Fifteen percent had visual inattention and 4.6% had other visual perceptual disorders. Overall 84% were visually symptomatic with visual field loss the most common complaint followed by blurred vision, reading difficulty, and diplopia. Treatment options were provided to all with confirmed visual impairment. Targeted advice was most commonly provided along with refraction, prisms, and occlusion.There are a wide range of visual disorders that occur following stroke and, frequently, with visual

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2017 Brain and behavior

40. The Collaborative Assessment, OTCA12, on “C-reactive protein point-of-care testing (CRP POCT) to guide antibiotic prescribing in primary care settings for acute respiratory tract infections (RTIs)

The Collaborative Assessment, OTCA12, on “C-reactive protein point-of-care testing (CRP POCT) to guide antibiotic prescribing in primary care settings for acute respiratory tract infections (RTIs) Dec2015 © EUnetHTA, 2015. Reproduction is authorised provided EUnetHTA is explicitly acknowledged 1 EUnetHTA Joint Action 3 WP4 Version 1.4, +31 January 2019] Rapid assessment of other technologies using the HTA Core Model ® for Rapid Relative Effectiveness Assessment C-REACTIVE PROTEIN POINT-OF-CARE (...) TESTING (CRP POCT) TO GUIDE ANTIBIOTIC PRESCRIBING IN PRIMARY CARE SETTINGS FOR ACUTE RESPIRATORY TRACT INFECTIONS (RTIS) Project ID: OTCA012 C-reactive protein point-of-care testing to guide antibiotic prescribing for acute respiratory tract infections in primary care EUnetHTA Joint Action 3 WP4 2 DOCUMENT HISTORY AND CONTRIBUTORS Version Date Description V1.0 26/10/2018 First draft. V1.1 03/12/2018 Input from co-author has been processed. V1.2 03/12/2018 Input from dedicated reviewers has been

2019 EUnetHTA

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