Migraine and the Eye — Flashcards

Flashcard 1: Anisocoria that increases in bright light and responds to diluted pilocarpine should point you to the diagnosis of _____

Answer: Adie pupil

Flashcard 2: Pupillary light reflex is sluggish in _____

Answer: papillitis (papillitis/papilledema)

Flashcard 3: Which visual field defect is most likely to occur with multiple sclerosis?_____

Answer: Central scotoma

Flashcard 4: Anisocoria that increases in bright light and responds to 1% pilocarpine should point you to the diagnosis of _____

Answer: third nerve palsy

Flashcard 5: Established papilledema may lead to a _____ or dome-shaped disc, and appearance of a macular fan

Answer: mushroom

Flashcard 6: Anterior ischemic optic neuropathy (AION) can be due to two types, _____ and non-arteritic (more common)

Answer: Arteritic

Flashcard 7: Giant cell arteritis (GCA) is most commonly associated with which type of optic neuropathy?

Answer: Arteritic Anterior Ischemic Optic Neuropathy (A-AION)

Extra: Giant cell arteritis is strongly associated with polymyalgia rheumatica (PMR). Approximately 50% of patients with GCA have clinical features of PMR.

Flashcard 8: _____ is a condition of abnormal myelination of the nerve fibers of the retina, where myelination continues beyond lamina cribrosa and spreads into the retina beyond the optic disc.

Answer: Medullated nerve fibers (optic disc medullation)

Flashcard 9: _____ sign is seen in optic nerve hypoplasia

Answer: Double-ring

Flashcard 10: Hyperemic optic disc with telangiectatic (non-leaky on FFA) capillaries is suggestive of _____.

Answer: LHON