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. Lattice Corneal Dystrophy Type II Meretoja's Syndrome: patient with anterior stromal corneal dystrophy, progressive decline in vision with glare, Laser Assisted Keratoplasty: 63-year-old female with history of Fuchs endothelial dystrophy and bilateral pseudophakic bullous keratopathy presents with decreasing vision in the right eye. 40-year-old male was referred to the University of Iowa for worsening floaters in his left eye starting two months prior to presentation. Ocular Rosacea: 62-year-old female with blurry vision and red, itchy eyes. AMERICAN ACADEMY OF OPTOMETRY Case Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. Parkinson's disease: a review of the ophthalmological features: 67-year-old man presented to the strabismus clinic with increased difficulty reading for the past year. Infantile (Congenital) Esotropia: 2 month-old female began crossing her eyes shortly after birth. Grant syndrome (Syndrome of precipitates on the trabecular meshwork): 60-year-old male referred for evaluation of elevated intraocular pressure (IOP), right eye with corneal edema.Treated with a laser peripheral iridotomy and started on bimatoprost and brimonidine/timolol. Case Study 2 - CC: Red, itchy eyes - Medical College of This site has been designed for optometry students, teachers and practitioners alike to enhance their learning of EBP and how to answer clinical questions for their patients. To further investigate private practice optometry, I shadowed Complained of sudden vision loss in the right eye. Case report submissions to Optometry and Vision Science should also now include additional information. Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain. 2-month-old with bilateral optic nerve hypoplasia: Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection. 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. Megalocornea. WebOphthalmic Case Studies. Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. Posterior Polar Cataract. A case study in professionalism | AOA - American Clinical Case Resources - Optometry and Vision Female child presenting to the eye clinic at age 15 months for eye crossing. Progression of Proliferative Diabetic Retinopathy During Pregnancy. His wife mentioned that he exhibits a right head turn while watching television. It's up to you to find out the most likely cause. 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. Involutional entropion: options for surgical management of entropion. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. All rights reserved. Reproduction in whole or in part without permission is prohibited. Minocycline-Induced Hyperpigmentation. 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. Malattia Leventinese (Familial Dominant Drusen), Pattern Dystrophy Associated with Myotonic Dystrophy, Giant reservoir formation from Ahmed seton valve. Log in to make an appointment. Due to the rapid onset and severity of the cataract, there was concern for an iatrogenic break in the posterior capsule during vitrectomy. Terrien Marginal Degeneration: A 35-year-old man with spontaneous open globe injury. 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). When symptoms persist 2 months after surgery, this patient pays you a visit. Floppy Eyelid Syndrome. 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. Title. They are composite cases representing situations that will present to the refractionist. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. 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. Merkel Cell Carcinoma of the Eyelid. 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. His corrective lenses did not improve his vision. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. 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. Parents feel that it is worsening. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. He did not tolerate contact lenses and was interested in surgical options. Leiomyosarcoma: 53-year-old male with a bump along his left upper eyelid accompanied by mild discharge, but no pain, duration of one month. Our scientists are discovery-drivers, working to develop cutting-edge treatments. 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. She also noted decreased perception of color and contrast. Cystinosis: 4-year-old girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! 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. 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. Although these cases provide a little information on the typical presentation of various ophthalmic diseases it should not replace a personal consultation with an ophthalmologist or other eye care provider. 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. There is an easy way to search PubMed to find clinical case reports in your area of interest. For questions regarding the cases contact Dr. Judy Hoggatt via email. may email you for journal alerts and information, but is committed 2-month-old with bilateral optic nerve hypoplasia: Highlighting the importance of a multi-disciplinary approach, Coats Disease: 11-year-old male with poor vision in left eye, Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection: 1-week-old male with hydrocephalus and bilateral chorioretinitis. Patient had progressive photophobia during outdoor activities. A 20-year-old female was referred for management of secondary open-angle glaucoma. Enhancing learning, research, patient care and the health of the community. Can you diagnose the problem? Vitamin A Deficiency and Nyctalopia: 55-year-old male with gradual onset of night blindness. Diplopia was only present at distance and no double vision with near tasks. A 19-year-old man presents with chief symptoms of morbid obesity and oozing skin ulcers. 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. Choroidal Hemangioma: Central scotoma in the right eye. 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. Through research, health care education, workforce development, and community health initiatives, AHW drives change. What's the diagnosis? 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. Refractive Accommodative Esotropia. Managing a patient with open-angle glaucoma Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. Brief Summary: The main objective of this randomized trial comparing vision therapy to observation is to determine the short-term effectiveness of vision therapy on distance intermittent exotropia control. Orbital Eosinophilic Granuloma. However, the murder became a cold case due to a lack of physical evidence connecting him to the crime. Case Studies - Optometry Times Adenoviral Conjunctivitis: 38-year-old white female with watery, red, irritated eyes; left more than right. 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. Juvenile open-angle glaucoma: 22-year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP), Leber Hereditary Optic Neuropathy: A 17-year-old male presents with progressive, painless, bilateral vision loss, Malattia Leventinese (Familial Dominant Drusen): 30-year-old female with drusen, Pattern Dystrophy Associated with Myotonic Dystrophy: 56-year-old female presented with a one-year history of increasingly distorted vision OS described as "crinkled", RPE65-associated Leber Congenital Amaurosis, Unilateral Retinitis Pigmentosa: Visual field changes in a 31-year-old female. Convergence Insufficiency: 15-year-old male with worsening headaches and eye strain while reading, present since he started high school the previous year. 