She was taken to the emergency room where an MRI was performed and demonstrated a left orbital lesion extending into the superior orbital fissure. 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. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. Case 1: Unilateral Vision Loss And Optic Nerve Edema. 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. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72-year-old female with Fuchs. History. Pan-endophthalmitis and Orbital Cellulitis: 89-year-old female with a history of gradual redness and proptosis, right eye over 3 weeks. 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. Infectious Crystalline Keratopathy (ICK): 72-year-old female with decreased vision. 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. Enhancing learning, research, patient care and the health of the community. 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. By the time he returned home, he had profound vision loss and right eye protruding. TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. Changing Trends in Sympathetic Ophthalmia: Sympathetic ophthalmia following repeated vitreoretinal surgery with no history of trauma. Calcific Band Keratopathy. What's the diagnosis? 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. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology. 50-year-old male with penetrating globe injury. You may be trying to access this site from a secured browser on the server. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. Evidence-based case reports should be formatted to include a structured clinical question in the significance section of the abstract and a statement regarding the literature search strategy in the introduction. Posterior Polar Cataract. Valsalva Retinopathy: Vision loss after asthma attack: 32-year-old female patient presented with a "black spot" in the vision of her left eye. Seven month-old male patient with drooping of the left upper lid/left upper eyelid ptosis. Orbital Eosinophilic Granuloma. Cholesterol Granuloma: 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. Case Report: Hydroxychloroquine Retinopathy. 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. 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. The growing use of contact lenses in children demands our attention with surveillance and case-control studies. Giant reservoir formation from Ahmed seton valve. Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident. 4-year-old boy originally presented to ophthalmologist at 2 years of age with crossed eyes. date posted; Available from: http://www.eyerounds.org/cases/filename.htm. Some error has occurred while processing your request. 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. When symptoms persist 2 months after surgery, this patient pays you a visit. The discussion, although brief, is intended to give you a simple overview of each disease. Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis. 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. 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. may email you for journal alerts and information, but is committed The discussion, although brief, is intended to give you a simple overview of each disease. Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. 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. He also has research interests in contact lens and surgical correction of presbyopia. Central Retinal Artery Occlusion (CRAO): 81-year-old white male with sudden, painless vision loss left eye. Autosomal Dominant Optic Atrophy: 47-year-old female with chronic, mildly subnormal vision. AMERICAN ACADEMY OF OPTOMETRY. Congenital Ptosis. 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. 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. 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. Find primary and specialty care near you. Facial Nerve Palsy: Ocular Complications and Management. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. A 19-year-old man presents with chief symptoms of morbid obesity and oozing skin ulcers. A 67 year-old male presents with irritation and "scratchiness" of the right eye. MyChart user? 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. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. Enophthalmos Secondary to Metastatic Breast Cancer. Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass. We thank the Iowa Eye Association: Friends and Alumni of the Univeristy of Iowa Department of Ophthalmology and Visual Sciences. Waldenstrom Macroglobulinema-Associated Retinopathy: Kyphotic Patient Presents for Cataract Surgery, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema, Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP), Painless Proptosis in a 62-year-old female. 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. Excess tearing henders vision. This frequently cited monthly Webevidence based practice in optometry for students, teachers and practitioners to discover resources and case studies and develop their understanding of EBP, on line resource He did not tolerate contact lenses and was interested in surgical options. 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. Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS. 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. 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. ", If you have trouble accessing full text, or it is not available, please email us at. Full-thickness Macular Hole (FTMH):68-year-old female with a history of non-exudative macular degeneration referred for vision changes. Web Privacy Policy | Nondiscrimination Statement, This site uses tracking information. Orbital Lymphatic Malformation (Lymphangioma), Pan-endophthalmitis and Orbital Cellulitis, Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel, Secondary Tumors After Hereditary Retinoblastoma. Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. We look forward to receiving your quality case report submissions. Were driving research that leads to improved diagnoses, more effective treatments, and new cures. (also see: Painless Proptosis in a 62-year-old female). Clinical Imaging Case Studies. 3. 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. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: A 34-year-old woman presents with optic neuritis and develops demyelinating brain lesions. |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. Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis. A 14-year-old boy presents with painful periorbital edema and erythema in his right eye. His wife mentioned that he exhibits a right head turn while watching television. Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy. Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion OS. Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. 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. * Entrants in each of the three Meningiomas. Verticillata: 54-year-old white male with a known history of atrial fibrillation and hypertension on amiodarone. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months. What is your diagnosis? For Medical Students. If you log out, you will be required to enter your username and password the next time you visit. 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. He wore spectacles with the right eye under-corrected to minimize his symptoms. 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. There is an easy way to search PubMed to find clinical case reports in your area of interest. WebCase studies for members. 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. Reproduction in whole or in part without permission is prohibited. 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. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain. 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. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years, Ocular Sarcoidosis: A systems-based approach to diagnosis and treatment (also see Sarcoidosis), Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema:30-year-old female with progressive bilateral vision loss. Neurofibromatosis Type 1 - Optic Nerve Glioma: 8-year-old white female with acute awareness of complete vision loss, left eye. Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. 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. 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. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Salzmann's Nodular Corneal Degeneration: 62-year-old woman presents with 3 years of progressive decrease in vision. At her latest follow-up, she reports intermittent dyspnea and fatigue. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. Dispensing Case Studies. Cystinosis: 4-year-old girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency. A 44-year-old woman presents with an insidious headache along her left occipital region. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision Michael D. Twa, OD, PhD, FAAO 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. A hub focused on population health, biostatistics, bioethics and epidemiology research. Sarcoidosis: 53-year-old A female with gradual, painless loss of vision in both eyes. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. The patient experienced severe eye pain and had immediate loss of vision in the left eye (OS). Posner-Schlossman Syndrome: 63-year-old male was evaluated on an urgent basis for pain, redness, and "elevated eye pressure" in the left eye (OS). 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. CASE STUDY: Doug WebCase report submissions to Optometry and Vision Science should also now include additional information. 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. Symptoms began that morning with diplopia when he left home to walk his dog. She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. To further investigate private practice optometry, I shadowed The double vision was worse with lateral gazes in both directions.. All Rights Reserved Periorbital Necrotizing Fasciitis. Cranial Nerve IV (Trochlear Nerve) Palsy: 57-year-old male complaining of vertical diplopia after head trauma. WebOphthalmology Case Reports and Grand Rounds Presentations from the University of Iowa Department of Ophthalmology and Visual Sciences. Clinical trials are invaluable in testing new treatments, drugs and technologies. 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 WebOphthalmic Case Studies/ Ophthalmic Case Study 2 Case Study 2 - CC: Red, itchy eyes all Patient Visit Patient History HPI: The patient is an 11 year-old male who reports a 4 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). Retinochoroidal coloboma: 54-year-old female with blurred vision. 72-year-old male with left lower eyelid retraction in left facial nerve palsy secondary to metastatic lymphoma and radiation therapy. During an inventory check years later, a new detective noted that the victims contact lenses were not in their storage case. WebOptometry has several different modes of practice to choose from, including private practice, commercial, hospital, and community health centers to name a few. Let us help you find an answer to your question. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! Eldeeb M, Chan EW, Omar A. Copyright 2023 Jobson Medical Information LLC unless otherwise noted. Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. 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. They are composite cases representing situations that will present to the refractionist. The results will help determine whether to proceed to a full-scale, long-term randomized trial. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Recurrent anterior uveitis in HLA-B27 positive Ulcerative Colitis (IBD) with multiple positive auto-antibodies. 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). 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).