optometry case studies

Topics include, cataracts, cornea, WebThis case study concerns a patient undergoing treatment for age-related macular degeneration (ARMD) by intravitreal injections of ranibizumab (Lucentis). Seton Infection: Serratia Marcescens: 57-year-old white female with 1 day history of redness, swelling, and pain in her right eye. Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision, right eye, diminished central vision, and pain with eye movements. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Adult Chlamydial Conjunctivitis: 23-year-old male with 6-week duration of red eye, Atopic Keratoconjunctivitis: 52-year-old male with poor vision, severe ocular itchin, and mucoid discharge. Do you know what's wrong? Interferon Retinopathy: 60-year-old male with hepatitis C virus infection presents with new floaters in both eyes. 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. With a diagnosis that changes over time, can you identify what's at the root of the issue and treat it accordingly? Multiple Evanescent White Dot Syndrome (MEWDS): 24-year-old female with one week duration of central scotoma, right eye. The introduction section of the case report must also now provide a full description of the literature search strategy, including the database searched, the search terms (which should match the PICO question), the number of records returned, and the final number of relevant sources reviewed. MyChart user? After experiencing 1 month of decreased vision in the superior visual field of the right eye, this patient comes to you for a diagnosis. His symptoms have been present for the past 8 months and have been only partially relieved with artificial tears and lubricating ointment at night.. 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. See-Saw Nystagmus: 64-year-old male who first noted the onset of oscillopsia five months prior to presentation. Michael D. Twa, OD, PhD, FAAO There were no known maternal infections during the pregnancy and no problems during the perinatal period. 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. 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 (case presentation: Cavernous hemangioma, HLA-B27-associated Acute Anterior Uveitis. For questions regarding the cases contact Dr. Judy Hoggatt via email. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. |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. 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. Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology. Reproduction in whole or in part without permission is prohibited. Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain. 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. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. Capsular Block Syndrome: An Unusual Presentation: 51-year-old pseudophakic female presents with poor vision in the right eye (OD). An otherwise healthy 5-year-old boy presents after a failed vision exam. Blepharospasm and Apraxia of Eyelid opening: "I Can't Open My Eyes": 72-year-old man with increasingly frequent difficulty opening his eyes, hw was also bothered by frequent contractions of the muscles around the eyes on both sides of his face which caused forcible eyelid closure. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. Over the last ten years, she has experienced further painless vision loss OD. Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus. She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Hydroxychloroquine (Plaquenil) Toxicity: 57-year-old female with bilateral central photopsias for two years. Optometry Case Studies. She describes tears that run down the front of her face and denies any ocular irritation. Vision in the right eye was starting to "darken." AMERICAN ACADEMY OF OPTOMETRY. 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. 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. Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid. There is a 4,000 character limit (including spaces and the bibliography). ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Vision in the right eye was progressively more blurred. Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. Log in to make an appointment. Bilateral optic nerve hypoplasia, 2-month-old with: Highlighting the importance of a multi-disciplinary approach. 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. Aqueous Misdirection: 88-year-old hyperopic female presented with left eye pain rated 10/10 and associated blurred vision, headache, nausea, and vomiting, Blebitis: 74-year-old with red eye after trabeculectomy, Competition Leads to Healthcare Savings: A systems based case from the VA. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye. 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. Vernal Keratoconjunctivitis: 8-year-old asthmatic male with reduced vision. Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion. Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM): 61-year-old Caucasian female presenting for evaluation of corneal mass OS found on routine exam about 2 months previous. The only pertinent exam findings were pigmented precipitates on the anterior trabecular meshwork OD on gonioscopy. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. 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. 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. Salzmann's Nodular Corneal Degeneration: 62-year-old woman presents with 3 years of progressive decrease in vision. Each case report is required to begin with may email you for journal alerts and information, but is committed 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. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. 