optometry case studies

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. Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS. MyChart user? Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion. Multiple endocrine neoplasia type 2B: A 27-year-old male presents with multiple eyelid lesions. to maintaining your privacy and will not share your personal information without Related: Coats disease: A case study of a 4-year old boy. 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 had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. Holoprosencephaly and Strabismus. Secondary Tumors After Hereditary Retinoblastoma: A Case of Orbital Leiomyosarcoma 50 Years After Initial Enucleation and Radiation Therapy.. Silent Brain Syndrome: 32-year-old male with history of excess tearing in both eyes with mucous-like yellowish discharge. For Medical Students. The statement of clinical significance should not only articulate the focus of the case report as a clinical question in PICO format but should also clearly indicate why this question is of interest for readers. He had felt unwell for several days, had decreased vision and pain in his left eye, and attributed his suicidality to pain. Post LASIK Ectasia: Female patient presented status post bilateral LASIK for myopia. Chuck is a 60-year-old white male who presents for a yearly exam. 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. Case Study Submissions. Sturge-Weber Syndrome: 4-year-old child with a history of seizures and glaucoma. 4-year-old boy originally presented to ophthalmologist at 2 years of age with crossed eyes. Eldeeb M, Chan EW, Omar A. Diplopia was only present at distance and no double vision with near tasks. Halos around lights and a mild decreased acuity persisted. 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. Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. Case studies A temporal visual field defect is noted in each eye. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. From the start of Optometry school, professors and supervisors preached that a patients chief complaint and case history should direct your exam. Lymphoma, Orbital. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. 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. Editor in Chief University of Houston College of Optometry Houston, TX. WebOptometry and Vision Science is the most authoritative source for current developments in optometry, physiological optics, and vision science. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. According to the Cochrane Patient Non-Compliance: Physician responsibility. Vitamin A Deficiency and Nyctalopia: 55-year-old male with gradual onset of night blindness. Resources: Clinical Cases - New England College of He had stable chronic floaters but no flashes of light, eye pain, or other ocular symptoms. There is a 4,000 character limit (including spaces and the bibliography). Extranodal marginal zone B-cell lymphoma of the left eye with choroidal, episcleral, and orbital involvement. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. The vergence system should be assessed to evaluate capacity and flexibility. Case studies for members - College of Optometrists * Entrants in each of the three Copyright 2023 Jobson Medical Information LLC unless otherwise noted. Case Studies The case studies are presented in a question-and-answer format. What is the most likely cause? Carotid Cavernous Fistula: 46-year-old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion. For more information, please refer to our Privacy Policy. If you need assistance logging into subscribed resources from off campus, or finding the specific case studies you need, please email [emailprotected]. Can you identify what he's compensating for, and why? Merkel Cell Carcinoma of the Eyelid. 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. 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. Conjunctival Lymphoma: 51-year-old male noticed a raised bump on the nasal portion of his eye a month prior to presentation. Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS. Myopia Myopia Case 1 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. 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. 5-year-old male with unequal vision. Valsalva Retinopathy: Vision loss after asthma attack: 32-year-old female patient presented with a "black spot" in the vision of her left eye. Imagine a Milwaukee that is equitable, healthy and thriving for all. Click on the card to display cases in that category. A 64-year-old woman comes to you after 2 weeks of symptoms. Refractive Accommodative Esotropia. ARMD is the Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment, Choroidal Osteoma: 10-year-old girl presents for annual follow-up. Acute Retinal Necrosis: 84-year-old man with Alzheimers dementia presented with floaters and decreased vision in both eyes (OU). 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. Fungal Endophthalmitis: Hematogenous seeding in an immune suppressed patient with positive fungal and bacterial blood cultures. Meningiomas. She had a history of severe hydrocephalus with seizures and alobar holoprosencephaly at birth. Floppy Eyelid Syndrome. 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. Progression of Proliferative Diabetic Retinopathy During Pregnancy. Need clinical cases or reports to use in your teaching? Bilateral optic nerve hypoplasia, 2-month-old with: Highlighting the importance of a multi-disciplinary approach. Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. Pediatric headache: The vital role of the optometrist Invasive Fungal Orbitorhinocerebral Mucormycosis. He had intermittent redness and mild foreign body sensation in both eyes. example: Mullaney S, Vislisel J, Maltry A, Boldt HC. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. Sickle Cell Retinopathy: 18-year-old African-American male with known sickle cell disease is referred to the vitreoretinal service for evaluation of two days of blurry vision and new-onset floaters in the left eye that developed while playing basketball. Clinical Cases in Optometry - Index 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. 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. Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. Forensic Analysis of a Contact Lens Optometry Marketing Case Studies 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. 63-year-old female presenting with progressive double vision and a droopy right eyelid. A 50-year-old man was noted to have optic disc edema and visual field defects in each eye. Orbital inflammation secondary to bisphosphonate therapy: 80-year-old female with right eyelid swelling, pain, decreased vision, diplopia. Some error has occurred while processing your request. Can you provide it? Clinical Case Resources - Optometry and Vision 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. Over the last ten years, she has experienced further painless vision loss OD. 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." Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. 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. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. 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. All Rights Reserved Accelerated Hypertension : 67-year-old female with hypertension and diabetes mellitus with painless vision loss, Herpes Zoster Post-herpetic Neuralgia: 68-year-old male with decreased vision, Kayser-Fleischer Ring: A Systems Based Review of the Ophthalmologist's Role in the Diagnosis of Wilson's Disease, Kyphotic Patient Presents for Cataract Surgery: A Systems Based Case. Intermediate uveitis associated with hidradenitis suppurativa. 1. All rights reserved. His wife mentioned that he exhibits a right head turn while watching television. 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. Find primary and specialty care near you. 