Involutional ectropion: Options for surgical management of ectropion. Why is this 65-year-old patient with relapsing-remitting MS having decreased vision in her right eye? She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. date posted; Available from: http://www.eyerounds.org/cases/filename.htm. Giant reservoir formation from Ahmed seton valve. Your gift today makes tomorrows breakthroughs possible. When symptoms persist 2 months after surgery, this patient pays you a visit. Involutional entropion: options for surgical management of entropion. The firework launched and directly contacted the left orbit. WebCase studies for members. His wife mentioned that he exhibits a right head turn while watching television. This website also contains material copyrighted by 3rd parties. Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. Need clinical cases or reports to use in your teaching? Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds. Fungal Endophthalmitis: Hematogenous seeding in an immune suppressed patient with positive fungal and bacterial blood cultures. Transitioning to this new case report format will occur over the next year, with final implementation completed within the next 2 years. The only pertinent exam findings were pigmented precipitates on the anterior trabecular meshwork OD on gonioscopy. Optic Neuritis: A 40-year-old female noticed visual loss in her right eye accompanied by pain with eye movements and a dull retro-orbital ache, two weeks prior to her clinic visit. To further investigate private practice optometry, I shadowed Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. From the start of Optometry school, professors and supervisors preached that a patients chief complaint and case history should direct your exam. There were no known maternal infections during the pregnancy and no problems during the perinatal period. We work closely with partners to redefine health beyond healthcare and with a bold vision of achieving health equity for all. Posterior Polymorphous Corneal Dystrophy (PPMD). Sturge-Weber Syndrome: 4-year-old child with a history of seizures and glaucoma. Meningiomas. This case features 11 oculoplastic surgery videos. A hub focused on population health, biostatistics, bioethics and epidemiology research. She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. Complained of sudden vision loss in the right eye. Multiple endocrine neoplasia type 2B: A 27-year-old male presents with multiple eyelid lesions. He was asymptomatic on presentation. Enophthalmos Secondary to Metastatic Breast Cancer. Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain. 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. Onset of dramatically decreased vision in both eyes began at the time of child delivery. Each case report is required to begin with After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. Leiomyosarcoma: 53-year-old male with a bump along his left upper eyelid accompanied by mild discharge, but no pain, duration of one month. Peters Anomaly: 2-day-old infant evaluated for bilateral corneal opacity noted at the time of delivery. Pay a a bill for services performed by MCW. A 5-month-old presents with left face turn. Case reports have provided historically important information on new medications (e.g., penicillin), emerging diseases (Zika virus), and evolving guidance on medical interventions (hydroxychloroquine retinopathy).1Optometry and Vision Science will focus on new guidelines to help bridge the space between evidence-based practice and case reports. Use of Ophthalmic Medications in Pregnancy: A 19-year-old pregnant woman at 19 weeks gestation was referred for evaluation and treatment of suspected Acanthamoeba keratitis. 63-year-old female presenting with progressive double vision and a droopy right eyelid. 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" left eye by internal medicine. Oculoplastic Surgery, Orbit, Eyelids, Lacrimal, 28-year-old woman presented with a 1-month history of progressive left upper eyelid pain. Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. Accelerated Hypertension : 67-year-old female with hypertension and diabetes mellitus with painless vision loss, Herpes Zoster Post-herpetic Neuralgia: 68-year-old male with decreased vision, Kayser-Fleischer Ring: A Systems Based Review of the Ophthalmologist's Role in the Diagnosis of Wilson's Disease, Kyphotic Patient Presents for Cataract Surgery: A Systems Based Case. Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid. Peripheral Ulcerative Keratitis (PUK): A 79-year-old woman was referred for the evaluation of a corneal ulcer in the right eye (OD).She began experiencing foreign body sensation in the right eye about 2 months prior to presentation after getting poked in the eye while gardening. Wolters Kluwer Health WebOphthalmic Case Studies/ Ophthalmic Case Study 2 Case Study 2 - CC: Red, itchy eyes all Patient Visit Patient History HPI: The patient is an 11 year-old male who reports a 4 Thygeson's Superficial Punctate Keratitis: Use of Ophthalmic Medications in Pregnancy: Vision Loss After Contact Lens-Related Pseudomonas Keratitis. Giant reservoir formation from Ahmed seton valve: A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. Canalicular Laceration - Dog Bite: 5-year-old white female presenting with dog bite to left side of face. You may be trying to access this site from a secured browser on the server. Symptoms began that morning with diplopia when he left home to walk his dog. a case and review. Involutional ectropion: Options for surgical management of ectropion. Post LASIK Ectasia: Female patient presented status post bilateral LASIK for myopia. What is the most likely cause? Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. Infantile (Congenital) Esotropia: 2 month-old female began crossing her eyes shortly after birth. Extranodal marginal zone B-cell lymphoma of the left eye with choroidal, episcleral, and orbital involvement. 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. If you log out, you will be required to enter your username and password the next time you visit. Interferon Retinopathy: 60-year-old male with hepatitis C virus infection presents with new floaters in both eyes. 2023 Medical College of Wisconsin. Optometry and Vision Science99(2):93-94, February 2022. Parkinson's disease: a review of the ophthalmological features: 67-year-old man presented to the strabismus clinic with increased difficulty reading for the past year. Cystinosis: A 12-year-old boy with light sensitivity. Salzmann's Nodular Corneal Degeneration: 62-year-old woman presents with 3 years of progressive decrease in vision. July 8, 2014; available from http://EyeRounds.org/cases/190-choroidal-malignant-Melanoma.htm, Featured Case: MOG-IgG Associated Optic Neuritis, Miller Fisher Syndrome: Acute-onset diplopia and bilateral ophthalmoplegia, (MOG)-IgG Associated Optic Neuritis: Progressive vision loss left > right, Charles Bonnet Syndrome: I see people outside my home., Diabetic White Cataract: Bilateral white cataracts in a patient with untreated diabetes, Primary Vitreoretinal Lymphoma (PVRL): Six months of persistently blurry vision in the left eye, Copyright 2019 The University of Iowa. Optometry Case Studies. Cystinosis: A 12-year-old boy with light sensitivity. Age-related Macular Degeneration: Progression from Atrophic to Proliferative: 76-year-old female with 17-year history of atrophic AMD and increased size of existing central scotoma discovered with home Amsler grid testing, Birdshot Choroiditis: 55-year-old female with persistent vitreous floaters, Behcet's Disease: A 32-year-old female with recurrent ocular inflammation. At her latest follow-up, she reports intermittent dyspnea and fatigue. He reports a sudden, painless All Rights Reserved A 67 year-old male presents with irritation and "scratchiness" of the right eye. WebThis case study concerns a patient undergoing treatment for age-related macular degeneration (ARMD) by intravitreal injections of ranibizumab (Lucentis). A 59-year-old male presented with a history of Granulomatosis with Polyangiitis (GPA) - formerly known as Wegener's Granulomatosis, medically-uncontrolled primary open angle glaucoma (POAG), and pathologic myopia. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS. We have a growing collection of peer review and peer discussion case studies, including case studies for IP optometrists, covering real life (Iridocorneal endothelial syndrome: Chandler Syndrome variant) Patient initially sought care for migraines with mild headache on the right side of her head and halos around lights through her right eye. Facial Spasms in a Man Recently Released From the Hospital, Sjgren Syndrome-associated ILD Treated With Immunosuppression, A 44-Year-Old With a Headache, Photophobia, and Phonophobia, A 14-Year-Old Boy With Painful Periorbital Edema, A 39-Year-Old Man's Contact Lens Exam Reveals Abnormalities, A 1-Week-Old Baby With Bilateral Cataracts, A 42-Year-Old Woman With a Chronic Productive Cough, A Visual Field Defect in a Patient With History of Seizures, The Woman With Multiple Sclerosis and Blurry Vision, A 19-Year-Old Man With Life-Threatening Obesity, A 63-Year-Old Woman With Decreased Vision, The Infant Who Keeps Turning His Face Leftwards, A 67-Year-Old Woman With Diplopia After Sinus Surgery. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. Distichiasis: 64-year-old white male with bilateral eye irritation. |Terms and Privacy| Non-Discrimination Notice, This is a collection of case studies to help you get an insight on the typical history and initial examination of various ophthalmic disorders. Progression of Proliferative Diabetic Retinopathy During Pregnancy. Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision WebOphthalmic Case Studies. Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes. Hypotony: Late hypotony from trabeculectomy and Ahmed seton with resulting hypotony maculopathy: A 36-year old female presented with poor vision secondary to a low intraocular pressure (IOP) in her right eye. This should be supported by key findings from the literature search and a critical appraisal of the relevant existing evidence. Case reports are considered low in the hierarchy of evidence, because of their restricted sample size (e.g., limited to only one or a few individuals), the absence of comparison groups, and appropriate controls to prevent bias. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. Click on the card to display cases in that category. Vascular Tufts of the Pupillary Margin: 68-year-old female presented to the retina clinic with a history of recurrent hyphema in both eyes (OU). She had multiple instances of spontaneous, non-traumatic hyphema for which she had eventually sought medical attention. 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. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye. Diplopia was only present at distance and no double vision with near tasks. The growing use of contact lenses in children demands our attention with surveillance and case-control studies. Eldeeb M, Chan EW, Omar A. Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. Anterior Chamber Cilium: 81-year-old male with intraocular cilium and dislocated intraocular lens. Perioperative Corneal Abrasions: Systems-based review and analysis. Title. Halos around lights and a mild decreased acuity persisted. Over the next 2 days, she began having daily episodes of emesis and her parents noticed "bulging of her left eye." {Related Case: Communicating with patients about alternative therapies: A case of optic nerve hypoplasia in a 14-year-old male with poor vision since birth}. WebOphthalmology Case Reports and Grand Rounds Presentations from the University of Iowa Department of Ophthalmology and Visual Sciences. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. 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. In 2017, Optometry and Vision Science revised the instructions for authors for case reports to signal a preferred focus on evidence-based clinical practice. The leading source of breaking news, news analysis, and emerging research reports in optometry, Optometry Times disseminates practical content by 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. 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. 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. Feel free to contact. Jennifer Loh, MD, and Gregory Caldwell, OD, FAAO, Ranjan Malhotra, MD, FACS, and Kelly Nichols, OD, MPH, PhD, FAAO, 2022 ORS Resident Case Report Contest Winners, Detecting and Managing Multifocal Vitelliform Dystrophy, A Case of Bilateral Bartonella Henselae Neuroretinitis, ORS Resident Case Report Contest Winners Announced, Multimodal Imaging of Choroidal Melanoma with Submacular Fluid, Diagnosis of Bilateral, Combined Hamartomas of the Retina and Retinal Pigment Epithelium in a Pediatric Patient, The Larry Alexander Resident Case Report Contest: A Rare Case of Nevus of Ota, Tracing Clues Back to Retinitis Pigmentosa. Instead, authors should focus on cases that illustrate the application of evidence from clinical trials, preferred practice guidelines, systematic reviews, and other existing standards for care. The results will help determine whether to proceed to a full-scale, long-term randomized trial. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. Toxic Anterior Segment Syndrome (TASS): A System's Based View of a Day in the Life of a Canula, Traumatic Cataract: 11-year-old boy with glass injury to the right eye. Webthe case. TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. This site has been designed for optometry students, teachers and practitioners alike to enhance their learning of EBP and how to answer clinical questions for their patients. ARMD is the The principles discussed apply equally to the plus and minus cylinder methods. Get new journal Tables of Contents sent right to your email inbox, Articles in PubMed by Michael D. Twa, OD, PhD, FAAO, Articles in Google Scholar by Michael D. Twa, OD, PhD, FAAO, Other articles in this journal by Michael D. Twa, OD, PhD, FAAO, Blue-lightblocking Lenses in Eyeglasses: A Question of Timing, Contrast Sensitivity with Center-distance Multifocal Soft Contact Lenses, The Value of Clinical Case Reports in Evidence-Based Practice, A 3-year Randomized Clinical Trial of MiSight Lenses for Myopia Control, Privacy Policy (Updated December 15, 2022). Every discovery advances academic medicine and improves the vitality of our communities. 