Recurrent anterior uveitis in HLA-B27 positive Ulcerative Colitis (IBD) with multiple positive auto-antibodies. 69-year-old male complaining of chronic, progressive blue-black, painless hyperpigmentation of bilateral lower extremities in the setting of chronic lower extremity venous stasis and long-term, minocycline use for meibomian gland dysfunction and blepharitis. Two cases illustrating the presenting symptoms and comorbidities associated with floppy eyelid syndrome. Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis. Reproduction in whole or in part without permission is prohibited. 3 years prior she had been diagnosed with an unusual vasoproliferative tumor in her left eye. Myopia Myopia Case 1 Minocycline-Induced Hyperpigmentation. Acute Zonal Occult Outer Retinopathy (AZOOR) and Acute Idiopathic Blind Spot Enlargement Syndrome (AIBSE): 34-year-old female awoke with painless loss of vision left eye 3 weeks prior to presentation. Secondary Tumors After Hereditary Retinoblastoma: A Case of Orbital Leiomyosarcoma 50 Years After Initial Enucleation and Radiation Therapy.. Silent Brain Syndrome: 32-year-old male with history of excess tearing in both eyes with mucous-like yellowish discharge. Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye. Methods: Feel free to contact. Case reports continue to play an important role in clinical education, highlighting novel observations and identifying new questions that could spawn future clinical and experimental studies. All-trans retinoic acid (ATRA) induced intracranial hypertension in a patient with acute promyelocytic leukemia: 19-year-old male ungergoing ATRA and Idarubicin induction therapy for APL with one-week complaint of intermittent headaches and transient visual obscurations. Optometry Clinical Cases Facial Spasms in a Man Recently Released From the Hospital After a recent hospitalization for a hemicranial headache, a man presents Acquired Peripheral Retinoschisis: 83-year-old male was referred to our retina clinic for a retinal detachment which was described as close to the macula in his right eye. Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel: 38-year-old female with persisting tearing for 6 months. Do you know what's wrong? Communication Issues Following a Post Operative Surprise, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. Twa MD. What is your diagnosis? Acute Corneal Hydrops: 51-year-old male with keratoconus and history of rigid gas permeable (RGP) contact lens wear in the left eye presented with left eye redness, pain, light sensitivity, and tearing for 1 week. Anisometropic Amblyopia. Ophthalmic Case Studies (Medical University of Wisconsin) Geared towards medical students, this "is a collection of case studies to help you get an insight Bilateral optic nerve hypoplasia, 2-month-old with: Highlighting the importance of a multi-disciplinary approach. Giant reservoir formation from Ahmed seton valve. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Adult Chlamydial Conjunctivitis: 23-year-old male with 6-week duration of red eye, Atopic Keratoconjunctivitis: 52-year-old male with poor vision, severe ocular itchin, and mucoid discharge. 4-year-old boy originally presented to ophthalmologist at 2 years of age with crossed eyes. For more information, please refer to our Privacy Policy. See actual mailing lists, optometry postcards designs, frequency of mailings, and all the details of real optometry marketing plans! Vision in the right eye was starting to "darken." A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. 5-year-old male with unequal vision. Phakic intraocular lenses for high myopia: A 24-year-old male with unilateral high myopia presented with anisometropia (unequal refractive error between the eyes) with aniseikonia (binocular differences in image size) and a large right sensory exotropia. Cavernous Hemangioma: Painless Proptosis in a 62-year-old female: Patient states that over the last year she has noticed that her right pupil is higher than her left, Chalazion: Acute presentation and recurrence in a 4-year-old female, Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome: 12-year-old boy with painless, progressive ptosis OU over 3 years, Churg-Strauss Syndrome with Orbital Inflammation. They are composite cases representing situations that will present to the refractionist. Progression of Proliferative Diabetic Retinopathy During Pregnancy. Management of Amblyopia: Discussing Options for Treatment in the Age of the Internet, Monofixation Syndrome: 11-year-old female referred after inability to improve vision with refraction in the left eye, Non-accidental Trauma: An unresponsive infant with bilateral retinal hemorrhages. Parents feel that it is worsening. Persistent Fetal Vasculature: 19-year-old female with a history of amblyopia in the right eye (OD) due to persistent fetal vasculature (PFV) presented to the University of Iowa Hospitals and Clinics (UIHC), Department of Ophthalmology to re-establish care. