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Stage Two downloads: DO and Overarching case scenarios It has grown rapidly in size over the previous two weeks and is now obstructing her vision. The patient first noticed the lesion about one month prior to presentation. Age-related Macular Degeneration: Progression from Atrophic to Proliferative: Cat-Scratch neuroretinitis (Ocular bartonellosis). His primary research interest is the visual optics of orthokeratology, particularly in relation to the correction of hyperopia and presbyopia, and use in myopia control. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision 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. Check the, To narrow your results further:go back to the left column, and under Publication dates choose "5 years. They are composite cases representing situations that will present to the refractionist. 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" left eye by internal medicine. Retinoblastoma: 4 month old boy with a "blur" in one eye since birth, Rhabdomyosarcoma: Eleven-year-old male with two weeks of blurry vision, headaches, and difficulty moving the right eye for the past two weeks, Sagging Eye Syndrome.77-year-old female with a complaint of intermittent, binocular, horizontal diplopia present for the last six months. Although these cases provide a little information on the typical presentation of various ophthalmic diseases it should not replace a personal consultation with an ophthalmologist or other eye care provider. Between visual testing and MRI, can you offer her a diagnosis? Transitioning to this new case report format will occur over the next year, with final implementation completed within the next 2 years. Neovascular Glaucoma: 80-year-old man with recurrent vitreous hemorrhages, hyphema, and elevated intraocular pressure after a central retinal vein occlusion in the right eye, Normal Tension Glaucoma: 50-year-old female with progressive visual field loss, glaucomatous disc change and normal IOP, Pigmentary Glaucoma: 24-year-old male with episodic haloes around lights and blurry vision, Phacolytic Glaucoma: 65-year-old male presented with acute onset of pain and redness in his right eye (OD), which had long-standing light perception vision after an explosive injury resulted in a penetrating shrapnel wound and large macular scar, Plateau Iris: A healthy 47-year-old female referred for evaluation for glaucoma exhibitsan uncommon form of primary angle closure glaucoma. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years, Ocular Sarcoidosis: A systems-based approach to diagnosis and treatment (also see Sarcoidosis), Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema:30-year-old female with progressive bilateral vision loss. Clinical trials are invaluable in testing new treatments, drugs and technologies. For more information, please refer to our Privacy Policy. 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. ARMD is the Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. New knowledge driving discovery to advance the health of our communities. Enhancing learning, research, patient care and the health of the community. Extranodal marginal zone B-cell lymphoma of the left eye with choroidal, episcleral, and orbital involvement. Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident. Related: Coats disease: A case study of a 4-year old boy. The case of a 39-year-old woman with Sjgren syndrome and clinically relevant pulmonary involvement. WebCase Report Format. His symptoms have been present for the past 8 months and have been only partially relieved with artificial tears and lubricating ointment at night.. 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. Your message has been successfully sent to your colleague. 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. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. By the time he returned home, he had profound vision loss and right eye protruding. Chandler Syndrome: A subtle presentation. Cataract Formation after Pars Plana Vitrectomy. Grant syndrome (Syndrome of precipitates on the trabecular meshwork): Hypotony: Late hypotony from trabeculectomy and Ahmed seton with resulting hypotony maculopathy: Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy. Optometry This frequently cited monthly Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. The vergence system should be assessed to evaluate capacity and flexibility. Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. Phacoemulsification: Considerations for Astigmatism Management, a tutorial and case, Posterior capsular folds creating a Maddox rod effect following cataract surgery: 73-year-old female presents with glare in the right eye 5 months after cataract surgery. A 42-year-old woman with a chronic productive cough is repeatedly treated for pneumonia. Changing Trends in Sympathetic Ophthalmia: Choroidal Hemangioma: Central scotoma in the right eye, Idiopathic Juxtafoveal Telangiectasia Type II (Macular Telangiectasia type 2, Multilayered hemorrhage in Acute Myeloid Leukemia (AML), Multiple Evanescent White Dot Syndrome (MEWDS), Progression of Proliferative Diabetic Retinopathy During Pregnancy, Valsalva Retinopathy: Vision loss after asthma attack, Vitreous Syneresis: An Impending Posterior Vitreous Detachment (PVD). Age-related macular degeneration: a case study - PubMed This patient, with a history of multiple endocrine neoplasia type 2B (MEN2B) was referred by his oncologist for a large lesion on the outer corner of his right eye. What is your diagnosis? What is the most likely cause? WebCase studies VIDEO: A peer view on tonometry and visual fields during COVID-19 22 July 2020 Paul Morris asks a panel of colleagues - working in different regions - their views on seven clinical scenarios when deciding whether tonometry, visual field and other diagnostic tests are indicated during the amber recovery phase of the COVID-19 pandemic. According to the Cochrane A 39-year-old healthy male reported intermittent episodes of "objects bouncing up and down" in his vision in his left eye lasting for seconds to minutes for the previous two months. Peters Anomaly: 2-day-old infant evaluated for bilateral corneal opacity noted at the time of delivery. to maintaining your privacy and will not share your personal information without Intraoperative Floppy Iris Syndrome: IFIS presents problems during cataract surgeries by decreasing the size of the work field and increasing the rate of complications such as iris trauma, posterior capsule rupture, and vitreous loss. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. WebThis case study concerns a patient undergoing treatment for age-related macular degeneration (ARMD) by intravitreal injections of ranibizumab (Lucentis). WebCase studies Take a look at how individuals from across the University are using continuous improvement in their areas: Collapse all Optometry Housing and Residence HR, IST, Office of Vice-President Academic & Provost Information Systems & Technology (IST): VM Requests Information Systems & Technology (IST): "One Stop" Anterior Chamber Cilium: 81-year-old male with intraocular cilium and dislocated intraocular lens. Report an issue with this page It's up to you to find out the most likely cause. 2023, New England College of Optometry Library424 Beacon St., Boston, MA 02115 Call: 617-587-5589 | Email: [emailprotected], Asian American Histories, Narratives, and Voices, Addressing Inequity in Health and Health Care, When you are on the results screen, click, You will see a pop-up menu of different article types. Title. 71-year-old female referred for evaluation of a corneal scar in the right eye (OD). Intermediate uveitis associated with hidradenitis suppurativa. Involutional entropion: options for surgical management of entropion. Clinical Cases in Optometry - Index Case studies Cat-Scratch neuroretinitis (Ocular bartonellosis): 44-year-old female with non-specific "blurriness" of vision, left eye. WebCase report submissions to Optometry and Vision Science should also now include additional information. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. Our scientists are discovery-drivers, working to develop cutting-edge treatments. Click on the card to display cases in that category. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. After thoroughly reviewing these case studies, the learner will be able to: We've included a listing of commonly used ophthalmic abbreviations for your review. Oculoplastic Surgery, Orbit, Eyelids, Lacrimal, 28-year-old woman presented with a 1-month history of progressive left upper eyelid pain. There were no known maternal infections during the pregnancy and no problems during the perinatal period. Communication Issues Following a Post Operative Surprise, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema. Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. Nevertheless, although rigorous clinical trial results can provide reliable evidence under controlled study conditions, they cannot account for the unique circumstances of patients who may have multiple conditions or other individual characteristics not accounted for in the design of a clinical trial. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72-year-old female with Fuchs. He also has research interests in contact lens and surgical correction of presbyopia. This is a collection of case studies to help you get an insight on the typical history and initial examination of various 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. MyChart user? Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. 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. All Eyes on EvaporationLocation:VirtualSpeaker:Paul Karpecki, OD, and Doug Devries, ODWebinar: 9:00pm EST, All Eyes on EvaporationLocation:VirtualSpeaker:Jennifer Loh, MD, and Gregory Caldwell, OD, FAAOWebinar: 7:00pm EST, All Eyes on EvaporationLocation:VirtualSpeaker:Ranjan Malhotra, MD, FACS, and Kelly Nichols, OD, MPH, PhD, FAAOWebinar: 8:00pm EST. Acute Retinal Necrosis: 84-year-old man with Alzheimers dementia presented with floaters and decreased vision in both eyes (OU). Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. contact lenses in myopia control Cholesterol Granuloma: 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. See-Saw Nystagmus: 64-year-old male who first noted the onset of oscillopsia five months prior to presentation. Ocular Rosacea: 62-year-old female with blurry vision and red, itchy eyes. Normal vergence ranges are noted Table 1. The discussion, although brief, is intended to give you a simple overview of each disease. WebOphthalmic Case Studies. Designed to provide a unique, specialized learning experience. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. Silent Sinus Syndrome: 36-year-old male with sunken left orbit (Enophthalmos), White-eyed blowout fracture: 17-year-old male with diplopia, pain with eye movement, nausea and vomiting after blunt trauma to the left eye, Acute Acquired Brown Syndrome: 38-year-old Male with Ethmoidal Sinus Mucocele. ", If you have trouble accessing full text, or it is not available, please email us at. Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss. 2. Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. EyeRounds.org. Superior Limbic Keratitis: A 63-year-old male presents for evaluation of irritation and injection of both eyes, that is refractory to management with lubrication. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: A 34-year-old woman presents with optic neuritis and develops demyelinating brain lesions. The firework launched and directly contacted the left orbit. Megalocornea. Horner's Syndrome (due to Cluster Headache): 46-year-old male presenting with HA and ptosis. Canalicular Laceration - Dog Bite: 5-year-old white female presenting with dog bite to left side of face. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! Commotio Retinae: 29-year-old man was referred after sustaining a head injury during an altercation. She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds. Diplopia was only present at distance and no double vision with near tasks. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. Sickle Cell Retinopathy: 18-year-old African-American male with known sickle cell disease is referred to the vitreoretinal service for evaluation of two days of blurry vision and new-onset floaters in the left eye that developed while playing basketball. His primary concerns were the cosmetic effect of his exotropia and the intolerable double vision and aniseikonia he experienced when his "bad eye decided to work." Aphakic Glaucoma: 5-year-old female was referred to the University of Iowa Hospitals and Clinics (UIHC) Glaucoma Clinic for evaluation of suspected aphakic glaucoma of the left eye (OS). Shortly after treatment with intravitreal steroids and photodynamic therapy, her IOP spiked to 59 mm Hg. When symptoms persist 2 months after surgery, this patient pays you a visit. 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. 1. 27-year-old male was referred for evaluation of a left medial canthal lesion. Malattia Leventinese (Familial Dominant Drusen), Pattern Dystrophy Associated with Myotonic Dystrophy, Giant reservoir formation from Ahmed seton valve. Waldenstrom Macroglobulinema-Associated Retinopathy: Kyphotic Patient Presents for Cataract Surgery, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema, Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP), Painless Proptosis in a 62-year-old female. Floppy Eyelid Syndrome. Topics include, cataracts, cornea, Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. Evidence-based Clinical Practice: Asking Focused Questions (PICO). Forensic Analysis of a Contact Lens Vision in the right eye was progressively more blurred. Need clinical cases or reports to use in your teaching? Adenoid cystic carcinoma lacrimal gland: 99-year-old patient presented to the oculoplastics clinic with double vision, left proptosis, and decreased vision on the left, which had progressed slowly over the last year. * Entrants in each of the three Nasolacrimal duct obstruction secondary to sarcoidosis. Vernal Keratoconjunctivitis: 8-year-old asthmatic male with reduced vision. Chemical Eye Injury: A Case Report and Tutorial: A guide to emergent management and medical therapy to promote ocular surface rehabilitation, Cogan's Syndrome: 42-year-old Female with Interstitial Keratitis and Vertigo, Congenital Aniridia: 18-year-old male with suspected aniridia with corneal pannus involving both eyes. Firework-Related Ocular Injuries: 48-year-old male presented July 4th with a firework injury to his left eye which when the patient leaned over a firework that had malfunctioned. Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. Please try after some time. Meningiomas: a case and review. 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. Case Studies in Cultural Competency Copyright 2023 Jobson Medical Information LLC unless otherwise noted. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. 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. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Patient with BB gun injury to right orbit, Coats Disease: 19-year-old male presented to his local optometrist with a 4-week history of floaters and a shadow in the superotemporal visual field of his left eye. 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. Optometry Clinical Cases - Index - Medscape