Neurophthalmology

Question 1

swinging light on affected eye>dilation
Not bilateral
No anisocoria

Answer 1

RAPD

Question 2

Normal imaging and CSF
Elevated ICP
Obese women
Puberty - menopause

Answer 2

Idiopathic intracranial hypertension

Question 3

IIH management?

Medical

Answer 3

Acetazolamide

Weight loss

Question 4

IIH

Surgical management?

Answer 4

VPS
LPS
Optic sheath fenestration

Question 5

Sudden painless vision loss

Unilateral optic disc swelling

Answer 5

Anterior ischemic optic neuropathy

Question 6

Types of AION (2)

Answer 6

Nonarteritic

assoc with giant cell arteritis

Question 7

Unilateral visual loss in young adults

(Women 5x)

Retrobulbar pain worse with eye movement

Answer 7

Idiopathic demyelinating optic neuritis

Question 8

Supranuclear upward gaze palsy
Convergence retraction nystagmus
Collier’s sign (lid retraction)
Pupillary light-near dissociation

Answer 8

Dorsal midbrain syndrome

Parinaud syndrome

Question 9

Lesion in the MLF
Impaired adduction of eye ipsilateral to MLF lesion
Dissociated nystagmus of contralateral abducting eye

Answer 9

Internuclear ophthalmoplegia

Question 10

Dysconjugate eye movements

Ocular bobbing -a localizes to the pons

Answer 10

Coma

Question 11

Unilateral mydriasis with light-near dissociation

Bilaterally small pupils

Answer 11

Adie’s pupil