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. Posterior Polar Cataract. Melanocytoma of the Iris and Ciliary Body: Nanophthalmos with Ocular Hypertension and Angle-Closure: Primary Congenital Glaucoma (Infantile Glaucoma), Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC), Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT), Acute Demyelinating Encephalomyelitis (ADEM) with associated optic neuritis, All-trans retinoic acid (ATRA) induced intracranial hypertension in a patient with acute promyelocytic leukemia, ANCA-associated granulomatous vasculitis (Wegener's granulomatosis). Our scientists are discovery-drivers, working to develop cutting-edge treatments. Clinical trials are invaluable in testing new treatments, drugs and technologies. Melanocytoma of the Iris and Ciliary Body: 14-year-old male with a pigmented iris lesion of the left eye noticed on routine eye exam approximately two years earlier. He had felt unwell for several days, had decreased vision and pain in his left eye, and attributed his suicidality to pain. There were no known maternal infections during the pregnancy and no problems during the perinatal period. WebCase Report Format. The structured clinical question should define each of these elements but may not require the definition of a comparison or control group for a clinical case report. Acute Macular Neuroretinopathy: 30-year-old woman presented for evaluation of vision loss in both eyes (OU) in the setting of a newly diagnosed transverse venous sinus thrombosis. An otherwise healthy 5-year-old boy presents after a failed vision exam. Bell's Palsy Treated with Facial Nerve Decompression: 68-year-old man presented to the eye clinic with five days of right-sided facial droop, which was associated with the inability to fully close the right eye and slurred speech. Ophthalmic Case Studies This is a collection of case studies to help you get an insight on the typical history and initial examination of various ophthalmic disorders. Thygeson's Superficial Punctate Keratitis: Use of Ophthalmic Medications in Pregnancy: Vision Loss After Contact Lens-Related Pseudomonas Keratitis. Homocystinuria: 18-year-old male presented to clinic for regular monitoring of ocular manifestations of methionine synthase deficiency type homocystinuria, specifically cobalamin deficiency of the Cb1G subtype. A hub focused on population health, biostatistics, bioethics and epidemiology research. This case features 11 oculoplastic surgery videos. Onset of dramatically decreased vision in both eyes began at the time of child delivery. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with Blurry vision in the left eye for 2 weeks, Left eye pain and fuzzy vision 2 days after eye surgery, 2 brief episodes of vision loss in the R eye, Student Ophthalmology Medical Association (SOMA), Dennis P. Han, MD Advanced Ocular Imaging Program, Continuing Professional Development (CME), Advancing a Healthier Wisconsin Endowment, Recognize and describe the typical presentation of common conditions affecting the anterior and posterior segments of the eye, Consider a range of multiple etiologies when examining patients with eye or vision problems, including trauma, infection, congenital abnormalities, autoimmunity, vascular issues, metabolic deficiencies, and environmental causes, Recall the basic pathophysiology underlying numerous ophthalmic conditions, Evaluate the significance of clinical findings in relation to common ophthalmic diseases, Formulate a differential diagnosis after reviewing the patients history and ocular exam, Identify which laboratory tests or exams are appropriate to confirm and evaluate specific ophthalmic diagnoses, Discuss therapeutic options and treatment plans for a number of acute and chronic ophthalmic diseases. Dispensing Case Studies. Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. 7 month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. may email you for journal alerts and information, but is committed Thygeson's Superficial Punctate Keratitis: A 23-year-Caucasian male presents with bilateral photophobia, foreign body sensation, and tearing that is worse in the left eye. Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. What is the most likely cause? Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus. Complained of sudden vision loss in the right eye. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. Vision in the right eye was starting to "darken." Photographs of this 6-year-old girl show 'white eyes' that concern her parents. Periorbital Necrotizing Fasciitis. Crossing is worse when patient is tired and alternates between the right eye and the left eye. Patient unable to assume typical supine position used for cataract surgery, Metastatic Choroidal Lesion: 61-year-old male presents with pain and blurry vision, right eye. Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. Vitreous Syneresis: An Impending Posterior Vitreous Detachment (PVD): 60 year-old female with newly reported flashing lights and "large and stringy" floaters in the left eye. Family members told police that the victim always removed her contact lenses before going to sleep. Neurofibromatosis Type 1 - Optic Nerve Glioma: 8-year-old white female with acute awareness of complete vision loss, left eye. Wolters Kluwer Health Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK), Corneal Marginal Ulcer: Marginal keratitis with ulceration in a 45 year-old male. Cystinosis: A 12-year-old boy with light sensitivity. Female child presenting to the eye clinic at age 15 months for eye crossing. Editor in Chief University of Houston College of Optometry Houston, TX. She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. 64-year-old male patient noted severe pain in his right eye while in the post-anesthesia care unit shortly after laparoscopic surgery. Title. Purtscher's Retinopathy: 22-year-old male with vision loss after trauma, Presumed Ocular Histoplasmosis (POHS): 30-year-old male with blurred central vision, Punctate Inner Choroidopathy with Choroidal Neovascular Membrane. Infantile (Congenital) Esotropia: 2 month-old female began crossing her eyes shortly after birth. Fluctuations in vision were first noticed 6 months ago with documented vision as poor as 20/150.She had uneventful cataract surgery 10 years prior with insertion of a Polymethyl methacrylate (PMMA) intraocular lens (IOL) in the capsular bag. Can you diagnose the problem? Fungal Endophthalmitis: Hematogenous seeding in an immune suppressed patient with positive fungal and bacterial blood cultures. We have a growing collection of peer review and peer discussion case studies, including case studies for IP optometrists, covering real life She had a history of severe hydrocephalus with seizures and alobar holoprosencephaly at birth. His corrective lenses did not improve his vision. Intermediate uveitis associated with hidradenitis suppurativa. Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM): 61-year-old Caucasian female presenting for evaluation of corneal mass OS found on routine exam about 2 months previous. Brief Summary: The main objective of this randomized trial comparing vision therapy to observation is to determine the short-term effectiveness of vision therapy on distance intermittent exotropia control. Optom Vis Sci 2017;94:1356. Evidence-based case reports should be formatted to include a structured clinical question in the significance section of the abstract and a statement regarding the literature search strategy in the introduction. If you log out, you will be required to enter your username and password the next time you visit. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs. For example, Can intense pulsed light therapy reduce the recovery time for patients following chalazion excision? In this sample PICO question, patients who have had chalazion excision is the group of interest. Cat-Scratch neuroretinitis (Ocular bartonellosis): 44-year-old female with non-specific "blurriness" of vision, left eye. Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. WebOptometry has several different modes of practice to choose from, including private practice, commercial, hospital, and community health centers to name a few. Over the last ten years, she has experienced further painless vision loss OD. He was asymptomatic on presentation. ARMD is the His wife mentioned that he exhibits a right head turn while watching television. Choose from a three or four-year MD program at various campus locations, our anesthesiologist assistant, physician associate, or a number of dual degree programs. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. AMERICAN ACADEMY OF OPTOMETRY. He reports a history of waxing and waning eczema, Bilateral Corneal Edema Associated with Amantadine Use: 42-year-old female with 2-month history of blurry vision, photophobia, and mild, aching pain in both eyes.History of Huntington disease-related movement disorder, Boston Keratoprosthesis: An option for patients with multiple failed corneal grafts. He had intermittent redness and mild foreign body sensation in both eyes. 72-year-old male with left lower eyelid retraction in left facial nerve palsy secondary to metastatic lymphoma and radiation therapy. Treated with peginterferon and ribavirin for 6 weeks prior to visit. Topics include, cataracts, cornea, Optometry Case Studies. He had stable chronic floaters but no flashes of light, eye pain, or other ocular symptoms. Juvenile open-angle glaucoma: 22-year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP), Leber Hereditary Optic Neuropathy: A 17-year-old male presents with progressive, painless, bilateral vision loss, Malattia Leventinese (Familial Dominant Drusen): 30-year-old female with drusen, Pattern Dystrophy Associated with Myotonic Dystrophy: 56-year-old female presented with a one-year history of increasingly distorted vision OS described as "crinkled", RPE65-associated Leber Congenital Amaurosis, Unilateral Retinitis Pigmentosa: Visual field changes in a 31-year-old female. Canalicular Laceration - Dog Bite: 5-year-old white female presenting with dog bite to left side of face. Vision Loss After Contact Lens-Related Pseudomonas Keratitis. The only pertinent exam findings were pigmented precipitates on the anterior trabecular meshwork OD on gonioscopy. Terrien Marginal Degeneration: A 35-year-old man with spontaneous open globe injury. