Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. Webthe case. A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. Hydroxychloroquine (Plaquenil) Toxicity: 57-year-old female with bilateral central photopsias for two years. 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 80-year-old male presented with diplopia and proptosis of right eye. Michael D. Twa, OD, PhD, FAAO This website also contains material copyrighted by 3rd parties. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. Over the last ten years, she has experienced further painless vision loss OD. a case and review. These new case report standards are designed to increase the quality of future clinical case reports published in Optometry and Vision Science. A 42-year-old woman with a chronic productive cough is repeatedly treated for pneumonia. Meningiomas: a case and review. {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}. The lesion has been present on the left lower lid for about one month. 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. Salzmann's Nodular Corneal Degeneration: 62-year-old woman presents with 3 years of progressive decrease in vision. The revised instructions included the following statement: Priority is given to cases that illustrate applications of evidence-based practice, critical thinking, novel mechanistic reasoning, or those that have importance to public health or health policy implications. She describes tears that run down the front of her face and denies any ocular irritation. Extranodal marginal zone B-cell lymphoma of the left eye with choroidal, episcleral, and orbital involvement. Halos around lights and a mild decreased acuity persisted. Age-related Macular Degeneration: Progression from Atrophic to Proliferative: Cat-Scratch neuroretinitis (Ocular bartonellosis). Interferon Retinopathy: 60-year-old male with hepatitis C virus infection presents with new floaters in both eyes. A boy comes to your clinic with myopia in the right eye. 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. If you need assistance logging into subscribed resources from off campus, or finding the specific case studies you need, please email [emailprotected]. Optometry Clinical Cases Facial Spasms in a Man Recently Released From the Hospital After a recent hospitalization for a hemicranial headache, a man presents 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. 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. The firework launched and directly contacted the left orbit. Look no further. Merkel Cell Carcinoma of the Eyelid. 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. All rights reserved. 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). Commotio Retinae: 29-year-old man was referred after sustaining a head injury during an altercation. Terrien Marginal Degeneration: A 35-year-old man with spontaneous open globe injury. Chandler Syndrome: A subtle presentation. Imagine a Milwaukee that is equitable, healthy and thriving for all. Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss. 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. The discussion, although brief, is intended to give you a simple overview of each disease. Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging left lower lid lesion. His wife mentioned that he exhibits a right head turn while watching television. Case Studies The case studies are presented in a question-and-answer format. Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT). Optometry and Vision Science99(2):93-94, February 2022. Infectious Crystalline Keratopathy (ICK): Interstitial keratitis secondary to Herpes Simplex Virus (HSV): Lattice Corneal Dystrophy Type II Meretoja's Syndrome: Ocular Manifestations of Stevens-Johnson Syndrome, Perioperative Corneal Abrasions: Systems-based review and analysis, Phakic intraocular lenses for high myopia, Posterior Polymorphous Corneal Dystrophy (PPMD). Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. They are composite cases representing situations that will present to the refractionist. In her case study, Dr. Fortenberry may email you for journal alerts and information, but is committed Cat-Scratch neuroretinitis (Ocular bartonellosis): 44-year-old female with non-specific "blurriness" of vision, left eye. example: Mullaney S, Vislisel J, Maltry A, Boldt HC. Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. Posterior Polymorphous Corneal Dystrophy (PPMD). 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. Post LASIK Ectasia: Female patient presented status post bilateral LASIK for myopia. 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. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. 27-year-old male was referred for evaluation of a left medial canthal lesion. 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. In 2017, Optometry and Vision Science revised the instructions for authors for case reports to signal a preferred focus on evidence-based clinical practice. 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. Myopia Myopia Case 1 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. Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes. Since the majority of cases of microbial keratitis (mk) in contact lens wearers are due to Pseudomonas, and this specific infection heralds a worse prognosis, we investigated outcomes at our facility to determine the frequency and extent of visual loss in cases of Pseudomonas keratitis occurring in eyes with previously normal visual acuity and no risk factors for MK except contact lens wear. Title. Conjunctival rhinosporidiosis in a temperate climate. 50-year-old male with penetrating globe injury. During an inventory check years later, a new detective noted that the victims contact lenses were not in their storage case. Peters Anomaly: 2-day-old infant evaluated for bilateral corneal opacity noted at the time of delivery. Congenital Ptosis. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72-year-old female with Fuchs. 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. 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. Invasive Fungal Orbitorhinocerebral Mucormycosis. (also see Ocular Sarcoidosis). ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. Editor in Chief University of Houston College of Optometry Houston, TX. 1. 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. Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. Feel free to contact. 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. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. 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. She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. According to the Cochrane Thygeson's Superficial Punctate Keratitis: Use of Ophthalmic Medications in Pregnancy: Vision Loss After Contact Lens-Related Pseudomonas Keratitis. