Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision, right eye, diminished central vision, and pain with eye movements. 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. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. Perioperative Corneal Abrasions: Systems-based review and analysis. Vision in the right eye was progressively more blurred. Commotio Retinae: 29-year-old man was referred after sustaining a head injury during an altercation. The case of a 39-year-old woman with Sjgren syndrome and clinically relevant pulmonary involvement. 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. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. 80-year-old male presented with diplopia and proptosis of right eye. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. 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. Orbital Lymphatic Malformation (Lymphangioma): 5 year-old female complained of an intermittent frontal headache. 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. 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. A woman with type 1 diabetes was evaluated, one week after an otherwise uncomplicated cesarian section, for decreased vision and multiple new floaters in both eyes. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. His wife mentioned that he exhibits a right head turn while watching television. 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. It has grown rapidly in size over the previous two weeks and is now obstructing her vision. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. * Entrants in each of the three Case studies for members - College of Optometrists 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. 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. Chandler Syndrome: A subtle presentation. Case Reports. EyeRounds.org - Ophthalmology - The From the start of Optometry school, professors and supervisors preached that a patients chief complaint and case history should direct your exam. 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. Case Reports - Review of Optometry The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. Vision Therapy for Intermittent Exotropia The firework launched and directly contacted the left orbit. Webthe case. 52-year-old woman presented with elevated intraocular pressure (IOP) and visual fields demonstrating progressive field loss despite maximum tolerated medical therapy. 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. 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. contact lenses in myopia control Progression of Proliferative Diabetic Retinopathy During Pregnancy. Firework-Related Ocular Injuries: 48-year-old male presented July 4th with a firework injury to his left eye which when the patient leaned over a firework that had malfunctioned. According to the Cochrane 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. ARMD is the Optometry Clinical Cases Facial Spasms in a Man Recently Released From the Hospital After a recent hospitalization for a hemicranial headache, a man presents Nevertheless, although rigorous clinical trial results can provide reliable evidence under controlled study conditions, they cannot account for the unique circumstances of patients who may have multiple conditions or other individual characteristics not accounted for in the design of a clinical trial. Can you identify what he's compensating for, and why? In her case study, Dr. Fortenberry This should be supported by key findings from the literature search and a critical appraisal of the relevant existing evidence. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. (also see: Painless Proptosis in a 62-year-old female). Normal vergence ranges are noted Table 1. Do you know what's wrong? A 42-year-old woman with a chronic productive cough is repeatedly treated for pneumonia. Conjunctival Lymphoma: 51-year-old male noticed a raised bump on the nasal portion of his eye a month prior to presentation. Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. Optometry Clinical Cases (registration required; please note that the NECO Library staff does not recommend Medscape as a reputable source for anything but case Evidence-based Case Report Guidance : Optometry and What's causing the decline in his eyesight? The discussion, although brief, is intended to give you a simple overview of each disease. Optometry Recently, he became symptomatic indoors. Internuclear Ophthalmoplegia: 40-year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye (OS). Clinical Cases in Optometry - Index 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. For questions regarding the cases contact Dr. Judy Hoggatt via email. 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). To further investigate private practice optometry, I shadowed Michael D. Twa, OD, PhD, FAAO 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. Condition or disease. 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. 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. What is the most likely cause? Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. Congenital Ptosis. 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. 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. [video included]. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. Clinical trials are invaluable in testing new treatments, drugs and technologies. 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. There were no known maternal infections during the pregnancy and no problems during the perinatal period. 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. Cystinosis: A 12-year-old boy with light sensitivity. Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis. Optometry A 67 year-old male presents with irritation and "scratchiness" of the right eye. Enhancing learning, research, patient care and the health of the community. Over the last ten years, she has experienced further painless vision loss OD. Idiopathic Intracranial Hypertension (Pseudotumor Cerebri): 31-year-old obese female presenting with a history of headaches and transient visual obscurations for six months. 