She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. 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." Vertical Oscillopsia: A Case of Superior Oblique Myokymia. Case Studies Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. After experiencing 1 month of decreased vision in the superior visual field of the right eye, this patient comes to you for a diagnosis. Can you diagnose the problem? Vision in the right eye was progressively more blurred. If you log out, you will be required to enter your username and password the next time you visit. Ocular Cicatricial Pemphigoid: atypical presentation as pseudopterygium and limbal stem cell deficiency. ProFile Specsavers journal | Specsavers journal for Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion OS. Sarcoidosis: 53-year-old A female with gradual, painless loss of vision in both eyes. Capsular Block Syndrome: An Unusual Presentation: 51-year-old pseudophakic female presents with poor vision in the right eye (OD). She had a history of severe hydrocephalus with seizures and alobar holoprosencephaly at birth. 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. 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. 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. An ophthalmologist confirmed the narrow angles and placed her on medications to successfully lower her intraocular pressure. Progressive Supranuclear Palsy in a Patient with Progressive Nonfluent Aphasia: A case of an 81-year-old woman with limited eye movements, Pseudoabducens palsy: When a VI nerve palsy is not a VI nerve palsy. Case Study 2 - CC: Red, itchy eyes - Medical College of Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. Symptoms began that morning with diplopia when he left home to walk his dog. Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS. The statement of clinical significance should not only articulate the focus of the case report as a clinical question in PICO format but should also clearly indicate why this question is of interest for readers. 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. What is your diagnosis? Communication Issues Following a Post Operative Surprise, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: A 34-year-old woman presents with optic neuritis and develops demyelinating brain lesions. 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. Fibrous Dysplasia: 43-year-old female was referred to the University of Iowa Oculoplastics Clinic by her comprehensive ophthalmologist for the evaluation of worsening right-sided proptosis. Carotid Cavernous Fistula: 46-year-old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion. (also see: Painless Proptosis in a 62-year-old female). 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night. Epithelial-Stromal and Stromal Corneal Dystrophies: Exposure Keratopathy in the Critically Ill: Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. Fungal Endophthalmitis: Hematogenous seeding in an immune suppressed patient with positive fungal and bacterial blood cultures. 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. 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. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. Seven month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. Authors will be required to articulate a specific clinical question. From the start of Optometry school, professors and supervisors preached that a patients chief complaint and case history should direct your exam. Involutional ectropion: Options for surgical management of ectropion. 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. Clinical Cases in Optometry - Index Clinical Cases in Optometry A Cloudy and Painful Eye A 30-year-old man with keratoconus has sudden eye pain with light Multiple Evanescent White Dot Syndrome (MEWDS): 24-year-old female with one week duration of central scotoma, right eye. The intervention is intense pulsed light therapy, and the outcome measure is the recovery time. Case Studies | Evidence Based Practice in Optometry Enophthalmos Secondary to Metastatic Breast Cancer. Vision Therapy for Intermittent Exotropia Facial Nerve Palsy: Ocular Complications and Management. 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. They must be based on more than a unique clinical observation and clearly state the focus of the report, for example, interventions, diagnosis, and etiology. 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. However, the murder became a cold case due to a lack of physical evidence connecting him to the crime. 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. 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. The patient experienced severe eye pain and had immediate loss of vision in the left eye (OS). Internuclear Ophthalmoplegia: 40-year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye (OS). Nasolacrimal duct obstruction secondary to sarcoidosis. This website also contains material copyrighted by 3rd parties. Optometry Marketing Case Studies 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 He did not tolerate contact lenses and was interested in surgical options. Ophthalmic Case Studies - Medical College of Wisconsin 80-year-old male presented with diplopia and proptosis of right eye. Halos around lights and a mild decreased acuity persisted. Patient referred from the retina service for dense cataract formation three days following pars plana vitrectomy. Innovative 12-month PA and NP transition to practice programs in a variety of specialty clinical tracks. Cystinosis: A 12-year-old boy with light sensitivity. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision According to the Cochrane Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. The growing use of contact lenses in children demands our attention with surveillance and case-control studies. 