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1 Author: Jonathan Trobe, MD, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution 3.0 License: We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak 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.
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3 COMMON EYE SYMPTOMS Jonathan D. Trobe, MD Departments of Ophthalmology and Neurology University of Michigan Medical School
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 Intraluminal Retinal Artery (Hollenhorst) Plaque Source Undetermined
6 Causes of Transient Visual Loss Binocular 1. Visual cortex ischemia 2. Migraine
7 Source Undetermined
8 S. Jähnichen (Wikimedia Commons)
9 S. Jähnichen (Wikimedia Commons)
10 S. Jähnichen (Wikimedia Commons)
11 Causes of Acute Persistent Visual Loss 1.Vitreous hemorrhage 2. Retinal detachment 3. Retinal hemorrhage 4. Retinal infection 5. Retinal artery occlusion
12 Causes of Acute Persistent Visual Loss 6. Optic nerve infarction (ischemic optic neuropathy) 7. Optic neuritis 8. Optic nerve compression/infiltration by cancer
13 Causes of Acute Persistent Visual Loss 9. Occipital lobe infarction
14 Causes of Acute Persistent Visual Loss 10. Psychogenic illness
15 Source Undetermined Vitreous Hemorrhage
16 Retinal Detachment Source Undetermined
17 Source Undetermined Retinal Detachment
18 Source Undetermined
19 Source Undetermined
20 Source Undetermined
21 Source Undetermined Macular Hemorrhage
22 Source Undetermined Macular Infection
23 Source Undetermined
24 Source Undetermined Retinal Artery Occlusion
25 Source Undetermined Normal Retina
26 Retinal Vein Occlusion Source Undetermined
27 Optic Nerve Infarction Source Undetermined
28 Source Undetermined Optic Neuritis
29 Occipital Lobe Infarction Source Undetermined
30 Causes of Flashes of Light Monocular 1. Vitreoretinal traction 2. Impending retinal vascular occlusion Binocular 1. Migraine 2. Occipital lobe ischemia
31 Source Undetermined
32 Source Undetermined
33 S. Jähnichen (Wikimedia Commons)
34 Causes of Floaters Aging or myopic vitreous Vitreous detachment Vitreous hemorrhage Vitreous inflammation
35 Source Undetermined
36 Causes of Diplopia Binocular 1. Ocular misalignment 2. Psychogenic Monocular 1. Uncorrected refractive error 2. Corneal lesion 3. Cataract
37 Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, 2006.
38 Causes of Optic Disc Excavation Physiologic Glaucoma Other optic neuropathies
39 Source Undetermined
40 Source Undetermined
41 Source Undetermined
42 Additional Source Information for more information see: Slide 5 Source Undetermined Slide 7 Source Undetermined Slide 8 Beginning aura of a migraine S. Jähnichen (Wikimedia Commons) replaced an image of an aura forming around a wrist watch from Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, Slide 9 Mid-stage of migraine aura S. Jähnichen (Wikimedia Commons) replaced an image of an aura forming around a wrist watch from Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, Slide 10 Full aura of migraine S. Jähnichen (Wikimedia Commons) replaced an image of an aura forming around a wrist watch from Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, Slide 15 Source Undetermined Slide 16 Source Undetermined Slide 17 Source Undetermined Slide 18 Source Undetermined Slide 19 Source Undetermined Slide 20 Source Undetermined Slide 21 Source Undetermined Slide 22 Source Undetermined Slide 23 Source Undetermined Slide 24 Source Undetermined Slide 25 Source Undetermined Slide 26 Source Undetermined Slide 27 Source Undetermined Slide 28 Source Undetermined Slide 29 Source Undetermined
43 Additional Source Information for more information see: Slide 31 Source Undetermined Slide 32 Source Undetermined Slide 33 Mid-stage of migraine aura S. Jähnichen (Wikimedia Commons) replaced an image of an aura forming around a wrist watch from Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, Slide 35 Source Undetermined Slide 37 Trobe, J. The Physician s Guide to Eye Care. 3e. American Academy of Ophthalmology, Slide 39 Source Undetermined Slide 40 Source Undetermined Slide 41 Source Undetermined
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