[Incidence of vision disorders and eye diseases in preschool children in kindergartens of Prague in the school year 1966-1967].
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A questionnaire for the subjective assessment of cerebral visual disorders was administered to 269 brain damaged patients. The patients' subjective complaints were correlated with the outcome of objective diagnostic procedures (visual perimetry, visual search, spatial contrast sensitivity, visual evoked potentials, depth perception, light- and dark-adaptation, reading, colour vision). A significant correlation was found between subjective complaints and objective diagnostic results for all fields. The prediction of visual impairments on the basis of subjective complaints and verified by objective tests was correct in 80 to 98% of the brain damaged patients tested. Interrater reliability was about 0.84. Thus, the questionnaire is suitable for the assessment of cerebral visual disorders because of its simplicity, short administration time (10-15 min) and high predictive value.
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Anatomic elements of the retrochiasmatic pathway. Synopsis of homonymous pathway. Synopsis of homonymous hemianopia: unilateral forms [quadrant, total], bilateral forms [tunnel field, cerebral blindness], homonymous scotomas, horizontal hemianopsias, checkerboard hemianopsias, sparing of temporal crescent. Additional disorders: hemi-neglect, color agnosia, hemi-achromatopsia, alexia, abnormal optokinetic nystagmus, cog-wheel pursuit movement, hemianopic pupillary defect, statokinetic dissociation [Riddoch phenomenon], hallucinations, illusions, visual agnosia, prosopagnosia.
The association of visual disturbances and rheumatic disease has been known for centuries. This review provides a synopsis of the ocular conditions that are associated with inflammatory rheumatic disease. The major ophthalmic manifestations of the rheumatic diseases include keratoconjunctivitis sicca, ulcerative keratitis, scleritis, uveitis, retinal vascular disease, and neuro-ophthalmic lesions. Each of these ocular conditions is most characteristically associated with a few, but not all, of the rheumatic disorders. Scleritis, for example, is most often seen with rheumatoid arthritis or with vasculitis. Acute anterior uveitis is most often seen with the seronegative spondylarthropathies. Retinal vascular and neuro-ophthalmic lesions are seen with disorders having either a vaso-occlusive component, such as systemic lupus erythematosus, or with one of the vasculitides. Important considerations for a successful collaboration between ophthalmologists and physicians/rheumatologists are discussed.
The origin of unusual visual phenomena is usually located in the brain or in the brainstem. They appear with normal ophthalmologic findings. Neurologic and ophthalmologic knowledge is needed for a localizing diagnosis and neuro-imaging is most often required. Selected cases of peripherally to centrally located lesions are presented.
We report the case of a 60-year-old man who developed visual and cognitive disorders. Investigations confirmed the diagnosis of idiopathic hypereosinophilic syndrome even though the patient had a history of rectal cancer. The olinical course was favorable after treatment. We discuss the different clinical forms, imaging data and treatments of eosinphilic syndrome.