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis. He wore spectacles with the right eye under-corrected to minimize his symptoms. Routine preschool screening found central posterior synechiae in both eyes. New knowledge driving discovery to advance the health of our communities. True Exfoliation Syndrome:84-year-old male presented with gradually worsening blurry vision in both eyes (OU), left worse than right, over a period of several years. Evidence-based practice has three essential elements: a solid base of well-founded knowledge from unbiased clinical studies, a clinical practitioner who is informed and guided by this knowledge base, and respect for the individual preferences and unique context of each patient. Please confirm that you would like to log out of Medscape. See-Saw Nystagmus: 64-year-old male who first noted the onset of oscillopsia five months prior to presentation. Herpes Simplex Keratitis: 36-year-old female presented to the Emergency Treatment Center (ETC) with one day of right eye pain, photophobia and decreased vision. What's the diagnosis? Over the next 2 days, she began having daily episodes of emesis and her parents noticed "bulging of her left eye." Descemets membrane endothelial keratoplasty (DMEK) for Fuchs endothelial dystrophy, Epithelial-Stromal and Stromal Corneal Dystrophies: A Clinicopathologic Review, Erythema Multiforme: 22-year-old male with a persistent red eye for two weeks, The Evolution of Surgical Approaches to AlphaCor Keratoprosthesis Insertion and Associated Complications, Exposure Keratopathy in the Critically Ill: A Case Report, Discussion, and Systems-Based Intervention, Fabry Disease: A key differential in the diagnosis of corneal verticillata, Fuchs Endothelial Dystrophy: 35-year-old female with blurry vision OU lasting hours in the morning, Fungal Keratitis - Fusarium: 41-year-old female contact lens wearer with persisting keratitis. He often had to cover one eye to read comfortably, Down Syndrome: 14-month-old male with intermittently crossed eyes, Duane Retraction Syndrome: 31-year-old Male With Globe Retraction, Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum): 6 day-old male with limbal dermoids. date posted; Available from: http://www.eyerounds.org/cases/filename.htm. Retinochoroidal coloboma: 54-year-old female with blurred vision. Bilateral Corneal Edema Associated with Amantadine Use: Chemical Eye Injury: A Case Report and Tutorial, Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM), Conjunctival rhinosporidiosis in a temperate climate. This is a collection of case studies to help you get an insight on the typical history and initial examination of various WebOphthalmology Case Reports and Grand Rounds Presentations from the University of Iowa Department of Ophthalmology and Visual Sciences. Post LASIK Ectasia: Female patient presented status post bilateral LASIK for myopia. Malattia Leventinese (Familial Dominant Drusen), Pattern Dystrophy Associated with Myotonic Dystrophy, Giant reservoir formation from Ahmed seton valve. Serpiginous Choroiditis: 60-year-old male with 15 year history of serpiginous choroiditis reports a 2 day history of a new scotoma noticed on Amsler Grid testing of his right eye. Pembrolizumab (Keytruda) Induced Uveitis in a Patient with Metastatic Melanoma: 65-year-old male with history of metastatic cutaneous melanoma previously on pembrolizuamb presented to the comprehensive ophthalmology service with blurred vision worse in the left eye for the past 6 months. Orbital Eosinophilic Granuloma. A 20-year-old female was referred for management of secondary open-angle glaucoma. He complained of blurry vision while reading and letters running together on the page. 2-month-old with bilateral optic nerve hypoplasia: Highlighting the importance of a multi-disciplinary approach, Coats Disease: 11-year-old male with poor vision in left eye, Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection: 1-week-old male with hydrocephalus and bilateral chorioretinitis. 3-year-old male who was referred to the cornea clinic after failing a KidSight screening and was found to have bilateral corneal opacities when evaluated by his optometrist. MyChart user? A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. The patient experienced severe eye pain and had immediate loss of vision in the left eye (OS). Visual Snow Syndrome A 59-year-old pilot with a history of visual aura since his teenage years and anxiety presented to the neuro-ophthalmology clinic with a primary complaint of seeing a "snow storm" for one year. During an inventory check years later, a new detective noted that the victims contact lenses were not in their storage case. Can you identify what he's compensating for, and why? Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion OS.
