Case #51 – Multi-Spectral Imaging (MSI) of choroidal lesions in NF

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References1. Segal, Laura, Mahshad Darvish-Zargar, Marie-Emmanuelle Dilenge, June Ortenberg, and Robert C. Polomeno, “Optic Pathway Gliomas in Patients with Neurofibromatosis Type 1: Follow-up of 44 Patients.” Journal of American Association for Pediatric Ophthalmology and Strabismus 14.2 (2010): 155-58. Print.2. Mumoli, N., M. Cei, C. Bartolomei, and V. Pirillo. “A Patient with Loss of Vision in

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Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a

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Comments and Conclusions• Choroidal lesions in NF1, although invisible to ophthalmoscopy, may be rather common when imaged with MSI.• Since all lesions in NF1 can convert from benign to malignant, MSI is an ideal technology to monitor NF1 patients.• MSI may uncover myriad other choroidal and RPE abnormalities which are invisible to ophthalmoscopy.• Enhanced depth

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Case 1: OptoVue IVue Pachymetry Corneal thickness was measured with the iVue OCT and found to be normal. Since glaucoma is an unlikely diagnosis, what else should we consider? As mentioned earlier, an optic nerve glioma in NF patients is not rare. A literature review reviews that 15% of patients with NF

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Case 1: Optovue Ganglion Cell Complex OU The GCC in the right eye is compared to the GCC in the left eye. Note that the green donut is brighter (really thicker) in the left eye. Normal inter-eye differences are generally below 10um but here the difference is 12um.What is the etiology of the

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Case 1: Topcon Fundus Image and Zeiss Cirrus Ganglion Cell Analysis Overlay The RNFL reduction in the temporal quadrant of the right eye corresponds to the Ganglion reduction in the nasal macula zone. The fibers running from the macula to the temporal quadrant of the disc comprise the papillo-macula bundle (PMB). Reduction of ganglion cells

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Case 1: Zeiss Humphrey Visual Field and Zeiss Cirrus RNFL Analysis OU Although the central visual fields were found to be normal and symmetric in each eye, the RNFL as measured with the Zeiss Cirrus is abnormal in the right eye but normal in the left eye.

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