optometry case studies

Orbital inflammation secondary to bisphosphonate therapy: 80-year-old female with right eyelid swelling, pain, decreased vision, diplopia. 3 years prior she had been diagnosed with an unusual vasoproliferative tumor in her left eye. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. 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. 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. Please confirm that you would like to log out of Medscape. Develops applied learning experiences and supports continual education of the healthcare professional beyond graduation. They must be based on more than a unique clinical observation Reproduction in whole or in part without permission is prohibited. Find primary and specialty care near you. 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. 7 month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. This site explains how to work through the EBP Process, and offers online EBP resources and case studies demonstrating use of EBP in action. Aphakic Glaucoma: 5-year-old female was referred to the University of Iowa Hospitals and Clinics (UIHC) Glaucoma Clinic for evaluation of suspected aphakic glaucoma of the left eye (OS). 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 [video included]. 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. His symptoms have been present for the past 8 months and have been only partially relieved with artificial tears and lubricating ointment at night.. Discussion of the management of Refractive Accommodative Esotropia. EyeRounds.org. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. What's causing the decline in his eyesight? Conjunctival Lymphoma: 51-year-old male noticed a raised bump on the nasal portion of his eye a month prior to presentation. How would you approach a patient who comes to the primary care clinician with worries about bumps on her buttocks and knees? Chuck is a 60-year-old white male who presents for a yearly exam. 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. He wore spectacles with the right eye under-corrected to minimize his symptoms. Complained of sudden vision loss in the right eye. Terrien Marginal Degeneration: A 35-year-old man with spontaneous open globe injury. 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. 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. For more information, please refer to our Privacy Policy. Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS. Currently treated with prednisone and methotrexate for Sjogren syndrome and inflammatory arthritis and was previously treated with hydroxychloroquine for 10 years, stopped one year ago. 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). Acute Retinal Necrosis: 84-year-old man with Alzheimers dementia presented with floaters and decreased vision in both eyes (OU). a case and review. Treated with peginterferon and ribavirin for 6 weeks prior to visit. Methods: 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. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. Oculoplastic Surgery, Orbit, Eyelids, Lacrimal, 28-year-old woman presented with a 1-month history of progressive left upper eyelid pain. Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. 5-year-old male with unequal vision. This case features 11 oculoplastic surgery videos. 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. The structured clinical question should define each of these elements but may not require the definition of a comparison or control group for a clinical case report. 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. We would be delighted to see you. She developed mild light sensitivity in both eyes as well as mild, circumferential headaches during the four months leading up to ophthalmologic evaluation. Web Privacy Policy | Nondiscrimination Statement, This site uses tracking information. The vision in the left eye (OS) has been excellent. The discussion, although brief, is intended to give you a simple overview of each disease. 2023 Medical College of Wisconsin. Merkel Cell Carcinoma of the Eyelid. 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. By the time he returned home, he had profound vision loss and right eye protruding. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. A 14-year-old boy presents with painful periorbital edema and erythema in his right eye. Due to the rapid onset and severity of the cataract, there was concern for an iatrogenic break in the posterior capsule during vitrectomy. 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. Over the next 2 days, she began having daily episodes of emesis and her parents noticed "bulging of her left eye." ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Invasive Fungal Orbitorhinocerebral Mucormycosis. Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC): Fungal Endophthalmitis: Hematogenous seeding in an immune suppressed patient with positive fungal and bacterial blood cultures. 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. The scar was present 10 years previously when she was evaluated for painless and slowly progressive vision loss. Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT). TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. Giant reservoir formation from Ahmed seton valve. WebOptometry has several different modes of practice to choose from, including private practice, commercial, hospital, and community health centers to name a few. Adenoid cystic carcinoma lacrimal gland: 99-year-old patient presented to the oculoplastics clinic with double vision, left proptosis, and decreased vision on the left, which had progressed slowly over the last year. Cystinosis: 4-year-old girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. Case Reports; Coding; Contact Lenses & Solutions; Cornea; Diagnostics; Dry Eye; Eyelids; Glaucoma; Low Vision; Neuro-ophthalmic Disorders; News; Ophthalmic WebCase studies for members. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: A 34-year-old woman presents with optic neuritis and develops demyelinating brain lesions. WebCase Report Format AMERICAN ACADEMY OF OPTOMETRY There is a 4,000 character limit (including spaces and the bibliography). She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. 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. Report an issue with this page Why is this 65-year-old patient with relapsing-remitting MS having decreased vision in her right eye? What's the diagnosis? Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. Innovative 12-month PA and NP transition to practice programs in a variety of specialty clinical tracks. He often had to cover one eye to read comfortably, Down Syndrome: 14-month-old male with intermittently crossed eyes, Duane Retraction Syndrome: 31-year-old Male With Globe Retraction, Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum): 6 day-old male with limbal dermoids. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72-year-old female with Fuchs. 60-year-old male with a history of simple megalocornea reported visual disturbance while changing head position, his vision worsened with his head bent down.He previously had cataract surgery with an iris-sutured IOL. Recurrent anterior uveitis in HLA-B27 positive Ulcerative Colitis (IBD) with multiple positive auto-antibodies. Do you know what's wrong? Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. Check the, To narrow your results further:go back to the left column, and under Publication dates choose "5 years. 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. 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. Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. Clinical trials are invaluable in testing new treatments, drugs and technologies. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs. A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid. Initial cultures from her blood and periocular drainage grew group A beta-hemolytic streptococci. Finally in my fourth year of Optometry I understand why. His wife mentioned that he exhibits a right head turn while watching television. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. When symptoms persist 2 months after surgery, this patient pays you a visit. Webthe case. Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. Orbital Lymphatic Malformation (Lymphangioma): 5 year-old female complained of an intermittent frontal headache. 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. 78-year-old male with chronic irritation and dry eye unresponsive to aggressive lubrication, punctal occlusion, and prednisolone/sulfacetamide drops. Can you provide it? 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. Retinochoroidal coloboma: 54-year-old female with blurred vision. There is a 4,000 character limit (including spaces and the bibliography). 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. 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" left eye by internal medicine. Vision Loss After Contact Lens-Related Pseudomonas Keratitis. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. Related: Coats disease: A case study of a 4-year old boy. The lesion has been present on the left lower lid for about one month. Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night. Conjunctival rhinosporidiosis in a temperate climate. 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. 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. All rights reserved. Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass. 56-year-old male with two-month history of progressive proptosis & drooping of the left upper eyelid and binocular diplopia for several weeks, Ciliary Body Leiomyoma: Clinicopathologic Correlation, Congenital dacryocystocele with spontaneous resolution: Full-term 10 day-old female referred to the pediatric ophthalmology clinic by dermatologist for a bluish mass inferior to the right medial canthus, Congenital Ptosis. Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK), Corneal Marginal Ulcer: Marginal keratitis with ulceration in a 45 year-old male. Hydroxychloroquine (Plaquenil) Toxicity: 57-year-old female with bilateral central photopsias for two years. The infant did not show evidence of tearing, blepharospasm, photophobia, drainage, or ocular redness. He had stable chronic floaters but no flashes of light, eye pain, or other ocular symptoms. Hypotony: Late hypotony from trabeculectomy and Ahmed seton with resulting hypotony maculopathy: A 36-year old female presented with poor vision secondary to a low intraocular pressure (IOP) in her right eye. 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. Malattia Leventinese (Familial Dominant Drusen), Pattern Dystrophy Associated with Myotonic Dystrophy, Giant reservoir formation from Ahmed seton valve. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. An otherwise healthy 5-year-old boy presents after a failed vision exam. What is the most likely cause? (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. Onset of dramatically decreased vision in both eyes began at the time of child delivery. Perioperative Corneal Abrasions: Systems-based review and analysis. The case of a 39-year-old woman with Sjgren syndrome and clinically relevant pulmonary involvement. 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. It has grown rapidly in size over the previous two weeks and is now obstructing her vision. MyChart user? Seton Infection: Serratia Marcescens: 57-year-old white female with 1 day history of redness, swelling, and pain in her right eye. 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. WebOptometry Case Studies. 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. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye. Herpes Simplex Keratitis: 36-year-old female presented to the Emergency Treatment Center (ETC) with one day of right eye pain, photophobia and decreased vision. Case report submissions to Optometry and Vision Science should also now include additional information. She had a history of severe hydrocephalus with seizures and alobar holoprosencephaly at birth. Megalocornea. She was taken to the emergency room where an MRI was performed and demonstrated a left orbital lesion extending into the superior orbital fissure. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. 3. Your message has been successfully sent to your colleague. Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. A bedside ocular examination was remarkable for a linear, horizontal corneal epithelial defect. To further investigate private practice optometry, I shadowed He also has research interests in contact lens and surgical correction of presbyopia. Posterior Polar Cataract. Through collaboration with the brightest minds in science and medicine MCWs Centers are at the forefront of discovery and innovation. Clinical Imaging Case Studies. Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. Designed to provide a unique, specialized learning experience. Normal vergence ranges are noted Table 1. Log in to make an appointment. Peripheral Ulcerative Keratitis (PUK): A 79-year-old woman was referred for the evaluation of a corneal ulcer in the right eye (OD).She began experiencing foreign body sensation in the right eye about 2 months prior to presentation after getting poked in the eye while gardening. 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. Meningiomas. Click on the card to display cases in that category. Photographs of this 6-year-old girl show 'white eyes' that concern her parents. The flexibility of unrestricted funds allows MCW to continue addressing our most urgent priorities. WebCase studies Take a look at how individuals from across the University are using continuous improvement in their areas: Collapse all Optometry Housing and Residence HR, IST, Office of Vice-President Academic & Provost Information Systems & Technology (IST): VM Requests Information Systems & Technology (IST): "One Stop" Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. Can you identify the cause of his obesity and related conditions? According to the Cochrane 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. Floppy Eyelid Syndrome. For questions regarding the cases contact Dr. Judy Hoggatt via email. After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. The firework launched and directly contacted the left orbit. However, this was not practical for ongoing management as base-in prisms do not train the eyes to improve convergence or fusion. 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. Autosomal Dominant Optic Atrophy: 47-year-old female with chronic, mildly subnormal vision. Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year.

Homelabs Dehumidifier Recall, Zouma Salary Per Week West Ham, Surf And Turf Restaurant Menu, Ruoey Lung F1001us, Articles O