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Doctor insights on: Unilateral Exophthalmos

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What could cause sudden onset persistent bilateral para-central scotomas and left eye dominant bilateral nasal corectopia?

What could cause sudden onset persistent bilateral para-central scotomas and left eye dominant bilateral nasal corectopia?

Many possibilities: Bilateral para-central scotomas could be due to brain issue or due to symmetric retinal disease. Corectopia means your pupil is not in the center and is not likely related to the other problem. Hopefully your ophthalmologist is doing the appropriate evaluation and/or referal for these findings. ...Read more

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What causes bitemporal heteronymous hemianopsia?

What causes bitemporal heteronymous hemianopsia?

Chiasmal lesions: Most common is a lesion affecting the optic chasm. There are other causes...You need a full work up with MRI by your eye care physician to pinpoint exactly what cause may be. Please seek out care. ...Read more

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Can Chiari Malformation cause unilateral eyelid/eyebrow drooping. The severity of drooping changes ?

Can Chiari Malformation cause unilateral eyelid/eyebrow drooping. The severity of drooping changes ?

Chiari: Can cause unilateral ptosis. But other conditions should be excluded (like Myesthenia Graviis ) I suggest you see a neurologist to sort this out. ...Read more

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Causes of bitemporal hemianopia?

Causes of bitemporal hemianopia?

Pituitary disease: Most losses in the bitemporal pattern - partial or complete - originate with tumors of the pituitary gland pressing on the optic nerve chiasm. There are a few rare cases with this pattern from vascular malformations and tumors like meningioma. ...Read more

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Fluctuating unilateral eyebrow ptosis hx of Chiari & IIH can it be related? Myasthenia Gravis r/o what can cause this ptosis The drooping is bad

Fluctuating unilateral eyebrow ptosis hx of Chiari & IIH can it be related? Myasthenia Gravis r/o what can cause this ptosis   The drooping is bad

More information: Myasthenia can cause ptosis but on other spectrum from these other disorders mentioned. I would be curious to know if you have any surgery for the chiari? Something as simple as bells palsy can cause drooping as well. If this is a new and sudden symptoms, then you should seek care. ...Read more

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Enlarged perivascular space in basal ganglia. Is by any cranial nerves? Double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus

Enlarged perivascular space in basal ganglia. Is by any cranial nerves? Double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus

Neurologic issues: None of what you describe is normal. I would suggest that you seek the opinion of both the Neurologist and the Neurosurgeon and possibly the Interventional Neuroradiologist. ...Read more

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Monocular ocular allergies causes?

Monocular ocular allergies causes?

Dust?: Dust or another allergen could be introduced into one eye under unusual circumstances and cause symptoms in one eye. Make up introduced into one eye is also possible causing a contact reaction. Contact lens solution could be the culprit if you use a contact lens in one eye only. You may have infectious conjunctivitis and not allergic conjunctivitis. An antibiotic may be needed. See your md. ...Read more

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Can decompression surgery for chiari malformation 1 relieve vision problems/issues (like blurry/double vision or seeing flashes) caused by chiari?

Can decompression surgery for chiari malformation 1 relieve vision problems/issues (like blurry/double vision or seeing flashes) caused by chiari?

Depends: The goal of Chiara surgery is to restore the normal pattern of CSF flow & thereby prevent further deterioration of the visual (& balance) symptoms of the ACM malformation. Whether this helps existing symptoms depends on how long those symptoms have been present, the type of surgery contemplated, it's success rate, age, & underlying factors. It's a question to ask the neurologist who knows you best ...Read more

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Blurred vision.T2 hyperintense focus 0.25cmx0.36cmx0.4cm.Bilateral globes-normal.No contrast enhancement.No significant proptosis seen. what can it be?

MRI review: There are many possible causes of a very small hyperintense focus on an MRI, but they are unlikely to be the source of your blurred vision. Review of the image is needed to describe what that finding could represent. ...Read more

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Monocular diplopia associated with astigmatism--any treatment?

Monocular diplopia associated with astigmatism--any treatment?

Depends on cause: Most cases of monocular diplopia are caused by dysfunctional tear syndrome. The first step is to assess and treat tear film abnomality. Next common causes are lens abnormalities. Corneal irregularities also cause this most are obvious but some can only be discovered with computerized analysis of the cornea. Retinal edema can cause this as can optic nerve disease but with decreased vision. ...Read more

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Can optic nerve head drusen cause sudden unilateral loss of peripheral vision due to a spontaneous vascular event?

Can optic nerve head drusen cause sudden unilateral loss of peripheral vision due to a spontaneous vascular event?

Disc Drusen: I am not aware of any association between optic nerve drusen and sudden unilateral vision loss from a vascular event. A vascular event should be evaluated and treated the same as if the disc drusen were not there. ...Read more

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What causes of unilateral testicular swelling after bilateral inguinal hernioplasty?

What causes of unilateral testicular swelling after bilateral inguinal hernioplasty?

Extent of hernia: The size, extent of hernia would require more dissection, resulting in more swelling on the involved side. You should see your surgeon who can advise you better since he was there doing the procedure. ...Read more

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What is cortical vision impairment (cvi)?

What is cortical vision impairment (cvi)?

Pbm in brain not eye: The term cortical vision impairment implys that there is a problem with the brain cortex (outer cell layer) that interprets the imput of the eye and visual nerve inputs.This is similar to having a good video camera, cables and system but the no screen to display the input in a way you can understand it. ...Read more

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Can constant nystagmus cause eye floaters? The nystagmus is caused by a inner ear disorder.

Can constant nystagmus cause eye floaters? The nystagmus is caused by a inner ear disorder.

Unlikely. Nystagmus : Is an involuntary movement of the eye. It can be seen in both normal and pathologic or disease states. It is unlikely that significant torsional or tractional forces exist in such movements such that floaters could be significantly worsened. Theoretically, it is possible to develop a separation of the vitreous while having nystagmus. Age is the real culprit with floaters. ...Read more

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Optic Nerve RNFL OCT shows thinning temporal- both eyes, 20/20 both eyes, IOP 17 both eyes. Retinal exam normal. Is this significant

Optic Nerve RNFL OCT shows thinning temporal- both eyes, 20/20 both eyes, IOP 17 both eyes. Retinal exam normal. Is this significant

Response: Since all you provide are some brief findings regarding your retinas, I must conclude these tests were obtained due to some neurological symptoms. These results could be part of Multiple Sclerosis, if other signs and symptoms support the diagnosis. The thinning of the RNFL is notable, and should be followed up. Would a Concierge visit allow more in depth understanding? ...Read more