Disseminated Sclerosis (Multiple Sclerosis) 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 545h76f 375
General: Disseminated demyelination affecting white matter of the brain, spinal cord, and optic nerves; etiology unknown.
Ocular: Nystagmus; ptosis; myokymia; optic atrophy; papillitis; optic neuritis; anisocoria; Argyll Robertson pupil; Marcus Gunn pupil; hippus, decreased or absent papillary reaction to light; periphlebitis; visual field defects; gaze palsy; paralysis of third or sixth nerve; uveitis; oscillopsia; Uhthoff symptom (reduction of visual acuity with exercise or ocular hyperthermia); pars itis; retinal venous sheathing; retinitis; granulomatous uveitis.
Clinical: Incoordination; paresthesia; spasticity; tic douloureux; urinary frequency and infections; progressive disability; paralysis; death.
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Fraunfelder FT, Roy FH. Current Ocular Therapy, 5th ed. Philadelphia: WB Saunders, 2000.
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Lim JI, et al. Anterior granulomatous uveitis in patients with multiple sclerosis. Ophthalmology 1991; 98:142-l45.
Lucarelli MJ, et al. Immunopathologic features of retinal lesions in multiple sclerosis. Ophthalmology 1991; 98: 1652-l656.
Maninowski SM, et al. The association of HLA-B8, B51, DR2, and multiple sclerosis in pars itis. Ophthalmology 1993; 100:1199-l205.
Tabira T, et al. Multiple sclerosis cerebrospinal fluid produces myelin lesions in tadpole optic nerves. N Engl J Med 1976; 295:644-649.
Wikstrom J, et al. Optic neuritis as an initial symptom in multiple sclerosis. Acta Neurol Scand 1980; 61:178-l85.
Williams, KE,
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