Fluorescein Video Angiography of the Ocular Circulation ：的荧光素血管造影眼部循环的视频.pptVIP

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Fluorescein Video Angiography of the Ocular Circulation ：的荧光素血管造影眼部循环的视频.ppt

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Fluorescein Video Angiography of the Ocular Circulation ：的荧光素血管造影眼部循环的视频

Causes of an Irregular Pupil the iris tissue itself – muscle and stroma nerve causes – segmental denervation or aberrant re-innervation of either parasympathetic or sympathetic nerves central nervous system (rare) – midbrain “corectopia” and brainstem herniation Iris Causes of an Irregular Pupil Nerve Causes of an Irregular Pupil Nerve Causes of an Irregular Pupil Nerve Causes of an Irregular Pupil Nerve Causes of an Irregular Pupil CNS Causes of an Irregular Pupil Causes of an Irregular Pupil the iris tissue itself – muscle and stroma nerve causes – segmental denervation or aberrant re-innervation of either parasympathetic or sympathetic nerves central nervous system (rare) – midbrain “corectopia” and brainstem herniation * * Neuro-Ophthalmology Division Department of Ophthalmology and Visual Science VA and University Hospital, Iowa City, Iowa Rieger’s ICE ICE Axonfeld’s/Rieger’s Sphincter tears Ischemia Zoster Post surgical Coloboma Iris Synechia Ectropian Uveae Iris Tumor/Cyst The iris tissue itself – muscle and stroma postganglionic sympathetic denervation of the iris dilator light dark 3 seconds dark 8 seconds postganglionic sympathetic denervation of the iris dilator and aberrant re-innervation of some dilator sectors light dark 5 seconds in dark, “swallowing” Nerve Causes of an Irregular Pupil postganglionic sympathetic denervation of the iris dilator and aberrant re-innervation of some dilator sectors light dark 5 seconds video in dark, swallowing cold water segmental sympathetic pulling on the dilator “tadpole pupil” segmental sympathetic pulling on the dilator tadpole pupil video Dark Bright Light Near Chronic “Little Old Adie’s Pupil” Nerve Causes of an Irregular Pupil abnormal parasympathetic innervation to the sphincter Infrared transillumination Infrared front illumination Dark Near 0.5% tropicamide Midbrain “Corectopia” Selhorst et al, Arch Neurol 33,193, 1976 The oval pupil: relationship to intracranial hypertension Marshall et al,