optometry case studies

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. Your gift today makes tomorrows breakthroughs possible. Ophthalmic Case Studies (Medical University of Wisconsin) Geared towards medical students, this "is a collection of case studies to help you get an insight 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. 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. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. Case report submissions to Optometry and Vision Science should also now include additional information. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. The patient noted a stable gray spot and visual distortion OD for the previous several weeks. Multiple Evanescent White Dot Syndrome (MEWDS): 24-year-old female with one week duration of central scotoma, right eye. Due to the rapid onset and severity of the cataract, there was concern for an iatrogenic break in the posterior capsule during vitrectomy. 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. Ophthalmic Case Studies - Medical College of Wisconsin This site explains how to work through the EBP Process, and offers online EBP resources and case studies demonstrating use of EBP in action. 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. The results will help determine whether to proceed to a full-scale, long-term randomized trial. Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Pay a a bill for services performed by MCW. 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. 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. 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). She attributed the scar to a "fan injury" that she experienced at 20 years of age. Retinochoroidal coloboma: 54-year-old female with blurred vision. An otherwise healthy 5-year-old boy presents after a failed vision exam. Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43-year-old male referred for evaluation of binocular diplopia. Optometry Case Studies | ProFile from Specsavers 52-year-old woman presented with elevated intraocular pressure (IOP) and visual fields demonstrating progressive field loss despite maximum tolerated medical therapy. 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. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. Giant reservoir formation from Ahmed seton valve. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. 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. She describes tears that run down the front of her face and denies any ocular irritation. 64-year-old male patient noted severe pain in his right eye while in the post-anesthesia care unit shortly after laparoscopic surgery. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. Vision Therapy for Intermittent Exotropia Some error has occurred while processing your request. He was asymptomatic on presentation. 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. 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. Chandler Syndrome: A subtle presentation. Designed to provide a unique, specialized learning experience. Vision in the right eye was starting to "darken." Twa MD. 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 Marketing Case Studies All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Verticillata: 54-year-old white male with a known history of atrial fibrillation and hypertension on amiodarone. 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. ProFile Specsavers journal | Specsavers journal for A 42-year-old woman with a chronic productive cough is repeatedly treated for pneumonia. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. 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. Nasolacrimal duct obstruction secondary to sarcoidosis. Epithelial-Stromal and Stromal Corneal Dystrophies: Exposure Keratopathy in the Critically Ill: Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. Malattia Leventinese (Familial Dominant Drusen), Pattern Dystrophy Associated with Myotonic Dystrophy, Giant reservoir formation from Ahmed seton valve. By the time he returned home, he had profound vision loss and right eye protruding. This website also contains material copyrighted by 3rd parties. His primary concerns were the cosmetic effect of his exotropia and the intolerable double vision and aniseikonia he experienced when his "bad eye decided to work." Eldeeb M, Chan EW, Omar A. (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. She developed mild light sensitivity in both eyes as well as mild, circumferential headaches during the four months leading up to ophthalmologic evaluation. 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. Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC): Can you provide it? What is your diagnosis? 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. There were no known maternal infections during the pregnancy and no problems during the perinatal period. 27-year-old male was referred for evaluation of a left medial canthal lesion. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months. |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. 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night. However, the murder became a cold case due to a lack of physical evidence connecting him to the crime. Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds. Twa MD. 3 years prior she had been diagnosed with an unusual vasoproliferative tumor in her left eye. may email you for journal alerts and information, but is committed They must be based on more than a unique clinical observation 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. Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. The vision in the left eye (OS) has been excellent. Case studies for members - College of Optometrists Homocystinuria: 18-year-old male presented to clinic for regular monitoring of ocular manifestations of methionine synthase deficiency type homocystinuria, specifically cobalamin deficiency of the Cb1G subtype. Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. 2-month-old with bilateral optic nerve hypoplasia: Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. 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. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. 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. 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. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. The double vision was worse with lateral gazes in both directions.. Use of Ophthalmic Medications in Pregnancy: A 19-year-old pregnant woman at 19 weeks gestation was referred for evaluation and treatment of suspected Acanthamoeba keratitis. You may be trying to access this site from a secured browser on the server. He did not tolerate contact lenses and was interested in surgical options. Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. 