The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. 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). Choose from more than 140 specialties and sub-specialties for advanced medical training at MCW. Orbital inflammation secondary to bisphosphonate therapy: 80-year-old female with right eyelid swelling, pain, decreased vision, diplopia. For more information, please refer to our Privacy Policy. 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. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. 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. 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. For questions regarding the cases contact Dr. Judy Hoggatt via email. Lymphoma, Orbital. Need clinical cases or reports to use in your teaching? 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. Ocular Tilt Reaction: 53-year-old female complaining of vertical diplopia following a stroke and found to have a skew deviation, fundus torsion, and torticollis, Ophthalmoplegic Migraine: 30-year-old male with migraine headaches and occasional diplopia, Optic Nerve Drusen: 19-year-old female with blurred vision, Optic Nerve Hypoplasia: 51-year-old female referred for consideration of cataract surgery. Seton Infection: Serratia Marcescens: 57-year-old white female with 1 day history of redness, swelling, and pain in her right eye. Adenoviral Conjunctivitis: 38-year-old white female with watery, red, irritated eyes; left more than right. Orbital Eosinophilic Granuloma. Through research, health care education, workforce development, and community health initiatives, AHW drives change. Sarcoidosis Affecting the Lacrimal Gland: 39-year-old female with left upper eyelid swelling of 4 months duration, Sebaceous Cell Carcinoma: A Masquerade Syndrome. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment, Choroidal Osteoma: 10-year-old girl presents for annual follow-up. Optom Vis Sci 2017;94:1356. 2023 Medical College of Wisconsin. The purpose of this editorial is to provide details on these revisions and guidance on how prospective authors should approach case report submissions to Optometry and Vision Science. Verticillata: 54-year-old white male with a known history of atrial fibrillation and hypertension on amiodarone. 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. A 44-year-old woman presents with an insidious headache along her left occipital region. The patient first noticed the lesion about one month prior to presentation. Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. Translational scientists turn science and research into improved treatments. Nasolacrimal duct obstruction secondary to sarcoidosis: 72-year-old female with sarcoidosis, corneal perforation, and nasolacrimal duct obstruction, Nodular Basal Cell Carcinoma: 49-year-old female with left lower lid lesion, Oculopharyngeal muscular dystrophy: 58-year-old female with gradual worsening of bilateral blepharoptosis.She also has mild dysphagia and proximal muscle weakness. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye. Doctors of optometry can draw upon several resources when it comes to professional conduct in the practice of optometry. The patient experienced severe eye pain and had immediate loss of vision in the left eye (OS). 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. Vision in the right eye was starting to "darken." Cystinosis: A 12-year-old boy with light sensitivity. 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. Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion OS. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. Minocycline-Induced Hyperpigmentation. Iris Cyst: 38-year-old female with iris lesion and gradual decrease in vision, Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! Twa MD. Successful case report submissions should no longer focus on rare and unexpected conditionsnovelty alone will not be sufficient for publication. 78-year-old male with chronic irritation and dry eye unresponsive to aggressive lubrication, punctal occlusion, and prednisolone/sulfacetamide drops. If you log out, you will be required to enter your username and password the next time you visit. Malattia Leventinese (Familial Dominant Drusen), Pattern Dystrophy Associated with Myotonic Dystrophy, Giant reservoir formation from Ahmed seton valve. Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. |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. 52-year-old woman presented with elevated intraocular pressure (IOP) and visual fields demonstrating progressive field loss despite maximum tolerated medical therapy. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. Idiopathic Juxtafoveal Telangiectasia Type II (Macular Telangiectasia type 2): 43-year-old male with decreased vision and a central scotoma OU for the past 10 years, which has been getting progressively worse. Hydroxychloroquine (Plaquenil) Toxicity: 57-year-old female with bilateral central photopsias for two years. Visit our, select for list of related links, link list also found in footer. Anisometropic Amblyopia. He experienced intermittent, horizontal, binocular diplopia and blurring of his vision while reading, accompanied by fatigue and headaches. Case 1: Unilateral Vision Loss And Optic Nerve Edema. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. The only pertinent exam findings were pigmented precipitates on the anterior trabecular meshwork OD on gonioscopy. The vergence system should be assessed to evaluate capacity and flexibility. Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. He was asymptomatic on presentation. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. Pay a a bill for services performed by MCW. {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}. Autosomal Dominant Optic Atrophy: 47-year-old female with chronic, mildly subnormal vision. CASE STUDY: Doug Case Report: Hydroxychloroquine Retinopathy. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. What is the most likely cause? Cystinosis: 4-year-old girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency. Distichiasis: 64-year-old white male with bilateral eye irritation. Every discovery advances academic medicine and improves the vitality of our communities. By the time he returned home, he had profound vision loss and right eye protruding. 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" left eye by internal medicine. 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). Methods: Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. 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. To further investigate private practice optometry, I shadowed 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. Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS. We look forward to receiving your quality case report submissions. 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. During an inventory check years later, a new detective noted that the victims contact lenses were not in their storage case. WebThe following case studies were entries in Cultural Competency Case Study Competitions for optometry students and residents implemented in 20 14, 2015, and 2020 by the Diversity and Cultural Competency Committee of the Association of Schools and Colleges of Optometry (ASCO). Wolters Kluwer Health
