Do you know what's wrong? 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. Involutional ectropion: Options for surgical management of ectropion. Please confirm that you would like to log out of Medscape. Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. Posterior Polymorphous Corneal Dystrophy (PPMD). may email you for journal alerts and information, but is committed An otherwise healthy 5-year-old boy presents after a failed vision exam. Optom Vis Sci 2016;93:11878. Cystinosis: 4-year-old girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency. This is a collection of case studies to help you get an insight on the typical history and initial examination of various The growing use of contact lenses in children demands our attention with surveillance and case-control studies. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. WebCase studies VIDEO: A peer view on tonometry and visual fields during COVID-19 22 July 2020 Paul Morris asks a panel of colleagues - working in different regions - their views on seven clinical scenarios when deciding whether tonometry, visual field and other diagnostic tests are indicated during the amber recovery phase of the COVID-19 pandemic. Optometry case study: Evidence-based management of 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. Horner's Syndrome (due to Cluster Headache): 46-year-old male presenting with HA and ptosis. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. 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. Examination showed the presence of corneal crystals, laboratory testing showed increased levels of leukocyte cystine. 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. 2023 Medical College of Wisconsin. The double vision was worse with lateral gazes in both directions.. 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). Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. Valsalva Retinopathy: Vision loss after asthma attack: 32-year-old female patient presented with a "black spot" in the vision of her left eye. Management of Amblyopia: Discussing Options for Treatment in the Age of the Internet, Monofixation Syndrome: 11-year-old female referred after inability to improve vision with refraction in the left eye, Non-accidental Trauma: An unresponsive infant with bilateral retinal hemorrhages. Evidence-based Case Report Guidance : Optometry and Over the next 2 days, she began having daily episodes of emesis and her parents noticed "bulging of her left eye." Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes. Congenital Ptosis. 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. Diplopia was only present at distance and no double vision with near tasks. Related: Coats disease: A case study of a 4-year old boy. |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. Age-related Macular Degeneration: Progression from Atrophic to Proliferative: 76-year-old female with 17-year history of atrophic AMD and increased size of existing central scotoma discovered with home Amsler grid testing, Birdshot Choroiditis: 55-year-old female with persistent vitreous floaters, Behcet's Disease: A 32-year-old female with recurrent ocular inflammation. 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. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds. Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. Finally in my fourth year of Optometry I understand why. Please try after some time. Enhancing learning, research, patient care and the health of the community. She describes tears that run down the front of her face and denies any ocular irritation. Case Studies in Neuro Disease - Review of Optometry Idiopathic Intracranial Hypertension (Pseudotumor Cerebri): 31-year-old obese female presenting with a history of headaches and transient visual obscurations for six months. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: A 34-year-old woman presents with optic neuritis and develops demyelinating brain lesions. A temporal visual field defect is noted in each eye. A 39-year-old healthy male reported intermittent episodes of "objects bouncing up and down" in his vision in his left eye lasting for seconds to minutes for the previous two months. (also see: Painless Proptosis in a 62-year-old female). Interferon Retinopathy: 60-year-old male with hepatitis C virus infection presents with new floaters in both eyes. Can you identify the cause of his obesity and related conditions? Vitamin A Deficiency and Nyctalopia: 55-year-old male with gradual onset of night blindness. Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. 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. Excess tearing henders vision. Enophthalmos Secondary to Metastatic Breast Cancer. Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. He did not tolerate contact lenses and was interested in surgical options. Going forward, case reports that do not explicitly focus on the application of evidence-based principles to clinical care will not be a priority for the journal. Lymphoma, Orbital. Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass. 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. This site explains how to work through the EBP Process, and offers online EBP resources and case studies demonstrating use of EBP in action. This should be supported by key findings from the literature search and a critical appraisal of the relevant existing evidence. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left 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. WebCase Report Format. They are composite cases representing situations that will present to the refractionist. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. Let us help you find an answer to your question. The patient noted a stable gray spot and visual distortion OD for the previous several weeks. If you log out, you will be required to enter your username and password the next time you visit. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. 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. Case Study 2 - CC: Red, itchy eyes - Medical College of Case Reports; Coding; Contact Lenses & Solutions; Cornea; Diagnostics; Dry Eye; Eyelids; Glaucoma; Low Vision; Neuro-ophthalmic Disorders; News; Ophthalmic These new case report standards are designed to increase the quality of future clinical case reports published in Optometry and Vision Science. Peters Anomaly: 2-day-old infant evaluated for bilateral corneal opacity noted at the time of delivery. Forensic Analysis of a Contact Lens Patient presenting with decreased vision after BB gun injury to right orbit. Cystinosis: A 12-year-old boy with light sensitivity. American Academy of Optometry Microbial Keratitis WebOptometry Case Studies. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid. Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis. Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. Orbital Lymphatic Malformation (Lymphangioma), Pan-endophthalmitis and Orbital Cellulitis, Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel, Secondary Tumors After Hereditary Retinoblastoma. Discussion of the management of Refractive Accommodative Esotropia. Since the majority of cases of microbial keratitis (mk) in contact lens wearers are due to Pseudomonas, and this specific infection heralds a worse prognosis, we investigated outcomes at our facility to determine the frequency and extent of visual loss in cases of Pseudomonas keratitis occurring in eyes with previously normal visual acuity and no risk factors for MK except contact lens wear. A 14-year-old boy presents with painful periorbital edema and erythema in his right eye. 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. Sarcoidosis: 53-year-old A female with gradual, painless loss of vision in both eyes. Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel: 38-year-old female with persisting tearing for 6 months. Condition or disease. Doctors of optometry can draw upon several resources when it comes to professional conduct in the practice of optometry. Web Privacy Policy | Nondiscrimination Statement, This site uses tracking information. 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. The revised instructions included the following statement: Priority is given to cases that illustrate applications of evidence-based practice, critical thinking, novel mechanistic reasoning, or those that have importance to public health or health policy implications. A case study in professionalism | AOA - American Megalocornea. 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. Please enable scripts and reload this page. Dispensing Case Studies. Optometry Case Studies. 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. Conjunctival rhinosporidiosis in a temperate climate. After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. Descemets membrane endothelial keratoplasty (DMEK) for Fuchs endothelial dystrophy, Epithelial-Stromal and Stromal Corneal Dystrophies: A Clinicopathologic Review, Erythema Multiforme: 22-year-old male with a persistent red eye for two weeks, The Evolution of Surgical Approaches to AlphaCor Keratoprosthesis Insertion and Associated Complications, Exposure Keratopathy in the Critically Ill: A Case Report, Discussion, and Systems-Based Intervention, Fabry Disease: A key differential in the diagnosis of corneal verticillata, Fuchs Endothelial Dystrophy: 35-year-old female with blurry vision OU lasting hours in the morning, Fungal Keratitis - Fusarium: 41-year-old female contact lens wearer with persisting keratitis. Every discovery advances academic medicine and improves the vitality of our communities. Optometry Case Study Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. Merkel Cell Carcinoma of the Eyelid. 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. 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. 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). 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. Pan-endophthalmitis and Orbital Cellulitis: 89-year-old female with a history of gradual redness and proptosis, right eye over 3 weeks. 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. He complained of blurry vision while reading and letters running together on the page. 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). For questions regarding the cases contact Dr. Judy Hoggatt via email. Waldenstrom Macroglobulinema-Associated Retinopathy: A 61 year-old male presenting with worsening vision in both eyes over the past 2 years, poorly controlled diabetes, persistent DME, and proliferative diabetic retinopathy. WebOphthalmic Case Studies. Twa MD. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. Carotid Cavernous Fistula: 46-year-old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion. Data is temporarily unavailable. Optometry Check the, To narrow your results further:go back to the left column, and under Publication dates choose "5 years. Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. His symptoms have been present for the past 8 months and have been only partially relieved with artificial tears and lubricating ointment at night.. 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. Topics include, cataracts, cornea, 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. Were driving research that leads to improved diagnoses, more effective treatments, and new cures. With a diagnosis that changes over time, can you identify what's at the root of the issue and treat it accordingly? Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident.
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