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. Let us help you find an answer to your question. The case of a 39-year-old woman with Sjgren syndrome and clinically relevant pulmonary involvement. Sturge-Weber Syndrome: 4-year-old child with a history of seizures and glaucoma. According to the Cochrane Vision in the right eye was starting to "darken." Phacoemulsification: Considerations for Astigmatism Management, a tutorial and case, Posterior capsular folds creating a Maddox rod effect following cataract surgery: 73-year-old female presents with glare in the right eye 5 months after cataract surgery. Visual Snow Syndrome A 59-year-old pilot with a history of visual aura since his teenage years and anxiety presented to the neuro-ophthalmology clinic with a primary complaint of seeing a "snow storm" for one year. Get new journal Tables of Contents sent right to your email inbox, Articles in PubMed by Michael D. Twa, OD, PhD, FAAO, Articles in Google Scholar by Michael D. Twa, OD, PhD, FAAO, Other articles in this journal by Michael D. Twa, OD, PhD, FAAO, Blue-lightblocking Lenses in Eyeglasses: A Question of Timing, Contrast Sensitivity with Center-distance Multifocal Soft Contact Lenses, The Value of Clinical Case Reports in Evidence-Based Practice, A 3-year Randomized Clinical Trial of MiSight Lenses for Myopia Control, Privacy Policy (Updated December 15, 2022). Merkel Cell Carcinoma of the Eyelid. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months. Between visual testing and MRI, can you offer her a diagnosis? 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. Thygeson's Superficial Punctate Keratitis: Use of Ophthalmic Medications in Pregnancy: Vision Loss After Contact Lens-Related Pseudomonas Keratitis. 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. Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. His primary research interest is the visual optics of orthokeratology, particularly in relation to the correction of hyperopia and presbyopia, and use in myopia control. What's the diagnosis? Vision Loss After Contact Lens-Related Pseudomonas Keratitis. New knowledge driving discovery to advance the health of our communities. Aphakic Glaucoma: 5-year-old female was referred to the University of Iowa Hospitals and Clinics (UIHC) Glaucoma Clinic for evaluation of suspected aphakic glaucoma of the left eye (OS). WebOphthalmology Case Reports and Grand Rounds Presentations from the University of Iowa Department of Ophthalmology and Visual Sciences. Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. Myopia Myopia Case 1 Photographs of this 6-year-old girl show 'white eyes' that concern her parents. The Value of Clinical Case Reports in Evidence-based Practice. (includes video), Communication Issues Following a Post Operative Surprise: Blurry Vision Following Cataract Surgery, Endophthalmitis: 82-year-old male status post phacoemulsification in the left eye with acute decrease in vision. All rights reserved. Ocular Rosacea: 62-year-old female with blurry vision and red, itchy eyes. 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. Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness. Enhancing learning, research, patient care and the health of the community. Refractive Accommodative Esotropia. Eldeeb M, Chan EW, Omar A. A 5-month-old presents with left face turn. He did not tolerate contact lenses and was interested in surgical options. Every discovery advances academic medicine and improves the vitality of our communities. A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. 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). For example, Can intense pulsed light therapy reduce the recovery time for patients following chalazion excision? In this sample PICO question, patients who have had chalazion excision is the group of interest. Retinochoroidal coloboma: 54-year-old female with blurred vision. Sarcoidosis: 53-year-old A female with gradual, painless loss of vision in both eyes. 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. Congenital Ptosis. 7 month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. Initial cultures from her blood and periocular drainage grew group A beta-hemolytic streptococci. The lesion has been present on the left lower lid for about one month. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. It's up to you to find out the most likely cause. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. Cataract Formation after Pars Plana Vitrectomy. 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. Recurrent anterior uveitis in HLA-B27 positive Ulcerative Colitis (IBD) with multiple positive auto-antibodies. When symptoms persist 2 months after surgery, this patient pays you a visit. In her case study, Dr. Fortenberry Fibrous Dysplasia: 43-year-old female was referred to the University of Iowa Oculoplastics Clinic by her comprehensive ophthalmologist for the evaluation of worsening right-sided proptosis. Visit our, select for list of related links, link list also found in footer. Anisometropic Amblyopia. Orbital Lymphatic Malformation (Lymphangioma), Pan-endophthalmitis and Orbital Cellulitis, Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel, Secondary Tumors After Hereditary Retinoblastoma. Posterior Ischemic Optic Neuropathy: 64-year-old male admitted to the intensive care unit following a spinal surgery reporting profoundly decreased vision in both eyes upon waking the following morning. Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes. Your gift today makes tomorrows breakthroughs possible. Minocycline-Induced Hyperpigmentation. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. Recently, he became symptomatic indoors. Finally in my fourth year of Optometry I understand why. 50-year-old male with penetrating globe injury. Case Reports; Coding; Contact Lenses & Solutions; Cornea; Diagnostics; Dry Eye; Eyelids; Glaucoma; Low Vision; Neuro-ophthalmic Disorders; News; Ophthalmic Can you determine the cause? The patient first noticed the lesion about one month prior to presentation. Symptoms began that morning with diplopia when he left home to walk his dog. Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. See actual mailing lists, optometry postcards designs, frequency of mailings, and all the details of real optometry marketing plans! Conjunctival rhinosporidiosis in a temperate climate. Involutional ectropion: Options for surgical management of ectropion. Patient had progressive photophobia during outdoor activities. 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.

8 Weeks Pregnant No Heartbeat But Baby Is Growing, Richmond Roller Skating, In Sound Mind Game Voice Actors, Taylor Strecker Husband, Articles O