Title. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. 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. 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 Cystinosis: A 12-year-old boy with light sensitivity. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. In her case study, Dr. Fortenberry Optometry Case Studies. Bilateral optic nerve hypoplasia, 2-month-old with: Highlighting the importance of a multi-disciplinary approach. Salzmann's Nodular Corneal Degeneration: 62-year-old woman presents with 3 years of progressive decrease in vision. Sarcoidosis Affecting the Lacrimal Gland: 39-year-old female with left upper eyelid swelling of 4 months duration, Sebaceous Cell Carcinoma: A Masquerade Syndrome. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. Convergence Insufficiency: 15-year-old male with worsening headaches and eye strain while reading, present since he started high school the previous year. 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. Phakic intraocular lenses for high myopia: A 24-year-old male with unilateral high myopia presented with anisometropia (unequal refractive error between the eyes) with aniseikonia (binocular differences in image size) and a large right sensory exotropia. {Related Case: Communicating with patients about alternative therapies: A case of optic nerve hypoplasia in a 14-year-old male with poor vision since birth}. For questions regarding the cases contact Dr. Judy Hoggatt via email. MyCPD Portal. Involutional entropion: options for surgical management of entropion. Melanocytoma of the Iris and Ciliary Body: 14-year-old male with a pigmented iris lesion of the left eye noticed on routine eye exam approximately two years earlier. They are composite cases representing situations that will present to the refractionist. MyChart user? 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. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. Floppy Eyelid Syndrome. Allergic Contact Dermatoblepharitis: 55-year-old female with a Medical History significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision. The double vision was worse with lateral gazes in both directions.. Case reports have provided historically important information on new medications (e.g., penicillin), emerging diseases (Zika virus), and evolving guidance on medical interventions (hydroxychloroquine retinopathy).1Optometry and Vision Science will focus on new guidelines to help bridge the space between evidence-based practice and case reports. Refractive Accommodative Esotropia. TTP-HUS: 29-year-old male with HA, hematuria, and visual obscurations. 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. 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. Designed to provide a unique, specialized learning experience. Onset of dramatically decreased vision in both eyes began at the time of child delivery. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology. Cranial Nerve IV (Trochlear Nerve) Palsy: 57-year-old male complaining of vertical diplopia after head trauma. Intermediate uveitis associated with hidradenitis suppurativa. The vision in the left eye (OS) has been excellent. Multiple endocrine neoplasia type 2B: A 27-year-old male presents with multiple eyelid lesions. Communication Issues Following a Post Operative Surprise, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema. Valsalva Retinopathy: Vision loss after asthma attack: 32-year-old female patient presented with a "black spot" in the vision of her left eye. Carotid Cavernous Fistula: 46-year-old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion. There is a 4,000 character limit (including spaces and the bibliography). 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. 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. Seton Infection: Serratia Marcescens: 57-year-old white female with 1 day history of redness, swelling, and pain in her right eye. Evidence-based Clinical Practice: Asking Focused Questions (PICO). 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. Cavernous Hemangioma: 31-year-old caucasian female with a painless, "dark spot" in her left visual field. Distichiasis: 64-year-old white male with bilateral eye irritation. 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. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Progression of Proliferative Diabetic Retinopathy During Pregnancy. Case reports are considered below observational studies, experimental studies (e.g., randomized clinical trials), or systematic reviews in the hierarchy of evidence. 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. Calcific Band Keratopathy. Please confirm that you would like to log out of Medscape. Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid. Oculoplastic Surgery, Orbit, Eyelids, Lacrimal, 28-year-old woman presented with a 1-month history of progressive left upper eyelid pain. All Eyes on EvaporationLocation:VirtualSpeaker:Paul Karpecki, OD, and Doug Devries, ODWebinar: 9:00pm EST, All Eyes on EvaporationLocation:VirtualSpeaker:Jennifer Loh, MD, and Gregory Caldwell, OD, FAAOWebinar: 7:00pm EST, All Eyes on EvaporationLocation:VirtualSpeaker:Ranjan Malhotra, MD, FACS, and Kelly Nichols, OD, MPH, PhD, FAAOWebinar: 8:00pm EST. example: Mullaney S, Vislisel J, Maltry A, Boldt HC. Juvenile open-angle glaucoma: 22-year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP), Leber Hereditary Optic Neuropathy: A 17-year-old male presents with progressive, painless, bilateral vision loss, Malattia Leventinese (Familial Dominant Drusen): 30-year-old female with drusen, Pattern Dystrophy Associated with Myotonic Dystrophy: 56-year-old female presented with a one-year history of increasingly distorted vision OS described as "crinkled", RPE65-associated Leber Congenital Amaurosis, Unilateral Retinitis Pigmentosa: Visual field changes in a 31-year-old female. Your gift today makes tomorrows breakthroughs possible. 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. 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. 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. The lesion has been present on the left lower lid for about one month. may email you for journal alerts and information, but is committed This frequently cited monthly Can you provide it? Conjunctival Lymphoma: 51-year-old male noticed a raised bump on the nasal portion of his eye a month prior to presentation. A 5-month-old presents with left face turn. Pay a a bill for services performed by MCW. She also reports photophobia, phonophobia, and lightheadedness. 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. WebOptometry and Vision Science is the most authoritative source for current developments in optometry, physiological optics, and vision science. Complained of sudden vision loss in the right eye. Patient Non-Compliance: Physician responsibility. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. Orbital Eosinophilic Granuloma. This patient, with a history of multiple endocrine neoplasia type 2B (MEN2B) was referred by his oncologist for a large lesion on the outer corner of his right eye. Treated with peginterferon and ribavirin for 6 weeks prior to visit. Translational scientists turn science and research into improved treatments. Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy. An otherwise healthy 5-year-old boy presents after a failed vision exam. Editor in Chief University of Houston College of Optometry Houston, TX. your express consent. Can you diagnose the problem? Finally in my fourth year of Optometry I understand why. 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. EyeRounds.org. Enophthalmos Secondary to Metastatic Breast Cancer. Horner's Syndrome (due to Cluster Headache): 46-year-old male presenting with HA and ptosis. 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. Do you know what's wrong? Feel free to contact. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision 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. Case Reports; Coding; Contact Lenses & Solutions; Cornea; Diagnostics; Dry Eye; Eyelids; Glaucoma; Low Vision; Neuro-ophthalmic Disorders; News; Ophthalmic Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus. We work closely with partners to redefine health beyond healthcare and with a bold vision of achieving health equity for all. 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. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Chandler Syndrome: A subtle presentation. Can you provide it? 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. Meningiomas: a case and review. 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. 40-year-old male was referred to the University of Iowa for worsening floaters in his left eye starting two months prior to presentation. He had felt unwell for several days, had decreased vision and pain in his left eye, and attributed his suicidality to pain. 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. 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. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. By the time he returned home, he had profound vision loss and right eye protruding. 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. It's up to you to find out the most likely cause. We thank the Iowa Eye Association: Friends and Alumni of the Univeristy of Iowa Department of Ophthalmology and Visual Sciences. 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). 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. The discussion, although brief, is intended to give you a simple overview of each disease. 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. Interferon Retinopathy: 60-year-old male with hepatitis C virus infection presents with new floaters in both eyes. TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. 52-year-old woman presented with elevated intraocular pressure (IOP) and visual fields demonstrating progressive field loss despite maximum tolerated medical therapy. Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid. 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. She developed mild light sensitivity in both eyes as well as mild, circumferential headaches during the four months leading up to ophthalmologic evaluation. 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night. 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. 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." A 64-year-old woman comes to you after 2 weeks of symptoms. Imagine a Milwaukee that is equitable, healthy and thriving for all. New knowledge driving discovery to advance the health of our communities. 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. Infectious Crystalline Keratopathy (ICK): 72-year-old female with decreased vision. A 44-year-old woman presents with an insidious headache along her left occipital region. Optometry Clinical Cases Facial Spasms in a Man Recently Released From the Hospital After a recent hospitalization for a hemicranial headache, a man presents WebCase Report Format AMERICAN ACADEMY OF OPTOMETRY There is a 4,000 character limit (including spaces and the bibliography). 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. Please enable scripts and reload this page. He had intermittent redness and mild foreign body sensation in both eyes. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. He was asymptomatic on presentation. Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS. Sarcoidosis: 53-year-old A female with gradual, painless loss of vision in both eyes. Choose from a three or four-year MD program at various campus locations, our anesthesiologist assistant, physician associate, or a number of dual degree programs. Invasive Fungal Orbitorhinocerebral Mucormycosis. Megalocornea. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months. Optometry Clinical Cases (registration required; please note that the NECO Library staff does not recommend Medscape as a reputable source for anything but case 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. Vitamin A Deficiency and Nyctalopia: 55-year-old male with gradual onset of night blindness. EyeRounds.org. What's the diagnosis? Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS. Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. Ocular Ischemic Syndrome: 7-year-old female presented to clinic with decreased visual acuity in her left eye. 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. |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. Please try after some time. 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. It has grown rapidly in size over the previous two weeks and is now obstructing her vision. Internuclear Ophthalmoplegia: 40-year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye (OS). 3-year-old male who was referred to the cornea clinic after failing a KidSight screening and was found to have bilateral corneal opacities when evaluated by his optometrist. She had a history of severe hydrocephalus with seizures and alobar holoprosencephaly at birth. All rights reserved. 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. In 2017, Optometry and Vision Science revised the instructions for authors for case reports to signal a preferred focus on evidence-based clinical practice. Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. If you log out, you will be required to enter your username and password the next time you visit. WebCase studies Take a look at how individuals from across the University are using continuous improvement in their areas: Collapse all Optometry Housing and Residence HR, IST, Office of Vice-President Academic & Provost Information Systems & Technology (IST): VM Requests Information Systems & Technology (IST): "One Stop" Persistent Fetal Vasculature: 19-year-old female with a history of amblyopia in the right eye (OD) due to persistent fetal vasculature (PFV) presented to the University of Iowa Hospitals and Clinics (UIHC), Department of Ophthalmology to re-establish care. 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. 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.