By Lanning B. Kline, MD
A patient-centered method of the prognosis and remedy of significant neuro-ophthalmic stipulations. concentrating on very important offering symptoms, this publication leads the reader during the occasionally sophisticated manifestations of neuro-ophthalmic affliction to anatomic localization of lesions and definitive prognosis. additionally comprises an summary of the anatomy of the visible pathway, directions for undertaking the neuro-ophthalmic exam and acceptable use of diagnostic imaging reviews.
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Additional resources for 2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009)
5 mm of the optic disc. The myelin investment is part of the membrane of oligodendrocytes that join the nerve posterior to the sclera. The intraorbital optic nerve extends approximately 28 mm back to the optic canal. The extra length of the intraorbital optic nerve allows unimpeded globe rotation as well as axial shifts within the orbit. The central retinal artery and vein travel within the anterior 10-12 mm of the optic nerve. The central retinal artery supplies only a minor portion of the optic nerve circulation; most of the blood supply comes from pial branches of the surrounding arachnoid, which is in turn supplied by small branches of the ophthalmic artery.
New York: Springer; An Introduction 2nd ed. vol 1. Clillical 200 I. to Its Functional Anatomy. 5th ed. St Louis: Mosby; 2002. Rootman ), Stewart B, Goldberg Lippincott; 1995. Afferent Visual RA. Orbital Surgery: A Conceptual Approach. Philadelphia: Pathways The afferent visual pathways, which are responsible for mapping the outside world onto our consciousness, begin with the anterior segment, which refracts light onto the retina. ) It is important to recognize that any disturbance in afferent function may result in the same complaints of visual loss seen with pathology affecting the retina, optic nerve, and visual pathways.
Cells in this area are mostly binocularly driven and are sensitive to motion and direction. V4, 30 . 13 A, Left occipital cortex showing location of striate cortex within the calcarine fissure (running between arrows). The boundary (dashed line) between striate cortex (V1)and extrastriate cortex (V2) contains the representation of the vertical meridian. B, View of striate cortex after lips of the calcarine fissure are opened. Oashed lines indicate the coordinates of the visual field map. The representation of the horizontal meridian runs approximately along the base of the calcarine fissure.
2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009) by Lanning B. Kline, MD