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. He complained of blurry vision while reading and letters running together on the page. Eldeeb M, Chan EW, Omar A. Every discovery advances academic medicine and improves the vitality of our communities. Please confirm that you would like to log out of Medscape. Infantile (Congenital) Esotropia: 2 month-old female began crossing her eyes shortly after birth. Shortly after treatment with intravitreal steroids and photodynamic therapy, her IOP spiked to 59 mm Hg. Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. What's the diagnosis? 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. The patient first noticed the lesion about one month prior to presentation. Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass. Reproduction in whole or in part without permission is prohibited. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. 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. Cystinosis: A 12-year-old boy with light sensitivity. Tubulointerstitial Nephritis and Uveitis Syndrome (TINU): This 18-year-old female presented with a four month history of foggy vision, floaters, and eye redness/irritation in both eyes (OU). For Medical Students. A temporal visual field defect is noted in each eye. Finally in my fourth year of Optometry I understand why. Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident. Through collaboration with the brightest minds in science and medicine MCWs Centers are at the forefront of discovery and innovation. A 50-year-old man was noted to have optic disc edema and visual field defects in each eye. Vitamin A Deficiency and Nyctalopia: 55-year-old male with gradual onset of night blindness. Log in to make an appointment. Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. 5-year-old male with unequal vision. Involutional ectropion: Options for surgical management of ectropion. Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. Copyright 2023 Jobson Medical Information LLC unless otherwise noted. We have a growing collection of peer review and peer discussion case studies, including case studies for IP optometrists, covering real life She had a history of severe hydrocephalus with seizures and alobar holoprosencephaly at birth. Wolters Kluwer Health Seton Infection: Serratia Marcescens: 57-year-old white female with 1 day history of redness, swelling, and pain in her right eye. (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. Twa MD. Internuclear Ophthalmoplegia: 40-year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye (OS). Chuck is a 60-year-old white male who presents for a yearly exam. Data is temporarily unavailable. The Value of Clinical Case Reports in Evidence-based Practice. 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. 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 (case presentation: Cavernous hemangioma, HLA-B27-associated Acute Anterior Uveitis. Facial Nerve Palsy: Ocular Complications and Management. Vernal Keratoconjunctivitis: 8-year-old asthmatic male with reduced vision. Clinical Imaging Case Studies. Successful case report submissions should no longer focus on rare and unexpected conditionsnovelty alone will not be sufficient for publication. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. 2. Need clinical cases or reports to use in your teaching? A 64-year-old woman comes to you after 2 weeks of symptoms. Stickler Syndrome: 10-year-old male with family history of retinal detachment and optically empty vitreous. Cystinosis: A 12-year-old boy with light sensitivity. EyeRounds.org. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. What is the most likely cause? CASE STUDY: Doug Idiopathic Orbital Myositis: A Treatment Algorithm: 19-year-old female who presents with a one-week history of headache, one day of left "eye swelling," and pain that is worse with eye movement. 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. Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. Cholesterol Granuloma: 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. (includes video), Communication Issues Following a Post Operative Surprise: Blurry Vision Following Cataract Surgery, Endophthalmitis: 82-year-old male status post phacoemulsification in the left eye with acute decrease in vision. There were no known maternal infections during the pregnancy and no problems during the perinatal period. 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 Vision in the right eye was progressively more blurred. Acute Corneal Hydrops: 51-year-old male with keratoconus and history of rigid gas permeable (RGP) contact lens wear in the left eye presented with left eye redness, pain, light sensitivity, and tearing for 1 week. Optom Vis Sci 2016;93:11878. Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus. Adenoviral Conjunctivitis: 38-year-old white female with watery, red, irritated eyes; left more than right. Floppy Eyelid Syndrome. He had stable chronic floaters but no flashes of light, eye pain, or other ocular symptoms. 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. 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. 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. Doctors of optometry can draw upon several resources when it comes to professional conduct in the practice of optometry. Enhancing learning, research, patient care and the health of the community. He also has research interests in contact lens and surgical correction of presbyopia. Family members told police that the victim always removed her contact lenses before going to sleep. Prospective authors should report cases that illustrate clinical decision making relative to the following: Interventions questions addressing the treatment of an illness or dysfunction, Diagnosis questions on the identification or determination of the nature and cause of a disease or condition, Etiology questions addressing the cause or disease origin, including risk factors for a certain disease or condition, Prognosis questions on the prediction of the course of a disease, Prevention questions related to reducing the chance or impact of disease by identifying and modifying risk factors, screening, and early diagnosis. Changing Trends in Sympathetic Ophthalmia: Sympathetic ophthalmia following repeated vitreoretinal surgery with no history of trauma. Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. 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. Through research, health care education, workforce development, and community health initiatives, AHW drives change. WebCase studies for members. WebOptometry Case Studies. 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. Choroidal Hemangioma: Central scotoma in the right eye. Methods: We would be delighted to see you. Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. The vision in the left eye (OS) has been excellent.
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