Optic Nerve

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115 Questions

Which part of the brain is the optic nerve primarily composed of?

White matter

Where do the axons of retinal ganglion cells exit the eye to form the optic nerve?

Optic nerve head

Where do the majority of canine retinal ganglion cell axons ultimately project to?

Lateral geniculate nucleus

Which type of collagen is primarily found in the extracellular matrix (ECM) of the dog LC?

Collagen type I

What is the approximate thickness of the canine central laminar?

~500 μm

Which of the following does NOT play a significant role in susceptibility to axonal damage in glaucoma?

Regional differences in pore size

What is the role of the laminar insertion zone in the dog LC?

Supporting the ONH structures

Which part of the optic nerve can be visualized on ophthalmoscopy?

The anterior-most part, the optic disc or optic papilla

Which region of the optic nerve is the longest?

The retrobulbar, orbital segment

Where do axons from the nasal retina of carnivores cross at the optic chiasm?

To the contralateral LGN and visual cortex

Why does the optic nerve represent an extremely vulnerable segment of the visual pathway?

Due to limited functional redundancy

Which artery supplies the primary blood flow to the eye in dogs?

External ophthalmic artery

What is the main determinant of the translaminar pressure gradient (TLPG)?

Intraocular pressure (IOP)

Which region of the optic nerve is more likely to be directly impacted by IOP?

Superficial and laminar layers

What is the role of the short posterior ciliary arteries in the canine optic nerve?

Supply the LC, choroid, retina, and ONH

Which species has a larger mean fiber diameter of individual axons in the intraorbital optic nerve compared to humans and monkeys?

Dogs

What is the diameter of the canine intraorbital optic nerve?

1825.8 ± 59.7 μm

What is the approximate increase in diameter of the canine optic nerve as it exits the globe?

1.4-fold

Which cell type is responsible for myelination of optic nerve axons in mammals?

Oligodendrocyte

What is the role of myelin in optic nerve axons?

Reduce neuronal energy and metabolic demands

Which region of the optic nerve is myelinated in mammals?

Posterior to the lamina cribrosa

What is the primary cell type responsible for myelination of cranial nerves (except the olfactory nerve) in mammals?

Schwann cell

Which technique is NOT generally used in veterinary patients to evaluate the optic disc?

Binocular indirect ophthalmoscopy with a headset

What is the primary color of the stimuli used in chromatic pupillometry?

Red

Which type of retinal ganglion cells are responsible for generating sustained pupillary light reflex (PLR) responses to blue stimuli?

Intrinsically photoreceptive retinal ganglion cells

What can pupillometry be useful for in determining the most appropriate diagnostic tests for acute onset blindness?

Differentiating between optic nerve diseases

Which of the following animals has the highest percentage of optic nerve axons crossing the midline at the optic chiasm?

Bird

Which of the following is NOT a location intimately associated with the optic chiasm in dogs?

Third ventricle

Which of the following reflexes is NOT used to assess vision in dogs during a neuro-ophthalmic examination?

Dazzle reflex

Which of the following statements about the pupillary light reflex (PLR) is NOT true?

It is primarily initiated by photoreceptor activity

Which ophthalmoscopy lens is considered a reasonable compromise for evaluation of the optic nerve head (ONH) in canine patients?

14D indirect ophthalmoscopy lens

What are the predicted lateral and axial magnifications when using a 14D indirect ophthalmoscopy lens for evaluation of the ONH in canine patients?

Lateral magnification: 2.6x, axial magnification: 9.03x

What feature of the ONH is easier to visualize in dogs?

Physiologic pit

What is the normal average cup to disc ratio for humans?

0.32

Which imaging technique is currently considered unreliable for measuring neuroretinal rim width and optic cup width and depth in dogs with glaucoma?

Heidelberg Retinal Tomograph cLSO system

Which imaging technique relies on comparison with a normal database, which is lacking for dogs?

Heidelberg Retinal Tomograph cLSO system

Which imaging technique is insensitive to the early phases of tissue loss in the neuroretinal rim in optic nerve degeneration and glaucomatous atrophy?

Fluorescein angiography

Which imaging technique provides exquisitely detailed images of integrity, course and perfusion defects in the microvasculature of the human optic nerve without need for intravenous injection of fluorescent dyes?

OCT angiography

Which imaging technique is considered the cross-sectional imaging technique of choice in diagnostic investigation of humans with suspected prechiasmatic optic nerve disease?

Magnetic Resonance Imaging (MRI)

What can Magnetic Resonance Imaging (MRI) be used to identify or exclude in the differential diagnosis of canine optic nerve swelling?

Intraorbital or intracranial mass lesions

What did MRI findings in dogs with optic neuritis include?