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. Title. Patient Non-Compliance: Physician responsibility. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. Reproduction in whole or in part without permission is prohibited. Need clinical cases or reports to use in your teaching? 2-month-old with bilateral optic nerve hypoplasia: Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection. 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. Multiple Evanescent White Dot Syndrome (MEWDS): 24-year-old female with one week duration of central scotoma, right eye. 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. Patient's ocular history is significant for bilateral retinoblastoma diagnosed at the age of 2 years, at which time he underwent bilateral enucleation followed by 6 weeks of radiation. Managing a patient with open-angle glaucoma your express consent. Facial Nerve Palsy: Ocular Complications and Management. A temporal visual field defect is noted in each eye. A 5-month-old presents with left face turn. Parents feel that it is worsening. American Academy of Optometry Microbial Keratitis Designed to provide a unique, specialized learning experience. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. She developed mild light sensitivity in both eyes as well as mild, circumferential headaches during the four months leading up to ophthalmologic evaluation. 69-year-old male complaining of chronic, progressive blue-black, painless hyperpigmentation of bilateral lower extremities in the setting of chronic lower extremity venous stasis and long-term, minocycline use for meibomian gland dysfunction and blepharitis. Can you identify the cause of his obesity and related conditions? TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. Enophthalmos Secondary to Metastatic Breast Cancer. 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. The infant did not show evidence of tearing, blepharospasm, photophobia, drainage, or ocular redness. 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). 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. Patient presenting with decreased vision after BB gun injury to right orbit. 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. Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness. Convergence Insufficiency: 15-year-old male with worsening headaches and eye strain while reading, present since he started high school the previous year. 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. 72-year-old male with left lower eyelid retraction in left facial nerve palsy secondary to metastatic lymphoma and radiation therapy. Leiomyosarcoma: 53-year-old male with a bump along his left upper eyelid accompanied by mild discharge, but no pain, duration of one month. A hub focused on population health, biostatistics, bioethics and epidemiology research. An ophthalmologist confirmed the narrow angles and placed her on medications to successfully lower her intraocular pressure. 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. 1. The scar was present 10 years previously when she was evaluated for painless and slowly progressive vision loss. When symptoms persist 2 months after surgery, this patient pays you a visit. WebCase Report Format AMERICAN ACADEMY OF OPTOMETRY There is a 4,000 character limit (including spaces and the bibliography). Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging left lower lid lesion. 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. Family members told police that the victim always removed her contact lenses before going to sleep. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. He had felt unwell for several days, had decreased vision and pain in his left eye, and attributed his suicidality to pain. Treated with peginterferon and ribavirin for 6 weeks prior to visit. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology. Involutional ectropion: Options for surgical management of ectropion. AMERICAN ACADEMY OF OPTOMETRY Case Capsular Block Syndrome: An Unusual Presentation: 51-year-old pseudophakic female presents with poor vision in the right eye (OD). WebCase report submissions to Optometry and Vision Science should also now include additional information. (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. If you log out, you will be required to enter your username and password the next time you visit. Thygeson's Superficial Punctate Keratitis: Use of Ophthalmic Medications in Pregnancy: Vision Loss After Contact Lens-Related Pseudomonas Keratitis. 64-year-old male patient noted severe pain in his right eye while in the post-anesthesia care unit shortly after laparoscopic surgery. 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. The growing use of contact lenses in children demands our attention with surveillance and case-control studies. 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. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. Please try after some time. TTP-HUS: 29-year-old male with HA, hematuria, and visual obscurations. Check the, To narrow your results further:go back to the left column, and under Publication dates choose "5 years. A bedside ocular examination was remarkable for a linear, horizontal corneal epithelial defect. 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. Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss. Below is a list of over 200 cases arranged by condition or type. Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. Myopia Myopia Case 1 The results will help determine whether to proceed to a full-scale, long-term randomized trial. EyeRounds.org. Changing Trends in Sympathetic Ophthalmia: Choroidal Hemangioma: Central scotoma in the right eye, Idiopathic Juxtafoveal Telangiectasia Type II (Macular Telangiectasia type 2, Multilayered hemorrhage in Acute Myeloid Leukemia (AML), Multiple Evanescent White Dot Syndrome (MEWDS), Progression of Proliferative Diabetic Retinopathy During Pregnancy, Valsalva Retinopathy: Vision loss after asthma attack, Vitreous Syneresis: An Impending Posterior Vitreous Detachment (PVD).