optometry case studies

Calcific Band Keratopathy. Vision in the right eye was starting to "darken." Routine preschool screening found central posterior synechiae in both eyes. A 20-year-old female was referred for management of secondary open-angle glaucoma. Between visual testing and MRI, can you offer her a diagnosis? 3. Perioperative Corneal Abrasions: Systems-based review and analysis. date posted; Available from: http://www.eyerounds.org/cases/filename.htm. Infectious Crystalline Keratopathy (ICK): 72-year-old female with decreased vision. Cholesterol Granuloma: 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. Family members told police that the victim always removed her contact lenses before going to sleep. From the start of Optometry school, professors and supervisors preached that a patients chief complaint and case history should direct your exam. Diplopia was only present at distance and no double vision with near tasks. Canalicular Laceration - Dog Bite: 5-year-old white female presenting with dog bite to left side of face. Feel free to contact. He did not tolerate contact lenses and was interested in surgical options. Through collaboration with the brightest minds in science and medicine MCWs Centers are at the forefront of discovery and innovation. your express consent. For more information, please refer to our Privacy Policy. Case Studies The case studies are presented in a question-and-answer format. Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS. The double vision was worse with lateral gazes in both directions.. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. Vision in the right eye was progressively more blurred. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! 64-year-old male patient noted severe pain in his right eye while in the post-anesthesia care unit shortly after laparoscopic surgery. Each case report is required to begin with Acute Retinal Necrosis: 84-year-old man with Alzheimers dementia presented with floaters and decreased vision in both eyes (OU). Doctors of optometry can draw upon several resources when it comes to professional conduct in the practice of optometry. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. Please try after some time. A 64-year-old woman comes to you after 2 weeks of symptoms. Post LASIK Ectasia: Female patient presented status post bilateral LASIK for myopia. Recurrent anterior uveitis in HLA-B27 positive Ulcerative Colitis (IBD) with multiple positive auto-antibodies. 5-year-old male with unequal vision. She also noted decreased perception of color and contrast. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs. 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. 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. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. Why is this 65-year-old patient with relapsing-remitting MS having decreased vision in her right eye? 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. Polypoidal Choroidal Vasculopathy (PCV): 57-year-old Caucasian male referred for retinal thickening and subretinal fluid in right eye greater than left eye. The discussion, although brief, is intended to give you a simple overview of each disease. Treated with peginterferon and ribavirin for 6 weeks prior to visit. He complained of blurry vision while reading and letters running together on the page. Reproduction in whole or in part without permission is prohibited. Chemical Eye Injury: A Case Report and Tutorial: A guide to emergent management and medical therapy to promote ocular surface rehabilitation, Cogan's Syndrome: 42-year-old Female with Interstitial Keratitis and Vertigo, Congenital Aniridia: 18-year-old male with suspected aniridia with corneal pannus involving both eyes. The growing use of contact lenses in children demands our attention with surveillance and case-control studies. Posterior Polar Cataract. 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. Conjunctival Lymphoma: 51-year-old male noticed a raised bump on the nasal portion of his eye a month prior to presentation. When symptoms persist 2 months after surgery, this patient pays you a visit. Michael D. Twa, OD, PhD, FAAO The discussion, although brief, is intended to give you a simple overview of each disease. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. 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. Salzmann's Nodular Corneal Degeneration: 62-year-old woman presents with 3 years of progressive decrease in vision. A temporal visual field defect is noted in each eye. 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. Fungal Endophthalmitis: Hematogenous seeding in an immune suppressed patient with positive fungal and bacterial blood cultures. Myopia Myopia Case 1 80-year-old male presented with diplopia and proptosis of right eye. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Floppy Eyelid Syndrome. 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. [video included]. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. 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. All Rights Reserved This should be supported by key findings from the literature search and a critical appraisal of the relevant existing evidence. Meningiomas. Multiple endocrine neoplasia type 2B: A 27-year-old male presents with multiple eyelid lesions. 2023, New England College of Optometry Library424 Beacon St., Boston, MA 02115 Call: 617-587-5589 | Email: [emailprotected], Asian American Histories, Narratives, and Voices, Addressing Inequity in Health and Health Care, When you are on the results screen, click, You will see a pop-up menu of different article types. 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. All rights reserved. Related: Coats disease: A case study of a 4-year old boy. Onset of dramatically decreased vision in both eyes began at the time of child delivery. Title. Posterior Polymorphous Corneal Dystrophy (PPMD). Optometry Clinical Cases Facial Spasms in a Man Recently Released From the Hospital After a recent hospitalization for a hemicranial headache, a man presents During an inventory check years later, a new detective noted that the victims contact lenses were not in their storage case. 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. Finally in my fourth year of Optometry I understand why. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. 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. 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. Enhancing learning, research, patient care and the health of the community. Can you identify the cause of his obesity and related conditions? Interstitial keratitis secondary to Herpes Simplex Virus (HSV): 22- year-old white man with a history of asthma, vitamin D deficiency, and blepharitis presented to the cornea clinic with gradual onset blurred vision in the right eye and photophobia over 6 weeks. Infantile (Congenital) Esotropia: 2 month-old female began crossing her eyes shortly after birth. 27-year-old male was referred for evaluation of a left medial canthal lesion. 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. Every discovery advances academic medicine and improves the vitality of our communities. (also see: Painless Proptosis in a 62-year-old female). Anisometropic Amblyopia. Eight years prior to presentation he underwent Laser-assisted in situ keratomileusis (LASIK) in both eyes. Patient had progressive photophobia during outdoor activities. Copyright 2023 Jobson Medical Information LLC unless otherwise noted. Can you determine the cause? What is your diagnosis? Intermediate uveitis associated with hidradenitis suppurativa. Chuck is a 60-year-old white male who presents for a yearly exam. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid. Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision, right eye, diminished central vision, and pain with eye movements. 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. She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. Find primary and specialty care near you. She describes tears that run down the front of her face and denies any ocular irritation. 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. Convergence Insufficiency: 15-year-old male with worsening headaches and eye strain while reading, present since he started high school the previous year. Basal Cell Carcinoma, Morpheaform subtype, Bell's Palsy Treated with Facial Nerve Decompression, Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cance, Blepharospasm and Apraxia of Eyelid opening: "I Can't Open My Eyes", Cavernous Hemangioma: Painless Proptosis in a 62-year-old female, Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome, Churg-Strauss Syndrome with Orbital Inflammation, Congenital dacryocystocele with spontaneous resolution.
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