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  Neuro-Ophthalmology Print

Please click on the session title to review a summary of the topics to be discussed
Friday, April 5, 2013
 
16:45-18:15
 
Moderators: A. Kesler, Israel; A. Lee, USA
16:45-17:10
Debate: Is there any treatment for NAION?
  a) Steroids: A. Lee, USA
  b) Hemodilution: J. Somlai, Hungary
  c) Intravitreal bevacizumab/ranibizumab : A. Arnold, USA
 
d) Erythropoietin: N. Miller, USA
e) Electrophysiological methods for evaluation of subclinical functional abnormalities in the visual pathway in patients with type I diabetes mellitus: M. Janaky, Hungary
 
f) Conclusion: A. Kesler, Israel; M. Janaky, Hungary and A. Lee, USA
17:10-17:55 Debate: Pseudotumor cerebri, idiopathic intracranial hypertension and venous sinus stenosis
  1) In a patient with typical IIH, do you get an MRV?
  a) Yes: S. Tow, Singapore
  b) No: A. Arnold, USA
  2) If the MRV shows VST, how do you treat the patients?
  a) If the patient has moderate papilledema but no optic neuropathy
  1) Medical stenting: A. Kesler, Israel
  2) Stenting: N. Miller, USA
  b) If the patient has moderate papilledema with evidence of an optic neuropathy
  1) Medical therapy: J. Somlai, Hungary
  2) Non-stent surgery (eg, ONSF, shunt): A. Arnold, USA
  3) Stenting: A. Lee, USA
  c) For those who stent, does your decision depend on what happens after you lower ICP?
  1) Yes: N. Miller, USA
  2) No: A. Lee, USA
  d) For those who stent, does it matter if there is a gradient?
  1) Yes: N. Miller, USA
  2) No: A. Arnold, USA
 
e) Conclusion: A. Kesler, Israel; M. Janaky, Hungary and A. Lee, USA
17:55-18:15
Case presentations
  Moderator: N. Miller, USA
 
1) Child with congenital nystagmus (classification and treatment options)
A. Kesler, Israel
 
2) Older adult with isolated esotropia and abduction weakness
A. Lee, USA
 
3) Young adult woman with acute optic neuritis (initial eval, treatment; recurrence issue)
A. Arnold, USA and S. Tow, Singapore
 
4) Young adult woman with bilateral steroid-sensitive, steroid-dependent optic neuritis
J. Somlai, Hungary
 
5) Older adult with acute CRAO
A. Arnold, USA
 
6) Young man with LHON (as well as patient's asymptomatic brother)
A. Lee, USA
 
7) Elderly woman with acute diplopia, scalp tenderness, and fatigue
A. Kesler, Israel and A. Lee, USA
Saturday, April 6, 2013
 
16:30-18:00
 
Moderators: A. Arnold, USA; J. Somlai, Hungary
16:30-16:50
Is there any treatment for traumatic optic neuropathy?
  a) Steroids (including how much): J. Somlai, Hungary
  b) Treat with surgery (immediately? After steroids? After time?): A. Arnold, USA
  c) Other: N. Miller, USA
  d) There is no treatment: S. Tow, Singapore
 
3) Conclusions: A. Arnold, USA; M. Janaky, Hungary and J. Somlai, Hungary
16:50-17:10 What is the optimum treatment for ocular myasthenia gravis?
  a) Mestinon: A. Kesler, Israel
  b) Systemic steroids: A. Lee, USA
  c) Non-steroidal immunosuppressive agent (eg, Cellcept, Imuran) (with or without steroids): J. Somlai, Hungary
 
d) Conclusions: A. Arnold, USA; M. Janaky, Hungary and J. Somlai, Hungary
17:10-18:00
Case presentations
  Moderator: N. Miller, USA
 
1) A child with chiasmal glioma
A. Arnold, USA; A. Kesler, Israel and S. Tow, Singapore
 
2) A young adult with NAION
A. Kesler, Israel
 
3) An older adult with NAION on amiodarone
A. Lee, USA
 
4) An older adult with NAION who used an erectile dysfunction drug the night before
A. Arnold, USA
 
5) An older adult with NAION and obstructive sleep apnea
A. Kesler, Israel
 
6) An older adult with recurrrent NAION
J. Somlai, Hungary
 
7) Threshold for treating a middle-aged woman with a presumed optic nerve sheath meninglioma
A. Lee, USA
 
8) A child with Horner syndrome
A. Kesler, Israel; A. Arnold, USA and S. Tow, Singapore

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