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. Meningiomas. Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. Please enable scripts and reload this page. Involutional entropion: options for surgical management of entropion. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision Giant reservoir formation from Ahmed seton valve. Involutional ectropion: Options for surgical management of ectropion. She describes tears that run down the front of her face and denies any ocular irritation. After experiencing 1 month of decreased vision in the superior visual field of the right eye, this patient comes to you for a diagnosis. He had intermittent redness and mild foreign body sensation in both eyes. 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. Optom Vis Sci 2016;93:11878. Distichiasis: 64-year-old white male with bilateral eye irritation. Communication Issues Following a Post Operative Surprise, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema. Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM): 61-year-old Caucasian female presenting for evaluation of corneal mass OS found on routine exam about 2 months previous. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. We thank the Iowa Eye Association: Friends and Alumni of the Univeristy of Iowa Department of Ophthalmology and Visual Sciences. 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. 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. She also reports photophobia, phonophobia, and lightheadedness. You may be trying to access this site from a secured browser on the server. Authors will be required to articulate a specific clinical question. Sarcoidosis Affecting the Lacrimal Gland: 39-year-old female with left upper eyelid swelling of 4 months duration, Sebaceous Cell Carcinoma: A Masquerade Syndrome. 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. Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis. Condition or disease. 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. She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. Twa MD. Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident. 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. 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night. All Rights Reserved A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. Autosomal Dominant Optic Atrophy: 47-year-old female with chronic, mildly subnormal vision. Silent Sinus Syndrome: 36-year-old male with sunken left orbit (Enophthalmos), White-eyed blowout fracture: 17-year-old male with diplopia, pain with eye movement, nausea and vomiting after blunt trauma to the left eye, Acute Acquired Brown Syndrome: 38-year-old Male with Ethmoidal Sinus Mucocele. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology. 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. Enhancing learning, research, patient care and the health of the community. Seven month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. What's causing the decline in his eyesight? 27-year-old male was referred for evaluation of a left medial canthal lesion. (also see Ocular Sarcoidosis). Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion. Related: Coats disease: A case study of a 4-year old boy. A 42-year-old woman with a chronic productive cough is repeatedly treated for pneumonia. We have a growing collection of peer review and peer discussion case studies, including case studies for IP optometrists, covering real life Cat-Scratch neuroretinitis (Ocular bartonellosis): 44-year-old female with non-specific "blurriness" of vision, left eye. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. In 2017, Optometry and Vision Science revised the instructions for authors for case reports to signal a preferred focus on evidence-based clinical practice. 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. The vision in the left eye (OS) has been excellent. 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. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months. 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. Post LASIK Ectasia: Female patient presented status post bilateral LASIK for myopia. MyCPD Portal. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. Chandler Syndrome: A subtle presentation. 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. Successful case report submissions should no longer focus on rare and unexpected conditionsnovelty alone will not be sufficient for publication. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. Need clinical cases or reports to use in your teaching? What is your diagnosis? Reproduction in whole or in part without permission is prohibited. Canalicular Laceration - Dog Bite: 5-year-old white female presenting with dog bite to left side of face. She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. 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). 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. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72-year-old female with Fuchs. WebOphthalmology Case Reports and Grand Rounds Presentations from the University of Iowa Department of Ophthalmology and Visual Sciences. 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. Orbital Lymphatic Malformation (Lymphangioma), Pan-endophthalmitis and Orbital Cellulitis, Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel, Secondary Tumors After Hereditary Retinoblastoma. Thygeson's Superficial Punctate Keratitis: Use of Ophthalmic Medications in Pregnancy: Vision Loss After Contact Lens-Related Pseudomonas Keratitis. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. What's the diagnosis? Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. Orbital Lymphatic Malformation (Lymphangioma): 5 year-old female complained of an intermittent frontal headache. 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. WebThe following case studies were entries in Cultural Competency Case Study Competitions for optometry students and residents implemented in 20 14, 2015, and 2020 by the Diversity and Cultural Competency Committee of the Association of Schools and Colleges of Optometry (ASCO). The flexibility of unrestricted funds allows MCW to continue addressing our most urgent priorities. Perioperative Corneal Abrasions: Systems-based review and analysis. An otherwise healthy 5-year-old boy presents after a failed vision exam. Clinical Imaging Case Studies. Please try again soon. * Entrants in each of the three Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. date posted; Available from: http://www.eyerounds.org/cases/filename.htm. Vision in the right eye was starting to "darken." Merkel Cell Carcinoma of the Eyelid. Nasolacrimal duct obstruction secondary to sarcoidosis. Multiple Evanescent White Dot Syndrome (MEWDS): 24-year-old female with one week duration of central scotoma, right eye. Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. Doctors of optometry can draw upon several resources when it comes to professional conduct in the practice of optometry. Orbital inflammation secondary to bisphosphonate therapy: 80-year-old female with right eyelid swelling, pain, decreased vision, diplopia. Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes. What is the most likely cause? 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. 3-year-old male who was referred to the cornea clinic after failing a KidSight screening and was found to have bilateral corneal opacities when evaluated by his optometrist. 71-year-old female referred for evaluation of a corneal scar in the right eye (OD). These new case report standards are designed to increase the quality of future clinical case reports published in Optometry and Vision Science. Vision in the right eye was progressively more blurred. 