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. An ophthalmologist confirmed the narrow angles and placed her on medications to successfully lower her intraocular pressure. The intervention is intense pulsed light therapy, and the outcome measure is the recovery time. With a diagnosis that changes over time, can you identify what's at the root of the issue and treat it accordingly? Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. Click on the card to display cases in that category. 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). Your message has been successfully sent to your colleague. Commotio Retinae: 29-year-old man was referred after sustaining a head injury during an altercation. From the start of Optometry school, professors and supervisors preached that a patients chief complaint and case history should direct your exam. All Eyes on EvaporationLocation:VirtualSpeaker:Paul Karpecki, OD, and Doug Devries, ODWebinar: 9:00pm EST, All Eyes on EvaporationLocation:VirtualSpeaker:Jennifer Loh, MD, and Gregory Caldwell, OD, FAAOWebinar: 7:00pm EST, All Eyes on EvaporationLocation:VirtualSpeaker:Ranjan Malhotra, MD, FACS, and Kelly Nichols, OD, MPH, PhD, FAAOWebinar: 8:00pm EST. 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" left eye by internal medicine. Optometry Marketing Case Studies He complained of blurry vision while reading and letters running together on the page. What's causing the decline in his eyesight? Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. Oculoplastic Surgery, Orbit, Eyelids, Lacrimal, 28-year-old woman presented with a 1-month history of progressive left upper eyelid pain. Full-thickness Macular Hole (FTMH):68-year-old female with a history of non-exudative macular degeneration referred for vision changes. 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. 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). 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. {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}. Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. Idiopathic Intracranial Hypertension (Pseudotumor Cerebri): 31-year-old obese female presenting with a history of headaches and transient visual obscurations for six months. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72-year-old female with Fuchs. Optom Vis Sci 2017;94:1356. example: Mullaney S, Vislisel J, Maltry A, Boldt HC. Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43-year-old male referred for evaluation of binocular diplopia. WebCase studies for members. Cavernous Hemangioma: 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, Chalazion: Acute presentation and recurrence in a 4-year-old female, Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome: 12-year-old boy with painless, progressive ptosis OU over 3 years, Churg-Strauss Syndrome with Orbital Inflammation. Posterior Polymorphous Corneal Dystrophy (PPMD). WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with 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. 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. 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. What is your diagnosis? 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). We work closely with partners to redefine health beyond healthcare and with a bold vision of achieving health equity for all. WebOphthalmology Case Reports and Grand Rounds Presentations from the University of Iowa Department of Ophthalmology and Visual Sciences. Merkel Cell Carcinoma of the Eyelid. We would be delighted to see you. 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. 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 has several different modes of practice to choose from, including private practice, commercial, hospital, and community health centers to name a few. Resources: Clinical Cases - New England College of 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. Multiple Evanescent White Dot Syndrome (MEWDS): 24-year-old female with one week duration of central scotoma, right eye. Canalicular Laceration - Dog Bite: 5-year-old white female presenting with dog bite to left side of face. OPTOMETRY Case Web Privacy Policy | Nondiscrimination Statement, This site uses tracking information. Case Studies in Neuro Disease - Review of Optometry Transitioning to this new case report format will occur over the next year, with final implementation completed within the next 2 years. Cystinosis: A 12-year-old boy with light sensitivity. She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. She was taken to the emergency room where an MRI was performed and demonstrated a left orbital lesion extending into the superior orbital fissure. Ophthalmic Case Studies (Medical University of Wisconsin) Geared towards medical students, this "is a collection of case studies to help you get an insight Ophthalmic Case Studies - Medical College of Wisconsin The principles discussed apply equally to the plus and minus cylinder methods. (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. Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass. His symptoms have been present for the past 8 months and have been only partially relieved with artificial tears and lubricating ointment at night.. Topics include, cataracts, cornea, Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion. The lesion has been present on the left lower lid for about one month. The flexibility of unrestricted funds allows MCW to continue addressing our most urgent priorities. 50-year-old male with penetrating globe injury. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. Autosomal Dominant Optic Atrophy: 47-year-old female with chronic, mildly subnormal vision. Doctors of optometry can draw upon several resources when it comes to professional conduct in the practice of optometry. The results will help determine whether to proceed to a full-scale, long-term randomized trial. Successful case report submissions should no longer focus on rare and unexpected conditionsnovelty alone will not be sufficient for publication. 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). Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. 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. She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. Vision Therapy for Intermittent Exotropia a case and review. (also see: Painless Proptosis in a 62-year-old female). A temporal visual field defect is noted in each eye. 5-year-old male with unequal vision. 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. |Terms and Privacy| Non-Discrimination Notice, This is a collection of case studies to help you get an insight on the typical history and initial examination of various ophthalmic disorders. Please confirm that you would like to log out of Medscape. Orbital inflammation secondary to bisphosphonate therapy: 80-year-old female with right eyelid swelling, pain, decreased vision, diplopia. 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. We have a growing collection of peer review and peer discussion case studies, including case studies for IP optometrists, covering real life Interferon Retinopathy: 60-year-old male with hepatitis C virus infection presents with new floaters in both eyes. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT).