Allergic Contact Dermatoblepharitis: 55-year-old female with a Medical History significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision. A 20-year-old female was referred for management of secondary open-angle glaucoma. 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. 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. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. Author. 64-year-old male patient noted severe pain in his right eye while in the post-anesthesia care unit shortly after laparoscopic surgery. Most Popular Articles : Optometry and Vision Science Infectious Crystalline Keratopathy (ICK): 72-year-old female with decreased vision. Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident. Pediatric headache: The vital role of the optometrist Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss. Editor in Chief University of Houston College of Optometry Houston, TX. 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. She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. Morgagnian Cataract: 59-year-old female with decreased vision at distance and near, more so in the right eye than the left and iincreasing difficulty with glare from bright lights at night, seeing road signs, watching television, and reading the newspaper. How would you approach a patient who comes to the primary care clinician with worries about bumps on her buttocks and knees? Anterior Chamber Cilium: 81-year-old male with intraocular cilium and dislocated intraocular lens. Case 1: Unilateral Vision Loss And Optic Nerve Edema. Involutional entropion: options for surgical management of entropion. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. 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. ", If you have trouble accessing full text, or it is not available, please email us at. 2-month-old with bilateral optic nerve hypoplasia: Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection. 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. Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. What's the diagnosis? She describes tears that run down the front of her face and denies any ocular irritation. Interferon Retinopathy: 60-year-old male with hepatitis C virus infection presents with new floaters in both eyes. He was asymptomatic on presentation. Myeloid Sarcoma: 20-year-old female with a history of intermittent binocular diplopia that worsened with right head tilt and a six week history of progressive fullness of the right upper eyelid. Recently, he became symptomatic indoors. Sarcoidosis Affecting the Lacrimal Gland: 39-year-old female with left upper eyelid swelling of 4 months duration, Sebaceous Cell Carcinoma: A Masquerade Syndrome. The principles discussed apply equally to the plus and minus cylinder methods. Wolters Kluwer Health 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. Resources: Clinical Cases - New England College of A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Holoprosencephaly and Strabismus. He complained of blurry vision while reading and letters running together on the page. 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. 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. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! 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. 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. Twa MD. 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. This is a collection of case studies to help you get an insight on the typical history and initial examination of various Condition or disease. 2023 Medical College of Wisconsin. Imagine a Milwaukee that is equitable, healthy and thriving for all. Optometry Case Studies. Optometry However, this was not practical for ongoing management as base-in prisms do not train the eyes to improve convergence or fusion. 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. Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds. 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. Vision in the right eye was starting to "darken." For more information, please refer to our Privacy Policy. A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. 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. Carotid Cavernous Fistula: 46-year-old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion. Authors will be required to articulate a specific clinical question. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. Horner's Syndrome (due to Cluster Headache): 46-year-old male presenting with HA and ptosis. This frequently cited monthly Please try after some time. Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. 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). This case features 11 oculoplastic surgery videos. 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. your express consent. Giant reservoir formation from Ahmed seton valve. Family members told police that the victim always removed her contact lenses before going to sleep. Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. He had intermittent redness and mild foreign body sensation in both eyes. Bilateral optic nerve hypoplasia, 2-month-old with: Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy, Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy, Facial Nerve Palsy: Ocular Complications and Management, Horner's Syndrome (due to Cluster Headache), Idiopathic Intracranial Hypertension (Pseudotumor Cerebri), Neurofibromatosis Type 1 - Optic Nerve Glioma, Communicating with patients about alternative therapies, Orbital inflammation secondary to bisphosphonate therapy, Parkinson's disease: a review of the ophthalmological features, Pituitary Adenoma Causing Compression of the Optic Chiasm, Progressive Supranuclear Palsy in a Patient with Progressive Nonfluent Aphasia, Spinocerebellar Ataxia with Ophthalmoplegia, Thyroid Eye Disease (Graves' ophthalmopathy). Hydroxychloroquine (Plaquenil) Toxicity: 57-year-old female with bilateral central photopsias for two years. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Each case report is required to begin with 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. 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. The results will help determine whether to proceed to a full-scale, long-term randomized trial. Case Study Submissions. Pituitary Adenoma Causing Compression of the Optic Chiasm: HLA-B27-associated Acute Anterior Uveitis, Intermediate uveitis associated with hidradenitis suppurativa, Tubulointerstitial Nephritis and Uveitis Syndrome (TINU, Receive notification of new cases, sign up here. Case Reports. EyeRounds.org - Ophthalmology - The Distichiasis: 64-year-old white male with bilateral eye irritation. Every discovery advances academic medicine and improves the vitality of our communities. Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. Enhancing learning, research, patient care and the health of the community. Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. 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. After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision.