AIMS To find out whether the size of the blind spot area, determined by static perimetry, depends on the surface topography of the optic disc and its surrounding area. METHODS Ten eyes were examined; all had a parapapillary atrophy adjacent to the temporal side of the disc. Microperimetry was performed under direct fundus control using a Rodenstock scanning laser ophthalmoscope. The horizonta...

Injury to the optic nerve leading to optic atrophy may be direct or indirect. Direct injury may result from laceration of the nerve fibres by a missile or sharp instrument penetrating the orbit, by a displaced fragment of bone in fracture of the optic canal, or by avulsion of the nerve at the globe. Indirect injury is well recognized in contusion injuries of the head, especially the brow, and i...

CASE REPORT A 42-year-old man was diagnosed with band or "bow tie" optic atrophy with a right homonymous hemianopia. Computerized tomography (CT) revealed a calcified lesion in the left hippocampus. Craniotomy and tumor resection were performed. The biopsy revealed a subependymoma of the temporal horn of the left ventricular system. DISCUSSION Optic tract lesions are uncommon clinical entitie...

BACKGROUND/OBJECTIVE The elderly have suffered from visual impairment for thousands of years. This report evaluates the first documented cases of visual disability in the elderly as described in the Bible. RESULTS Three old men suffered from a gradual loss of vision. It is more likely that either mature cataract, or age-related macular degeneration, or asymptomatic open-angle glaucoma, or isc...

ANEURYSMS of the ophthalmic artery are very rare (Lange-Cosack, 1966). The subject has recently been reviewed by Tonnis and Walter (1966). Mortada (1961) reported a fusiform aneurysm of the ophthalmic artery as the cause of exophthalmos which may be added to their list. At the Neurosurgical Clinic, Helsinki, this rare lesion was diagnosed only twice among 1,343 patients with 1,601 intracranial ...

A congenital anomaly, optic nerve pit is often associated with serous retinal detachment involving macula. Long standing serous detachment leads to outer retinal atrophy and decrease in visual sensitivity. Recently, spectral-domain optical coherence tomography (OCT) has been reported to demonstrate a communication between the optic nerve sheath and the subretinal space. Vitreous cavity is propo...

For many years, dating back to about 1930, neurosyphilis in general and primary optic atrophy of syphilitic origin in particular have been the subjects of special interest and repeated study in the Syphilis Division of the Department of Medicine and the Department of Ophthalmology of the Johns Hopkins Hospital. As to optic atrophy, Moore, Woods, and myself are responsible for the concepts and d...

Fifty consecutive patients with clinically definite multiple sclerosis were studied to assess the prevalence of concomitant uveitis. Asymptomatic ocular inflammatory changes were found in nine patients (18%) and appeared to show a positive correlation with severe and progressive disease. Conversely uveitis was uncommon in the presence of established optic atrophy which suggests a negative influ...

PURPOSE INTRODUCTION TO THE OPHTHALMIC LITERATURE OF AN UNUSUAL CAUSE OF PAPILLEDEMA AND SUBSEQUENT OPTIC ATROPHY: X-linked hypophosphatemic rickets (XLH). METHODS Case report of a 3-year-old female presenting with papilledema resulting from craniosynostosis secondary to XLH. RESULTS Early intervention with craniofacial surgery prevented the development of optic atrophy. CONCLUSION Childr...

For many years, dating back to about 1930, neurosyphilis in general and primary optic atrophy of syphilitic origin in particular have been the subjects of special interest and repeated study in the Syphilis Division of the Department of Medicine and the Department of Ophthalmology of the Johns Hopkins Hospital. As to optic atrophy, Moore, Woods, and myself are responsible for the concepts and d...