Hyperintensity of one or both optic nerves

Which breed of dog has published reports of achiasmatic optic nerves with nystagmus?

Belgian Sheepdog (Groenendael)

What is the most striking clinical feature observed in dogs with achiasmatic optic nerves?

Congenital nystagmus

Which breed of dog has been reported to have bilateral optic nerve aplasia?

Irish Wolfhound

Which imaging technique is considered superior to computed tomography for visualizing the optic nerves in dogs?

Magnetic Resonance Imaging (MRI)

What is the approximate diameter of the optic nerve sheath complex in dogs?

3.7 mm

What is the primary cause of enlargement of the optic nerve sheath in patients with increased intracranial pressure?

Shift in cerebrospinal fluid (CSF)

What imaging technique can provide noninvasive assessment of white matter tracts, including the optic nerves, in both humans and animals?

Diffusion Tensor Imaging (DTI)

Which imaging technique is considered technically demanding and requires sedation or general anesthesia in veterinary patients?

Pattern visual evoked potential

What is the term used to describe a small optic disc in an eye with clinically normal pupillary light reflexes (PLRs) and vision?

Micropapilla

What is the range of optic nerve head (ONH) size considered statistically abnormally small in dogs?

Less than 1.7 mm in diameter

What is the primary reason that visual evoked potential (VEP) recording is not commonly performed in clinical veterinary practice?

Need for consistent sedation or anesthesia

Which imaging technique provides detailed information complementary to MRI in the evaluation of patients with orbital trauma, including detection and localization of metallic foreign bodies and bone fragments?

Computed tomography (CT)

Which imaging technique has the advantage of seldom requiring general anesthesia in veterinary patients and has been widely used in human patients as a surrogate measure of intracranial pressure (ICP)?

Ultrasonography

Which electrophysiological test is the most widely utilized in the diagnosis of human optic nerve disease and is used to evaluate optic nerve function?

Visual-evoked potential (VEP)

Which imaging technique is costly and time consuming for longitudinal monitoring of patients and would require general anesthesia for immobilization in dogs?

Magnetic resonance imaging (MRI)

Which of the following is true about optic nerve hypoplasia in dogs?

Unilateral optic nerve hypoplasia can result in total blindness.

Which of the following is a possible cause of reduced numbers of optic nerve axons in patients with optic nerve hypoplasia?

All of the above.

Which of the following breeds is NOT mentioned as having a reported occurrence of optic nerve hypoplasia or micropapilla?

Golden Retrievers

What is the primary cell type responsible for myelination of optic nerve axons in mammals?

Glial cells

Which breed is NOT mentioned as having a reported occurrence of optic nerve coloboma?

German Shepherds

Which ocular defect is NOT mentioned as being associated with optic nerve coloboma?

Optic neuritis

Which breed is mentioned as having sporadic occurrences of optic nerve coloboma?

Basenji

Which breed of dog is NOT mentioned as having a reported occurrence of optic nerve coloboma?

Poodles

What is the risk factor associated with large colobomas of the optic nerve head in dogs?

Retinal tears and detachment

What is the suggested cause of colobomas in dogs with Collie Eye Anomaly?

Genetic modifier

What imaging technique is considered unreliable for measuring neuroretinal rim width and optic cup width and depth in dogs with glaucoma?

Optical coherence tomography (OCT)

Which of the following is a characteristic feature of glaucomatous optic neuropathy in dogs?

Optic disc cupping

What is the most likely cause of vision loss with a relatively normal fundus appearance in dogs?

SARDS

Which of the following is NOT a potential cause of acquired optic nerve disorders in dogs?

Myelination of optic nerve axons

Which of the following is a reported cause of optic neuritis in dogs?

All of the above

In a retrospective study of 96 cases of canine optic neuritis, what percentage of patients had an etiologic diagnosis established?

80%

Which of the following breeds is more likely to be diagnosed with MUO (meningoencephalomyelitis of unknown etiology)?

Small breed dogs

What is the histologic diagnosis for both granulomatous meningoencephalitis (GME) and necrotizing encephalitis?

Histopathologic spectrum

Which of the following is NOT a cause of optic disc swelling that can mimic pseudopapilledema in dogs and humans?

Inflammation

What is the term used to describe the elevation of the optic nerve head (ONH) surface by prelaminar myelination of nerve fibers in clinically healthy, normal dogs?

Pseudopapilledema

What is the imaging technique that is less likely to be informative in dogs with pseudopapilledema compared to humans?

Autofluorescence imaging

What is the main factor that distinguishes pseudopapilledema from true papilledema in dogs?

Clinical signs of neurologic or systemic disease

Which of the following is a characteristic feature of neoplastic infiltrates in the optic nerve and ONH?

