scholarly journals Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma

2016 ◽  
Vol 7 (1) ◽  
pp. 179-183 ◽  
Author(s):  
Hyera Kang ◽  
Yasuhiro Takahashi ◽  
Kunihiro Nishimura ◽  
Muneyoshi Yasuda ◽  
Hiroyoshi Akutsu ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Visual Field ◽  
Cavernous Hemangioma ◽  
Vision Loss ◽  
Rectus Muscle ◽  
Pulse Therapy ◽  
Right Visual Field ◽  
Steroid Pulse ◽  
One Year ◽  
The Right

A 59-year-old woman had a 1-year history of right vision loss. Her visual acuity was then 0.01 OD, and the critical flicker frequency (CFF) was 8 Hz OD. Goldmann perimetry examination showed inferior suppression of the right visual field center. Funduscopic examination revealed normal coloring of the right optic disc. Imaging studies showed an apical oval tumor. The optic nerve was compressed by both the tumor and the superior rectus muscle/levator palpebrae superioris complex. The tumor was dissected from the surrounding tissues and completely extracted. Histopathologic examination confirmed a cavernous hemangioma. The patient underwent three cycles of postoperative steroid pulse therapy. One year after the surgery, her visual acuity and CFF improved to 1.0 and 32 Hz OD, respectively. Her right visual field was within the normal range.

The association of aldosterone with papillophlebitis and retinal artery occlusion: A case report

2021 ◽  
pp. 112067212199139
Author(s):  
Che-Yuan Kuo ◽  
Po-Kang Lin
Keyword(s):  
Visual Acuity ◽  
Intravitreal Injection ◽  
Retinal Artery Occlusion ◽  
Pulse Therapy ◽  
Artery Occlusion ◽  
Steroid Pulse Therapy ◽  
Steroid Pulse ◽  
Retinal Vascular Occlusion ◽  
Retinal Artery ◽  
The Right

Purpose: To explore the association between elevated blood aldosterone levels and papillophlebitis and retinal artery occlusion in a young, healthy woman. Case description: A 19-year-old woman with an unremarkable medical history presented with sudden-onset visual loss in the right eye, which lasted for 10 hours. Fundus examination revealed retinal whitening, splinter hemorrhages, disc swelling, and tortuous vessels in the right eye. Optical coherence tomography revealed inner retinal thickening. Fluorescein angiography demonstrated a delayed arteriovenous transit time and delayed filling of the cilioretinal artery circulation. Further workup showed a high aldosterone level and aldosterone-to-renin ratio. The patient was treated with steroid pulse therapy and combined intravitreal injection of dexamethasone implant and aflibercept. Visual acuity was recovered from count finger at initial presentation to 6/15 on the fifth day. For over 2 months, the fundal manifestations gradually subsided. Three months after the episode, her visual acuity further improved to 6/6.7. Conclusion: This report emphasizes the potential role aldosterone plays in the complex disease mechanism of retinal vasculopathy. In addition, steroid pulse therapy is more effective when applied in conjunction with combined intravitreal injection therapy for rescuing impaired vision caused by retinal vascular occlusion.

Role of Visual Acuity in Tachistoscopic Recognition of Three-Letter Words

1974 ◽  
Vol 38 (3) ◽  
pp. 755-761 ◽  
Author(s):  
Frank Curcio ◽  
William Mackavey ◽  
Jeffrey Rosen
Keyword(s):  
Visual Acuity ◽  
Visual Field ◽  
Word Recognition ◽  
Right Visual Field ◽  
Gap Detection ◽  
Vertical Meridian ◽  
Line Target ◽  
Tachistoscopic Recognition ◽  
The Right

It has been suggested that a correlation between word recognition and visual acuity would constitute a confounding influence in word-recognition studies within a laterality paradigm. 20 Ss made binary judgments concerning the presence or absence of a spatial gap in a tachistoscopically presented line target positioned at .75°, 1.5°, 3.0°, and 6.0° in either visual field. Gap detection was superior in the right visual field ( p = .02) at the 6.0° position. Word recognition was determined for tachistoscopically presented three-letter words positioned along a 6.0° vertical meridian in either visual field. Visual acuity performance was not related to word recognition either for the group or for individual Ss. The data therefore do not encourage the view that normal variations in acuity significantly affect word recognition in laterality studies.

scholarly journals Proning related bilateral anterior ischaemic optic neuropathy in a patient with COVID-19 related acute respiratory distress syndrome

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kirsty Michelle Clarke ◽  
Vivi Riga ◽  
Amy-lee Shirodkar ◽  
Joel Meyer
Keyword(s):  
Mechanical Ventilation ◽  
Acute Respiratory Distress Syndrome ◽  
Visual Field ◽  
Respiratory Distress Syndrome ◽  
Distress Syndrome ◽  
Vision Loss ◽  
Prone Positioning ◽  
Disc Oedema ◽  
Ischaemic Optic Neuropathy ◽  
The Right

Abstract Background Non-arteritic ischaemic optic neuropathy (NAION) is a rare but harmful complication of prone positioning. Prone mechanical ventilation is a therapeutic strategy which has been used extensively during the COVID-19 pandemic to treat acutely hypoxemic patients with COVID-19 related acute respiratory distress syndrome (ARDS). Though a small number of cases of unilateral NAION have been reported in patients testing positive for the SARS-CoV-2 virus, we describe what is to our knowledge, the first reported case of bilateral NAION occurring in a patient proned extensively for the treatment of COVID-19 related ARDS. We consider the potential aetiological factors leading to NAION after prone mechanical ventilation in patients with COVID-19 and suggest strategies to protect against its development. Case presentation : We report a case of severe, irreversible, visual impairment secondary to bilateral anterior ION in a fifty-five-year-old male who underwent eight episodes of prone mechanical ventilation to treat COVID-19 related ARDS. Once weaned from his sedation he reported bilateral painless vision loss, and bedside ophthalmological assessment identified a reduced visual acuity of 3/30 unaided in the left eye and counting fingers in the right. Dilated indirect ophthalmoscopy revealed inferotemporal optic disc oedema with splinter haemorrhages in the right eye and mild disc oedema, temporal pallor, and nerve fibre layer haemorrhages inferiorly in the left eye. Humphrey visual field 24 − 2 testing confirmed a severely constricted visual field with macular sparing on the right and depressed inferonasal vision with preserved peripheral vision on the left eye. OCT disc imaging shortly after diagnosis revealed bilateral disc swelling and flame haemorrhages in the right eye. Conclusions NAION is a devastating, but preventable complication of prone positioning, which may pose significant risk of vision loss in patients with COVID-19 related ARDS.

scholarly journals Lateralization of attention in adults with ADHD: Evidence of pseudoneglect

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Bartosz Helfer ◽  
Stefanos Maltezos ◽  
Elizabeth Liddle ◽  
Jonna Kuntsi ◽  
Philip Asherson
Keyword(s):  
Reaction Time ◽  
Visual Field ◽  
Reaction Times ◽  
Study Participant ◽  
Reaction Time Task ◽  
Right Visual Field ◽  
Time Variability ◽  
Incentive Condition ◽  
Reaction Time Variability ◽  
The Right

Abstract Background. We investigated whether adults with attention-deficit/hyperactivity disorder (ADHD) show pseudoneglect—preferential allocation of attention to the left visual field (LVF) and a resulting slowing of mean reaction times (MRTs) in the right visual field (RVF), characteristic of neurotypical (NT) individuals —and whether lateralization of attention is modulated by presentation speed and incentives. Method. Fast Task, a four-choice reaction-time task where stimuli were presented in LVF or RVF, was used to investigate differences in MRT and reaction time variability (RTV) in adults with ADHD (n = 43) and NT adults (n = 46) between a slow/no-incentive and fast/incentive condition. In the lateralization analyses, pseudoneglect was assessed based on MRT, which was calculated separately for the LVF and RVF for each condition and each study participant. Results. Adults with ADHD had overall slower MRT and increased RTV relative to NT. MRT and RTV improved under the fast/incentive condition. Both groups showed RVF-slowing with no between-group or between-conditions differences in RVF-slowing. Conclusion. Adults with ADHD exhibited pseudoneglect, a NT pattern of lateralization of attention, which was not attenuated by presentation speed and incentives.