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. With a diagnosis that changes over time, can you identify what's at the root of the issue and treat it accordingly? Neurofibromatosis Type 1 - Optic Nerve Glioma: 8-year-old white female with acute awareness of complete vision loss, left eye. Imagine a Milwaukee that is equitable, healthy and thriving for all. He had stable chronic floaters but no flashes of light, eye pain, or other ocular symptoms. Stickler Syndrome: 10-year-old male with family history of retinal detachment and optically empty vitreous. Symptoms began that morning with diplopia when he left home to walk his dog. The Value of Clinical Case Reports in Evidence-based Practice. 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. Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy. MyCPD Portal. Crossing is worse when patient is tired and alternates between the right eye and the left eye. The vision in the left eye (OS) has been excellent. For Medical Students. After experiencing 1 month of decreased vision in the superior visual field of the right eye, this patient comes to you for a diagnosis. We would be delighted to see you. Choroidal Hemangioma: Central scotoma in the right eye. In prior editorials, I have discussed the PICO approach for developing a structured clinical question to guide the literature search strategy.2,3 The PICO acronym is defined as follows: P patient, problem, or population of interest, I intervention (treatment, medication, diagnostic procedure, prognosis). A temporal visual field defect is noted in each eye. Clinical trials are invaluable in testing new treatments, drugs and technologies. Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. Your gift today makes tomorrows breakthroughs possible. It's up to you to find out the most likely cause. 7 month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. His wife mentioned that he exhibits a right head turn while watching television. Cholesterol Granuloma: 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. WebCase Report Format. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. Optom Vis Sci 2016;93:11878. She describes tears that run down the front of her face and denies any ocular irritation. The introduction section of the case report must also now provide a full description of the literature search strategy, including the database searched, the search terms (which should match the PICO question), the number of records returned, and the final number of relevant sources reviewed. Female child presenting to the eye clinic at age 15 months for eye crossing. Leiomyosarcoma: 53-year-old male with a bump along his left upper eyelid accompanied by mild discharge, but no pain, duration of one month. 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. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. 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. Editor in Chief University of Houston College of Optometry Houston, TX. Our scientists are discovery-drivers, working to develop cutting-edge treatments. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Can you identify the cause of his obesity and related conditions? 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. 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. Eight years prior to presentation he underwent Laser-assisted in situ keratomileusis (LASIK) in both eyes. 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 Anterior Chamber Cilium: 81-year-old male with intraocular cilium and dislocated intraocular lens. Webevidence based practice in optometry for students, teachers and practitioners to discover resources and case studies and develop their understanding of EBP, on line resource Cavernous Hemangioma: 31-year-old caucasian female with a painless, "dark spot" in her left visual field. Nanophthalmos with Ocular Hypertension and Angle-Closure: 37-year-old woman presented as a referral from her local eye doctor who found that her intraocular pressure (IOP) was high on routine eye examination. She was taken to the emergency room where an MRI was performed and demonstrated a left orbital lesion extending into the superior orbital fissure. Authors will be required to articulate a specific clinical question. Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK), Corneal Marginal Ulcer: Marginal keratitis with ulceration in a 45 year-old male. 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). Pan-endophthalmitis and Orbital Cellulitis: 89-year-old female with a history of gradual redness and proptosis, right eye over 3 weeks. Some error has occurred while processing your request. A woman with type 1 diabetes was evaluated, one week after an otherwise uncomplicated cesarian section, for decreased vision and multiple new floaters in both eyes. 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. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. 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. Optometry Clinical Cases (registration required; please note that the NECO Library staff does not recommend Medscape as a reputable source for anything but case 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. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. 2. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Between visual testing and MRI, can you offer her a diagnosis? 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. The discussion, although brief, is intended to give you a simple overview of each disease. EyeRounds.org. Pembrolizumab (Keytruda) Induced Uveitis in a Patient with Metastatic Melanoma: Phacoemulsification: Considerations for Astigmatism Management, Posterior capsular folds creating a Maddox rod effect following cataract surgery. The growing use of contact lenses in children demands our attention with surveillance and case-control studies. 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. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Each case report is required to begin with an abstract, limited to 35 words (present tense), describing the uniqueness of the case that merits presen-tation at the Grand Rounds. Cranial Nerve IV (Trochlear Nerve) Palsy: 57-year-old male complaining of vertical diplopia after head trauma. In 2017, Optometry and Vision Science revised the instructions for authors for case reports to signal a preferred focus on evidence-based clinical practice. Log in to make an appointment. Sturge-Weber Syndrome: 4-year-old child with a history of seizures and glaucoma. 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.
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