Unilateral ONH edema

Which of the following is a proposed pathogenesis of papilledema associated with raised intracranial pressure?

Compression of optic nerve fibers

Which of the following is a reason why papilledema in dogs may go unrecognized in many cases?

All of the above

Which of the following is a target organ damage secondary to systemic arterial hypertension in humans?

Optic nerve atrophy

Which of the following is NOT listed as a cause of optic neuritis in dogs?

Trauma to the optic nerve

Which of the following is NOT mentioned as a clinical sign of optic neuritis in dogs?

Bilateral optic nerve swelling

Which of the following is NOT mentioned as a funduscopic abnormality associated with optic neuritis in dogs?

Swollen and edematous optic nerve head

Which of the following imaging techniques is considered superior to computed tomography for visualizing the optic nerves in dogs?

Magnetic resonance imaging (MRI)

Which imaging technique is recommended to establish an etiologic diagnosis of canine optic nerve disease whenever possible?

MRI

Which imaging technique has higher sensitivity in detecting MUO in dogs?

MRI with T2-weighted sequences

Which diagnostic testing has greater sensitivity and specificity for infectious diseases in dogs with inflammatory CSF findings?

CSF analysis

Which of the following is the most common primary tumor involving the canine optic nerve?

Optic nerve meningioma

What is the approximate percentage of ocular neoplasms submitted to a busy mail-in ocular pathology service that are accounted for by canine orbital meningioma?

1%

Which of the following is a characteristic feature of primary canine orbital meningiomas on advanced imaging?

Foci of osseous and chondroid metaplasia

Which of the following is a characteristic feature of optic nerve gliomas in dogs?

Formation of whorls of spindle cells

Which of the following is a potential contributor to loss of retinal ganglion cell (RGC) axons in glaucomatous optic neuropathy?

Compression of optic nerve capillaries

What is the primary cause of optic nerve damage in dogs with glaucoma?

Compression of optic nerve capillaries

Which of the following is a potential consequence of decreased vascular perfusion in the optic nerve?

Axonal degeneration

What is the role of hypoxia and ischemia in acute glaucoma in dogs?

Contributors to axonal degeneration

Which of the following is a potential treatment option for patients with confirmed MUO or isolated optic neuritis?

Immunosuppressive doses of corticosteroids

What is the recommended dosage of corticosteroids for systemic corticosteroid therapy in patients with no other evidence of systemic infectious disease?

0.25-0.5 mg/kg/day

Which of the following is NOT a second-line immunosuppressive and immunomodulatory regimen proposed for the management of MUO?

Adjunctive procarbazine

What is the prognosis for long-term recovery and retention of vision in cases of optic neuritis?

Guarded to poor

Which type of glioma is predominantly found in the canine optic nerve?

Astrocytomas

What are the common intraocular complications of optic nerve gliomas in dogs?

Retinal detachment, pre-iridal fibrovascular membranes, intraocular hemorrhage, and secondary glaucoma

Which breed has a strong predilection for canine ocular gliovascular syndrome (COGS)?

Labrador Retriever

What is the primary imaging technique used to suggest an ONH mass when ophthalmoscopy is not possible in dogs?

Ocular ultrasonography

Which of the following is a potential complication of traumatic globe proptosis in dogs?

Optic nerve avulsion

What is a potential cause of traumatic optic neuropathy in dogs?

Penetrating foreign bodies

What treatment option is typically used for traumatic optic neuropathy in dogs?

High-dose corticosteroid therapy

What is a potential cause of optic nerve degeneration in dogs?

Optic nerve compression

Which imaging technology may aid in the interrogation of alterations in ONH blood supply in glaucoma patients?

OCT angiography

Which mechanism is NOT believed to play a contributory role in glaucomatous optic neuropathy and subsequent blindness in dogs with glaucoma?

Vascular occlusion

What is the likelihood of a single neuroprotective therapy being highly effective in preserving vision in glaucoma patients?

Unlikely

Which of the following is a clinical hallmark of glaucomatous optic neuropathy in both humans and dogs?

Progressive excavation of the prelaminar tissues

Which of the following is a factor that can influence the susceptibility of ONH structures and resident cells to damage associated with fluctuations in IOP?

Differences in ECM character and turnover within the ONH

Which of the following is a characteristic feature of glaucomatous optic neuropathy in dogs?

Progressive posterior displacement of the surface of the ONH

Test your knowledge on the anatomy of the canine optic nerve and factors affecting susceptibility to axonal damage in glaucoma. Questions cover the composition of the optic nerve, exit points for retinal ganglion cell axons, projection destinations of these axons, collagen types in the extracellular matrix, and thickness of the canine central laminar.

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