On the Relation between Visual Spatial Attention and Visual Field Asymmetries

1992 ◽  
Vol 44 (3) ◽  
pp. 529-555 ◽  
Author(s):  
T. A Mondor ◽  
M.P. Bryden
Keyword(s):  
Visual Field ◽  
Visual Attention ◽  
Visual Fields ◽  
Stimulus Onset ◽  
Right Visual Field ◽  
Structural Factors ◽  
Letter Identification ◽  
Functional Capabilities ◽  
Visual Spatial ◽  
The Right

In the typical visual laterality experiment, words and letters are more rapidly and accurately identified in the right visual field than in the left. However, while such studies usually control fixation, the deployment of visual attention is rarely restricted. The present studies investigated the influence of visual attention on the visual field asymmetries normally observed in single-letter identification and lexical decision tasks. Attention was controlled using a peripheral cue that provided advance knowledge of the location of the forthcoming stimulus. The time period between the onset of the cue and the onset of the stimulus (Stimulus Onset Asynchrony—SOA) was varied, such that the time available for attention to focus upon the location was controlled. At short SO As a right visual field advantage for identifying single letters and for making lexical decisions was apparent. However, at longer SOAs letters and words presented in the two visual fields were identified equally well. It is concluded that visual field advantages arise from an interaction of attentional and structural factors and that the attentional component in visual field asymmetries must be controlled in order to approximate more closely a true assessment of the relative functional capabilities of the right and left cerebral hemispheres.

scholarly journals Chronic (Rasmussen’s) Encephalitis in an Adult

2003 ◽  
Vol 30 (3) ◽  
pp. 263-265 ◽  
Author(s):  
Richard Wennberg ◽  
Sukriti Nag ◽  
Mary-Pat McAndrews ◽  
Andres M. Lozano ◽  
Richard Farb ◽  
...  
Keyword(s):  
Visual Field ◽  
Right Visual Field ◽  
Loss Of Consciousness ◽  
Mild Head Injury ◽  
Partial Seizures ◽  
Complex Partial Seizures ◽  
The Past ◽  
Rasmussen’S Encephalitis ◽  
The Face ◽  
The Right

A 24-year-old woman was referred because of incompletely-controlled complex partial seizures. Her seizures had started at age 21, after a mild head injury with brief loss of consciousness incurred in a biking accident, and were characterized by a sensation of bright flashing lights in the right visual field, followed by numbness and tingling in the right foot, spreading up the leg and to the arm, ultimately involving the entire right side, including the face. Occasionally they spread further to involve right facial twitching with jerking of the right arm and leg, loss of awareness and, at the onset of her epilepsy, rare secondarily generalized convulsions. Seizure frequency averaged three to four per month. She was initially treated with phenytoin and clobazam and subsequently changed to carbamazepine 800 milligrams per day. She also complained that her right side was no longer as strong as her left and that it was also numb, especially the leg, but felt that this weakness had stabilized or improved slightly over the past two years.

scholarly journals Valsalva Retinopathy Associated with Sexual Activity

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Khalid Al Rubaie ◽  
J. Fernando Arevalo
Keyword(s):  
Visual Acuity ◽  
Sexual Activity ◽  
Vision Loss ◽  
Internal Limiting Membrane ◽  
Internal Limiting Membrane Peeling ◽  
Sudden Loss ◽  
Initial Visual Acuity ◽  
Pars Plana ◽  
23 Gauge ◽  
The Right

A 54-year-old healthy male presented complaining of sudden loss of vision in the right eye. Initial visual acuity was counting fingers. The patient’s acute vision loss developed after sexual activity. Color fundus photos and fluorescein angiography were performed showing a large subinternal limiting membrane hemorrhage in the macular area. A 23-gauge sutureless pars plana vitrectomy with brilliant blue assisted internal limiting membrane peeling was performed with best-corrected visual acuity recovery to 20/50 at 6 months of followup.

Lateral Onset Asynchrony in Left-Handers

1976 ◽  
Vol 43 (1) ◽  
pp. 255-259 ◽  
Author(s):  
Takeshi Hatta
Keyword(s):  
Visual Field ◽  
Standard Stimulus ◽  
The Other ◽  
Right Visual Field ◽  
Left Handed ◽  
The Right ◽  
Onset Asynchrony

Study of matching judgment was designed to demonstrate an effect of lateral onset asynchrony in left-handed subjects, 7 males and 8 females. Japanese Hirakana letters or random forms were presented to one visual field first and to the other visual field second. 15 left-handers were requested to judge whether the successively presented stimuli were “same” or “different.” The results showed that for both types of stimuli there are no differences in accuracy of matching judgment whether the standard stimulus was presented to the right visual field first or to the left. These results indicate that the left-handed subjects may have a tendency toward hemispheric equi-potentiality for recognition of both verbal and non-verbal materials.

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