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. Cranial Nerve IV (Trochlear Nerve) Palsy: 57-year-old male complaining of vertical diplopia after head trauma. Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye. Megalocornea. to maintaining your privacy and will not share your personal information without Acute Macular Neuroretinopathy: 30-year-old woman presented for evaluation of vision loss in both eyes (OU) in the setting of a newly diagnosed transverse venous sinus thrombosis. This case features 11 oculoplastic surgery videos. Patient presenting with decreased vision after BB gun injury to right orbit. After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. Case Studies The case studies are presented in a question-and-answer format. 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. Valsalva Retinopathy: Vision loss after asthma attack: 32-year-old female patient presented with a "black spot" in the vision of her left eye. Commotio Retinae: 29-year-old man was referred after sustaining a head injury during an altercation. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye. They are composite cases representing situations that will present to the refractionist. 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). Melanocytoma of the Iris and Ciliary Body: Nanophthalmos with Ocular Hypertension and Angle-Closure: Primary Congenital Glaucoma (Infantile Glaucoma), Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC), Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT), Acute Demyelinating Encephalomyelitis (ADEM) with associated optic neuritis, All-trans retinoic acid (ATRA) induced intracranial hypertension in a patient with acute promyelocytic leukemia, ANCA-associated granulomatous vasculitis (Wegener's granulomatosis). All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss. ", If you have trouble accessing full text, or it is not available, please email us at. Ophthalmic Case Studies This is a collection of case studies to help you get an insight on the typical history and initial examination of various ophthalmic disorders. 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. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. This patient, with a history of multiple endocrine neoplasia type 2B (MEN2B) was referred by his oncologist for a large lesion on the outer corner of his right eye. From the start of Optometry school, professors and supervisors preached that a patients chief complaint and case history should direct your exam. 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. This is a collection of case studies to help you get an insight on the typical history and initial examination of various When symptoms persist 2 months after surgery, this patient pays you a visit. Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43-year-old male referred for evaluation of binocular diplopia. Ocular Rosacea: 62-year-old female with blurry vision and red, itchy eyes. Anterior Chamber Cilium: 81-year-old male with intraocular cilium and dislocated intraocular lens. Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid. Check the, To narrow your results further:go back to the left column, and under Publication dates choose "5 years. The discussion, although brief, is intended to give you a simple overview of each disease. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Patient Non-Compliance: Physician responsibility. 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. Two cases illustrating the presenting symptoms and comorbidities associated with floppy eyelid syndrome. Enophthalmos Secondary to Metastatic Breast Cancer. WebCase Report Format. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment, Choroidal Osteoma: 10-year-old girl presents for annual follow-up. A 20-year-old female was referred for management of secondary open-angle glaucoma. Serpiginous Choroiditis: 60-year-old male with 15 year history of serpiginous choroiditis reports a 2 day history of a new scotoma noticed on Amsler Grid testing of his right eye. Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. Progression of Proliferative Diabetic Retinopathy During Pregnancy. 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. The Value of Clinical Case Reports in Evidence-based Practice. 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. 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). Anisometropic Amblyopia. [video included]. Refractive Accommodative Esotropia. Retinoblastoma: 4 month old boy with a "blur" in one eye since birth, Rhabdomyosarcoma: Eleven-year-old male with two weeks of blurry vision, headaches, and difficulty moving the right eye for the past two weeks, Sagging Eye Syndrome.77-year-old female with a complaint of intermittent, binocular, horizontal diplopia present for the last six months. TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. Routine preschool screening found central posterior synechiae in both eyes. 52-year-old woman presented with elevated intraocular pressure (IOP) and visual fields demonstrating progressive field loss despite maximum tolerated medical therapy. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. A 59-year-old male presented with a history of Granulomatosis with Polyangiitis (GPA) - formerly known as Wegener's Granulomatosis, medically-uncontrolled primary open angle glaucoma (POAG), and pathologic myopia. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. Salzmann's Nodular Corneal Degeneration: 62-year-old woman presents with 3 years of progressive decrease in vision. 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. Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. He had felt unwell for several days, had decreased vision and pain in his left eye, and attributed his suicidality to pain. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. Find primary and specialty care near you. A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. Editor in Chief University of Houston College of Optometry Houston, TX. Optom Vis Sci 2018;95:5459. Female child presenting to the eye clinic at age 15 months for eye crossing. The patient noted a stable gray spot and visual distortion OD for the previous several weeks. 1. 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). Conjunctival rhinosporidiosis in a temperate climate. A bedside ocular examination was remarkable for a linear, horizontal corneal epithelial defect. The results will help determine whether to proceed to a full-scale, long-term randomized trial. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with A 50-year-old man was noted to have optic disc edema and visual field defects in each eye. He wore spectacles with the right eye under-corrected to minimize his symptoms. Between visual testing and MRI, can you offer her a diagnosis? Look no further. 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. 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. 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 40-year-old male was referred to the University of Iowa for worsening floaters in his left eye starting two months prior to presentation. 50-year-old male with penetrating globe injury. 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. Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness. Capsular Block Syndrome: An Unusual Presentation: 51-year-old pseudophakic female presents with poor vision in the right eye (OD). Non-accommodative Esotropia and Botulinum Toxin Therapy: Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes, Acute Zonal Occult Outer Retinopathy (AZOOR) and Acute Idiopathic Blind Spot Enlargement Syndrome (AIBSE). (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.