3. Condition or disease. Vision in the right eye was starting to "darken." Designed to provide a unique, specialized learning experience. Translational scientists turn science and research into improved treatments. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with 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. Floppy Eyelid Syndrome. The double vision was worse with lateral gazes in both directions.. Functional Visual Loss: 37-year-old male with decreased vision progressively worsening over the past year. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. Invasive Fungal Orbitorhinocerebral Mucormycosis. 2. Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. Posner-Schlossman Syndrome: 63-year-old male was evaluated on an urgent basis for pain, redness, and "elevated eye pressure" in the left eye (OS). Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. What's the diagnosis? Evidence-based Clinical Practice: Asking Focused Questions (PICO). Orbital Cellulitis in a Child: 9-year-old female with left nasal pain, swollen, red left eye and diplopia in all gazes, Orbital Eosinophilic Granuloma: 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Changing Trends in Sympathetic Ophthalmia: Sympathetic ophthalmia following repeated vitreoretinal surgery with no history of trauma. Anisometropic Amblyopia. Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. 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. Lymphoma, Orbital. Find primary and specialty care near you. Thyroid Eye Disease (Graves' ophthalmopathy): 51-year-old male seen in consultation from the internal medicine service for evaluation and management of "dry and red eyes. Neurofibromatosis Type 1 - Optic Nerve Glioma: 8-year-old white female with acute awareness of complete vision loss, left eye. The right eye had a nuclear sclerotic cataract which precluded a good view of the optic nerve head, and a vertical cup:disc ratio (VCDR) of about 0.9, barely visible through the dilated pupil with the binocular indirect Please confirm that you would like to log out of Medscape. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. Cavernous Hemangioma: 31-year-old caucasian female with a painless, "dark spot" in her left visual field. Orbital Lymphatic Malformation (Lymphangioma), Pan-endophthalmitis and Orbital Cellulitis, Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel, Secondary Tumors After Hereditary Retinoblastoma. He experienced intermittent, horizontal, binocular diplopia and blurring of his vision while reading, accompanied by fatigue and headaches. Patient's ocular history is significant for bilateral retinoblastoma diagnosed at the age of 2 years, at which time he underwent bilateral enucleation followed by 6 weeks of radiation. She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months. Finally in my fourth year of Optometry I understand why. 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. Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion OS. Parents feel that it is worsening. However, this was not practical for ongoing management as base-in prisms do not train the eyes to improve convergence or fusion. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye. Non-accommodative Esotropia and Botulinum Toxin Therapy: 7-year-old boy presented with a history of intermittent, alternating eye crossing for one year that had become constant in the past 2 months. Case report submissions to Optometry and Vision Science should also now include additional information. Nasolacrimal duct obstruction secondary to sarcoidosis. He wore spectacles with the right eye under-corrected to minimize his symptoms. Lattice Corneal Dystrophy Type II Meretoja's Syndrome: patient with anterior stromal corneal dystrophy, progressive decline in vision with glare, Laser Assisted Keratoplasty: 63-year-old female with history of Fuchs endothelial dystrophy and bilateral pseudophakic bullous keratopathy presents with decreasing vision in the right eye. Routine preschool screening found central posterior synechiae in both eyes. Capsular Block Syndrome: An Unusual Presentation: 51-year-old pseudophakic female presents with poor vision in the right eye (OD). WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! example: Mullaney S, Vislisel J, Maltry A, Boldt HC. Let us help you find an answer to your question. Examination showed the presence of corneal crystals, laboratory testing showed increased levels of leukocyte cystine. Can you identify the cause of his obesity and related conditions? 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. Aqueous Misdirection: 88-year-old hyperopic female presented with left eye pain rated 10/10 and associated blurred vision, headache, nausea, and vomiting, Blebitis: 74-year-old with red eye after trabeculectomy, Competition Leads to Healthcare Savings: A systems based case from the VA.
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