By Lanning B. Kline, MD
Presents a symptom-driven method of the prognosis and remedy of significant neuro-ophthalmic stipulations. With the point of interest at the sufferer, this publication emphasizes exam and applicable adjunctive experiences, together with a dialogue of diagnostic imaging modalities, and leads the reader in the course of the occasionally refined manifestations of neuro-ophthalmic affliction to anatomical localization of lesions and definitive analysis. an outline of the anatomy of visible pathways is observed via many illustrations. final significant revision 2009 2010.
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Extra info for 2011-2012 Basic and Clinical Science Course, Section 5: Neuro-Ophthalmology (Basic & Clinical Science Course)
The glial CHAPTER 1: Neuro-Ophthalmic Anatomy. 29 su pport cell s-Muller cells and astrocytes-also affect image p rocessing an d probably play a metabolic role as we ll. One of th e primary anatomical features of retinal organization in the primate is th e var iab le ratio of photoreceptor cells to ganglion cells. The ra ti o is highest in th e periphery (at more th an 1000:1) and lowest at th e fovea (where a gan glion cell may receive a signal from a single cone). Thi s ratio underlies the in crease in receptor field wi th increasing eccentri city and the maximal spati al resolutio n at the fove a.
1997;95:579-609. Trobe }D. The Neurology oj Visioll. New York: Oxford University Press; 200 I. Efferent Visual S stem (Ocular Motor Pathwa sl OUf understanding of the anatom ica l pathways of the ocular motor system is incomplete. Nevertheless, detailed anatomical, phys iologic, and pathologic kn owledge of the ocular motor system has increased dramatica ll y over the past several years due to results derived from primate model experiments, human electrophysiology testing, functiona l mag netic reso nance im ag ing (tM RI) studies, an d the c1i nical -pathologic-radiologic correlat io n of patients with documented eye movement abnormalities.
Optic Chiasm The optic chias m measures approximately 12 mm wide, 8 mm long in the anteroposter ior direction, and 4 mm thick (Fig 1-19). It is inclined at almost 45" and is supplied by small branches off the proximal ante rior cerebral and anterior commun icating arter ies. The chi- as m is located just anterior to the hypot halamus and the anterior third ve ntricle (formi ng part of its anterior wa ll an d caus ing an invaginati on) and app roximately 10 mm above the sella. The exact location of the chiasm with respec t to the sella is va ri able.
2011-2012 Basic and Clinical Science Course, Section 5: Neuro-Ophthalmology (Basic & Clinical Science Course) by Lanning B. Kline, MD