TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. Merkel Cell Carcinoma of the Eyelid. All rights reserved. Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. 80-year-old male presented with diplopia and proptosis of right eye. The right eye had a nuclear sclerotic cataract which precluded a good view of the optic nerve head, and a vertical cup:disc ratio (VCDR) of about 0.9, barely visible through the dilated pupil with the binocular indirect What is the most likely cause? Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus. Resources: Clinical Cases - New England College of Click on the card to display cases in that category. Routine preschool screening found central posterior synechiae in both eyes. Optometry Case Studies | ProFile from Specsavers Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis. 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. After experiencing 1 month of decreased vision in the superior visual field of the right eye, this patient comes to you for a diagnosis. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with Twa MD. 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. Can you determine the cause? Meningiomas. At her latest follow-up, she reports intermittent dyspnea and fatigue. 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. Over the last ten years, she has experienced further painless vision loss OD. When symptoms persist 2 months after surgery, this patient pays you a visit. Progression of Proliferative Diabetic Retinopathy During Pregnancy. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging left lower lid lesion. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. (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. Treated with peginterferon and ribavirin for 6 weeks prior to visit. Congenital Ptosis. 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. Michael D. Twa, OD, PhD, FAAO
A 42-year-old woman with a chronic productive cough is repeatedly treated for pneumonia. Neurofibromatosis Type 1 - Optic Nerve Glioma: 8-year-old white female with acute awareness of complete vision loss, left eye. Evidence-based Clinical Practice: Asking Focused Questions (PICO). Case studies for members - College of Optometrists Case Report: Hydroxychloroquine Retinopathy. Communication Issues Following a Post Operative Surprise, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema. Need clinical cases or reports to use in your teaching? A 64-year-old woman comes to you after 2 weeks of symptoms. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. The infant did not show evidence of tearing, blepharospasm, photophobia, drainage, or ocular redness. Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. Case Reports - Review of Optometry The case of a 39-year-old woman with Sjgren syndrome and clinically relevant pulmonary involvement. A 5-month-old presents with left face turn. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. Author. True Exfoliation Syndrome:84-year-old male presented with gradually worsening blurry vision in both eyes (OU), left worse than right, over a period of several years. 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. 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. 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. Unilateral Optic Nerve Granuloma: Patient with bilateral panuveitis and unilateral optic nerve sarcoid granuloma, Carotid Cavernous Fistula: 46-year-old female patient reporting double vision and visual distortion, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. MyCPD Portal. 7 month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. Facial Nerve Palsy: Ocular Complications and Management. Calcific Band Keratopathy. A temporal visual field defect is noted in each eye. His wife mentioned that he exhibits a right head turn while watching television. 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. We would be delighted to see you. Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. Due to the rapid onset and severity of the cataract, there was concern for an iatrogenic break in the posterior capsule during vitrectomy. WebOptometry Case Studies. Web Privacy Policy | Nondiscrimination Statement, This site uses tracking information. Dispensing Case Studies. 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. 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. Choroidal Hemangioma: Central scotoma in the right eye. Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. Editor in Chief University of Houston College of Optometry Houston, TX. Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. Please try after some time. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. 2023, New England College of Optometry Library424 Beacon St., Boston, MA 02115 Call: 617-587-5589 | Email: [emailprotected], Asian American Histories, Narratives, and Voices, Addressing Inequity in Health and Health Care, When you are on the results screen, click, You will see a pop-up menu of different article types. She had a history of severe hydrocephalus with seizures and alobar holoprosencephaly at birth. 63-year-old female presenting with progressive double vision and a droopy right eyelid. Clinical Cases in Optometry - Index Clinical Cases in Optometry A Cloudy and Painful Eye A 30-year-old man with keratoconus has sudden eye pain with light ", If you have trouble accessing full text, or it is not available, please email us at. This website also contains material copyrighted by 3rd parties. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. Transitioning to this new case report format will occur over the next year, with final implementation completed within the next 2 years. Onset of dramatically decreased vision in both eyes began at the time of child delivery. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Floppy Eyelid Syndrome. Imagine a Milwaukee that is equitable, healthy and thriving for all. Discussion of the management of Refractive Accommodative Esotropia. Can you diagnose the problem? 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. Eldeeb M, Chan EW, Omar A. 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. Female child presenting to the eye clinic at age 15 months for eye crossing. This is a collection of case studies to help you get an insight on the typical history and initial examination of various 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. 27-year-old male was referred for evaluation of a left medial canthal lesion. Anterior Chamber Cilium: 81-year-old male with intraocular cilium and dislocated intraocular lens. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. What's the diagnosis? Optom Vis Sci 2018;95:5459. 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. Designed to provide a unique, specialized learning experience. OPTOMETRY Case Idiopathic Juxtafoveal Telangiectasia Type II (Macular Telangiectasia type 2): 43-year-old male with decreased vision and a central scotoma OU for the past 10 years, which has been getting progressively worse. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Cholesterol Granuloma: 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. 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. The patient noted a stable gray spot and visual distortion OD for the previous several weeks. These new case report standards are designed to increase the quality of future clinical case reports published in Optometry and Vision Science. He also has research interests in contact lens and surgical correction of presbyopia. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Conjunctival rhinosporidiosis in a temperate climate. 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. 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. Fluctuations in vision were first noticed 6 months ago with documented vision as poor as 20/150.She had uneventful cataract surgery 10 years prior with insertion of a Polymethyl methacrylate (PMMA) intraocular lens (IOL) in the capsular bag. Optom Vis Sci 2016;93:11878. What's the diagnosis? Case Patient unable to assume typical supine position used for cataract surgery, Metastatic Choroidal Lesion: 61-year-old male presents with pain and blurry vision, right eye. 72-year-old male with left lower eyelid retraction in left facial nerve palsy secondary to metastatic lymphoma and radiation therapy. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. 52-year-old woman presented with elevated intraocular pressure (IOP) and visual fields demonstrating progressive field loss despite maximum tolerated medical therapy. CASE STUDY: Doug Full-thickness Macular Hole (FTMH):68-year-old female with a history of non-exudative macular degeneration referred for vision changes. 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. Bilateral Corneal Edema Associated with Amantadine Use: Chemical Eye Injury: A Case Report and Tutorial, Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM), Conjunctival rhinosporidiosis in a temperate climate. 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). Doctors of optometry can draw upon several resources when it comes to professional conduct in the practice of optometry. 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. Every discovery advances academic medicine and improves the vitality of our communities. All rights reserved. EyeRounds.org. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. Case Studies | Evidence Based Practice in Optometry Patient presenting with decreased vision after BB gun injury to right orbit. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. 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). ARMD is the During an inventory check years later, a new detective noted that the victims contact lenses were not in their storage case. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. Case Studies in Neuro Disease - Review of Optometry Perioperative Corneal Abrasions: Systems-based review and analysis. 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.
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