By Ulrich Schiefer, Helmut Wilhelm, William Hart, W. Hart, W.F. Hoyt
This booklet covers all correct options of prognosis in addition to interpretations of scientific symptoms in medical Neuro-Ophthalmology. All details is extremely based, highlighting ‘definition’, ‘note’ and ‘pearl’, in order that it may even be utilized by the medical professional through the sufferer stumble upon. The integrated circulation chart posters remind the healthcare professional of crucial details. extra, the accompanying lively CD includes: the entire textual content passages in a searchable layout, interactive case demonstrations, lively sequences of medical symptoms and video recordings of medical examinations. This distinctive and functional advisor bargains beneficial and useful suggestion for physicians treating sufferers with neuro-ophthalmic problems.
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Additional info for Clinical Neuro-Ophthalmology [electronic resource]: A Practical Guide
They pass through the optic chiasm with decussation of more than one half of the fibers to the contralateral side, and pass through the optic tracts to the lateral geniculate body, where they terminate. 2 million ganglion cells (per eye). Their axons form the retinal nerve fiber layer, just deep to the internal limiting membrane. They are characterized by a widely fanned-out shape that skirts the macula, and they then converge at the margin of the optic disc. Their spatial arrangement gives rise to a typical pattern when disease damages associated groups of fibers at the disc margins: The fibers arriving at the temporal sectors of the disc margin arise from cell bodies located either above or below the temporal horizon- Functional Anatomy of the Human Visual Pathway tal raphe, which they “respect,” or do not cross, but form superior and inferior arcuate shapes that converge as they approach the disc.
It is thought that the tendency to spare the macular region (particularly for infarctions of the tissue supplied by the posterior cerebral artery) is related to the watershed zone phenomenon. When the macular cortical representation located at the posterior tip of the occipital lobe lies within a region of collateral supply from the middle cerebral artery, a significant portion of the macular hemifield can be spared. By convention, the term of macular sparing means that an area of at least 3° of radius from fixation has been spared.
Schiller, W. 7. Comparison of the units of stimulus intensity for various perimeters. In the left-hand column are values for the comparable test objects of the Goldmann perimeter. TMP Tübingen manual perimeter, TAP Tübingen automated perimeter. 2) 37 Chapter 4 U. Schiefer, J. Schiller, W. Hart efining the locations and depths of small scotomas, and d can be used for sequential exams to follow the course of the profile along the changing boundaries of scotomas or even at the foveal projection at the visual field’s center.