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Query: UMLS:C0344232 (blurred vision)
 2,072 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The use of B-scan ultrasonography in the diagnosis of oral contraceptive-related optic neuritis is presented. A 23-year-old woman complaining of pain in the right upper eyelid, followed by blurred vision in that eye, of approximately 6 days duration claimed to be in good health and took no medication but an oral contraceptive. In light of visual field changes, noted upon clinical examination, and positive Marcus-Gunn swinging flashlight test results, it was decided to compare optic nerve images with the Bronson-Turner B-scan ultrasonogram. The test disclosed a definite enlargement of the right optic nerve as seen in retrobulbar neuritis (figures included). A tentative diagnosis of optic neuritis secondary to oral contraceptive use seemed born out by the reversion to normal of the optic nerve after discontinuation of oral contraceptive therapy.
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PMID:B-scan ultrasonography in the diagnosis of oral-contraceptive related optic neuritis. 45 3

All patients presenting with neurological problems to an eye hospital casualty department over one year were prospectively studied. A total of 119 patients were identified. The most frequent diagnoses were retrobulbar neuritis (34; 28.5%), sixth cranial nerve palsy (22; 18.5%), third cranial nerve palsy (15; 12.6%) and Adie's tonic pupil (11; 9%). Cranial nerve palsies were most commonly due to diabetes or hypertension (16; 43.2%). Only one intracranial aneurysm was found. Symptoms included blurred vision (52; 43.7%), binocular diplopia (51; 42.8%), and eye pain (27; 22.7%). Fifty patients (42.0%) were referred by a general medical practitioner. Twenty-two (18.5%) were admitted to hospital. Forty-nine skull X-rays were requested and all were normal. Twenty-nine chest X-rays were requested. One (3.4%) showed an abnormality (carcinoma of the bronchus). Neurological patients present to ophthalmic casualty departments because of ophthalmic symptoms. Ophthalmic casualty officers are able to make working diagnoses and to direct patients appropriately. The use of investigations in the casualty department, however, is unlikely to be productive.
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PMID:Neurological problems presenting to an ophthalmic casualty department. 148 76

A case of neurobrucellosis complicated by optic, abducens and vestibulocochlear nerve palsies is reported. Brucella melitensis was isolated in the cerebrospinal fluid, and the patient was diagnosed with retrobulbar neuritis. Despite medical treatment, the patient developed optic atrophy. Multiple cranial nerve involvement should be kept in mind in patients presenting with blurred vision and double vision, especially in regions where brucellosis is endemic.
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PMID:Multiple cranial nerve involvement caused by Brucella melitensis. 1959 97