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. It has grown rapidly in size over the previous two weeks and is now obstructing her vision. Intraoperative Floppy Iris Syndrome: IFIS presents problems during cataract surgeries by decreasing the size of the work field and increasing the rate of complications such as iris trauma, posterior capsule rupture, and vitreous loss. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Lymphoma, Orbital. Conjunctival Lymphoma: 51-year-old male noticed a raised bump on the nasal portion of his eye a month prior to presentation. Posterior Polar Cataract. Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK), Corneal Marginal Ulcer: Marginal keratitis with ulceration in a 45 year-old male. Stage Two downloads: DO and Overarching case scenarios 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. 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. MyChart user? Infectious Crystalline Keratopathy (ICK): 72-year-old female with decreased vision. Patient Non-Compliance: Physician responsibility. Holoprosencephaly and Strabismus. Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. 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). 2023 Medical College of Wisconsin. The lesion has been present on the left lower lid for about one month. 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. 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). 7 month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. 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. Normal vergence ranges are noted Table 1. Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. Cystinosis: 4-year-old girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency. Vision Loss After Contact Lens-Related Pseudomonas Keratitis. There is a 4,000 character limit (including spaces and the bibliography). Web Privacy Policy | Nondiscrimination Statement, This site uses tracking information. This should be supported by key findings from the literature search and a critical appraisal of the relevant existing evidence. date posted; Available from: http://www.eyerounds.org/cases/filename.htm. Vernal Keratoconjunctivitis: 8-year-old asthmatic male with reduced vision. WebOptometry Case Studies. Excess tearing henders vision. Data is temporarily unavailable. The Value of Clinical Case Reports in Evidence-based Practice. Evidence-based Case Report Guidance : Optometry and Shortly after treatment with intravitreal steroids and photodynamic therapy, her IOP spiked to 59 mm Hg. Cystinosis: A 12-year-old boy with light sensitivity. The only pertinent exam findings were pigmented precipitates on the anterior trabecular meshwork OD on gonioscopy. WebOptometry has several different modes of practice to choose from, including private practice, commercial, hospital, and community health centers to name a few. Multilayered hemorrhage in Acute Myeloid Leukemia (AML): 35-year-old female presented with severe, acute bilateral vision loss one day after admission to the hospital for weakness. Choose from more than 140 specialties and sub-specialties for advanced medical training at MCW. Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. Case studies Meningiomas: a case and review. Discussion of the management of Refractive Accommodative Esotropia. Recently, he became symptomatic indoors. 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. WebOptometry and Vision Science is the most authoritative source for current developments in optometry, physiological optics, and vision science. Between visual testing and MRI, can you offer her a diagnosis? She also noted decreased perception of color and contrast. Optometry and Vision Science99(2):93-94, February 2022. Invasive Fungal Orbitorhinocerebral Mucormycosis. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. Involutional ectropion: Options for surgical management of ectropion. 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. The patient experienced severe eye pain and had immediate loss of vision in the left eye (OS). 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. Changing Trends in Sympathetic Ophthalmia: Sympathetic ophthalmia following repeated vitreoretinal surgery with no history of trauma. 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. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Optometry Case Studies in Neuro Disease - Review of Optometry 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. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. 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. What's the diagnosis? Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72-year-old female with Fuchs. Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion. We work closely with partners to redefine health beyond healthcare and with a bold vision of achieving health equity for all. Extranodal marginal zone B-cell lymphoma of the left eye with choroidal, episcleral, and orbital involvement. Parents feel that it is worsening. CASE STUDY: Doug All-trans retinoic acid (ATRA) induced intracranial hypertension in a patient with acute promyelocytic leukemia: 19-year-old male ungergoing ATRA and Idarubicin induction therapy for APL with one-week complaint of intermittent headaches and transient visual obscurations. Intralenticular Foreign Body: 23-year-old male with staple in the eye, Intraocular Foreign Body: A Classic Case of Metal on Metal Eye Injury, Intraocular Lens "Time Out": A Systems Based Case, Marfan Syndrome: 28-year-old female with Marfan syndrome and decreased vision/glare in both eyes. Fungal Endophthalmitis: Hematogenous seeding in an immune suppressed patient with positive fungal and bacterial blood cultures. Can you diagnose the problem? Were driving research that leads to improved diagnoses, more effective treatments, and new cures. Develops applied learning experiences and supports continual education of the healthcare professional beyond graduation. Can you determine the cause? They are composite cases representing situations that will present to the refractionist. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: A 34-year-old woman presents with optic neuritis and develops demyelinating brain lesions. Recurrent anterior uveitis in HLA-B27 positive Ulcerative Colitis (IBD) with multiple positive auto-antibodies. The flexibility of unrestricted funds allows MCW to continue addressing our most urgent priorities. Why is this 65-year-old patient with relapsing-remitting MS having decreased vision in her right eye? 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. 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. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye. 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. 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. This is a collection of case studies to help you get an insight on the typical history and initial examination of various The purpose of this editorial is to provide details on these revisions and guidance on how prospective authors should approach case report submissions to Optometry and Vision Science.

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