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. Acute Demyelinating Encephalomyelitis (ADEM) with associated optic neuritis: 9-year-old girl presents to an outside hospital with fatigue, poor appetite, and decreased activity for 3 weeks. Designed to provide a unique, specialized learning experience. 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. 63-year-old female presenting with progressive double vision and a droopy right eyelid. Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS. Cranial Nerve IV (Trochlear Nerve) Palsy: 57-year-old male complaining of vertical diplopia after head trauma. She developed mild light sensitivity in both eyes as well as mild, circumferential headaches during the four months leading up to ophthalmologic evaluation. When symptoms persist 2 months after surgery, this patient pays you a visit. 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. Onset of dramatically decreased vision in both eyes began at the time of child delivery. OPTOMETRY Case She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. Michael D. Twa, OD, PhD, FAAO Peters Anomaly: 2-day-old infant evaluated for bilateral corneal opacity noted at the time of delivery. Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion. Case studies Can you provide it? Case Reports. EyeRounds.org - Ophthalmology - The Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. Horner's Syndrome (due to Cluster Headache): 46-year-old male presenting with HA and ptosis. New knowledge driving discovery to advance the health of our communities. 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. Conjunctival rhinosporidiosis in a temperate climate. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs. Cavernous Hemangioma: 31-year-old caucasian female with a painless, "dark spot" in her left visual field. Look no further. Finally in my fourth year of Optometry I understand why. Age-related macular degeneration: a case study - PubMed 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. 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. 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. She also noted decreased perception of color and contrast. A bedside ocular examination was remarkable for a linear, horizontal corneal epithelial defect. 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. Pan-endophthalmitis and Orbital Cellulitis: 89-year-old female with a history of gradual redness and proptosis, right eye over 3 weeks. What's the diagnosis? 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). WebOptometry Case Studies. Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. 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. Resources: Clinical Cases - New England College of Over the last ten years, she has experienced further painless vision loss OD. See-Saw Nystagmus: 64-year-old male who first noted the onset of oscillopsia five months prior to presentation. 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. Patient had progressive photophobia during outdoor activities. The infant did not show evidence of tearing, blepharospasm, photophobia, drainage, or ocular redness. Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus. Waldenstrom Macroglobulinema-Associated Retinopathy: A 61 year-old male presenting with worsening vision in both eyes over the past 2 years, poorly controlled diabetes, persistent DME, and proliferative diabetic retinopathy. 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. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Case Studies in Cultural Competency example: Mullaney S, Vislisel J, Maltry A, Boldt HC. Holoprosencephaly and Strabismus. Merkel Cell Carcinoma of the Eyelid. AMERICAN ACADEMY OF OPTOMETRY. Please confirm that you would like to log out of Medscape. Patient presenting with decreased vision after BB gun injury to right orbit. A 19-year-old man presents with chief symptoms of morbid obesity and oozing skin ulcers. This is a collection of case studies to help you get an insight on the typical history and initial examination of various Let us help you find an answer to your question. 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. Neurofibromatosis Type 1 - Optic Nerve Glioma: 8-year-old white female with acute awareness of complete vision loss, left eye. Parents feel that it is worsening. If you are having any problems with your vision, feel free to call (414) 955-2020 and make an appointment to see any of us. Log in to make an appointment. 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. Wolters Kluwer Health Orbital Lymphatic Malformation (Lymphangioma): 5 year-old female complained of an intermittent frontal headache. The lesion has been present on the left lower lid for about one month.It has grown rapidly in size over the previous two weeks and is now obstructing her vision, Ocular Surface Squamous Neoplasia (OSSN): 22-year-old male with concerns of a new, enlarging conjunctival/corneal mass on his left eye, Orbital Eosinophilic Granuloma. 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. 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. 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. 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. How would you approach a patient who comes to the primary care clinician with worries about bumps on her buttocks and knees? History. 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. Progression of Proliferative Diabetic Retinopathy During Pregnancy. 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. Seton Infection: Serratia Marcescens: 57-year-old white female with 1 day history of redness, swelling, and pain in her right eye. Thygeson's Superficial Punctate Keratitis: Use of Ophthalmic Medications in Pregnancy: Vision Loss After Contact Lens-Related Pseudomonas Keratitis. 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. Forensic Analysis of a Contact Lens Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss.
Benign Squamous Epithelium,
Glock Ejector Rubbing On Slide,
Snake Discovery Rad Zoo,
Venus In Cancer Celebrities,
Articles O
