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Neurology Exam Prep Podcast

Episode 50: Monocular Vision Loss, Part 2

Oct 29, 2022
Explore monocular vision loss, optic neuropathies, relative afferent pupillary defect, optic nerve swelling causes, CSF abnormalities, papilledema assessment, and mitochondrial factors in optic neuropathies in an educational neurology podcast for residents.
55:37

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Quick takeaways

  • A relative afferent pupillary defect indicates retinal or optic nerve issues in monocular vision loss.
  • Evaluating optic nerve appearances helps localize optic neuropathies in patients with monocular vision loss.

Deep dives

Differentiating between Monocular and Binocular Vision Loss

Assessing vision loss requires considering whether the problem is monocular or binocular. Monocular vision loss may originate from issues in the eyeball or the optic nerve, while binocular vision loss can involve structures like the optic chiasm, optic tracts, and primary visual cortex. Examination techniques and patient symptoms play crucial roles in determining the site of the vision loss.

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