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. Between visual testing and MRI, can you offer her a diagnosis? EyeRounds.org. 64-year-old male patient noted severe pain in his right eye while in the post-anesthesia care unit shortly after laparoscopic surgery. Optometry case study: Evidence-based management of Data is temporarily unavailable. 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. 40-year-old male was referred to the University of Iowa for worsening floaters in his left eye starting two months prior to presentation. Symptoms began that morning with diplopia when he left home to walk his dog. Can you diagnose the problem? Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. American Academy of Optometry Microbial Keratitis Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss. 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. Cataract Formation after Pars Plana Vitrectomy. WebCase studies for members. Conjunctival rhinosporidiosis in a temperate climate. At her latest follow-up, she reports intermittent dyspnea and fatigue. 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. Can you determine the cause? Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. Patient referred from the retina service for dense cataract formation three days following pars plana vitrectomy. She developed mild light sensitivity in both eyes as well as mild, circumferential headaches during the four months leading up to ophthalmologic evaluation. The vision in the left eye (OS) has been excellent. Were driving research that leads to improved diagnoses, more effective treatments, and new cures. Minocycline-Induced Hyperpigmentation. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43-year-old male referred for evaluation of binocular diplopia. 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. Acquired Peripheral Retinoschisis: 83-year-old male was referred to our retina clinic for a retinal detachment which was described as close to the macula in his right eye. The infant did not show evidence of tearing, blepharospasm, photophobia, drainage, or ocular redness. It has grown rapidly in size over the previous two weeks and is now obstructing her vision. Capsular Block Syndrome: An Unusual Presentation: 51-year-old pseudophakic female presents with poor vision in the right eye (OD). Ocular Rosacea: 62-year-old female with blurry vision and red, itchy eyes. 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. Cranial Nerve IV (Trochlear Nerve) Palsy: 57-year-old male complaining of vertical diplopia after head trauma. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology. Web Privacy Policy | Nondiscrimination Statement, This site uses tracking information. Giant reservoir formation from Ahmed seton valve: A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. Optic Neuritis: A 40-year-old female noticed visual loss in her right eye accompanied by pain with eye movements and a dull retro-orbital ache, two weeks prior to her clinic visit. 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). Parkinson's disease: a review of the ophthalmological features: 67-year-old man presented to the strabismus clinic with increased difficulty reading for the past year. Over the next 2 days, she began having daily episodes of emesis and her parents noticed "bulging of her left eye." All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. (also see Ocular Sarcoidosis). Initial cultures from her blood and periocular drainage grew group A beta-hemolytic streptococci. AMERICAN ACADEMY OF OPTOMETRY. Dispensing Case Studies. 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. Ophthalmic Case Studies - Medical College of Wisconsin WebCase Report Format. This case features 11 oculoplastic surgery videos. 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. What is your diagnosis? Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. Title. Case Studies in Cultural Competency Chandler Syndrome: A subtle presentation. Please try after some time. 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. 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. Case Studies in Neuro Disease - Review of Optometry Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye. Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK), Corneal Marginal Ulcer: Marginal keratitis with ulceration in a 45 year-old male. Ocular Cicatricial Pemphigoid: atypical presentation as pseudopterygium and limbal stem cell deficiency. Enophthalmos Secondary to Metastatic Breast Cancer. A 67 year-old male presents with irritation and "scratchiness" of the right eye. Basal Cell Carcinoma, Morpheaform subtype, Bell's Palsy Treated with Facial Nerve Decompression, Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cance, Blepharospasm and Apraxia of Eyelid opening: "I Can't Open My Eyes", Cavernous Hemangioma: Painless Proptosis in a 62-year-old female, Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome, Churg-Strauss Syndrome with Orbital Inflammation, Congenital dacryocystocele with spontaneous resolution. Finally in my fourth year of Optometry I understand why. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. This site explains how to work through the EBP Process, and offers online EBP resources and case studies demonstrating use of EBP in action. 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. Crossing is worse when patient is tired and alternates between the right eye and the left eye. A 19-year-old man presents with chief symptoms of morbid obesity and oozing skin ulcers. 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. Involutional ectropion: Options for surgical management of ectropion. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. 2. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis. WebOptometry has several different modes of practice to choose from, including private practice, commercial, hospital, and community health centers to name a few. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. Vision in the right eye was starting to "darken." Feel free to contact. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging left lower lid lesion. Can you identify the cause of his obesity and related conditions? Pembrolizumab (Keytruda) Induced Uveitis in a Patient with Metastatic Melanoma: Phacoemulsification: Considerations for Astigmatism Management, Posterior capsular folds creating a Maddox rod effect following cataract surgery. 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). Develops applied learning experiences and supports continual education of the healthcare professional beyond graduation. ProFile Specsavers journal | Specsavers journal for However, the murder became a cold case due to a lack of physical evidence connecting him to the crime. Toxic Anterior Segment Syndrome (TASS): A System's Based View of a Day in the Life of a Canula, Traumatic Cataract: 11-year-old boy with glass injury to the right eye. What is the most likely cause? By the time he returned home, he had profound vision loss and right eye protruding. He experienced intermittent, horizontal, binocular diplopia and blurring of his vision while reading, accompanied by fatigue and headaches. However, this was not practical for ongoing management as base-in prisms do not train the eyes to improve convergence or fusion. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. 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. This is a collection of case studies to help you get an insight on the typical history and initial examination of various Vitreous Syneresis: An Impending Posterior Vitreous Detachment (PVD): 60 year-old female with newly reported flashing lights and "large and stringy" floaters in the left eye. Each case report is required to begin with an abstract, limited to 35 words (present tense), describing the uniqueness of the case that merits presen-tation at the Grand Rounds. Case Study 2 - CC: Red, itchy eyes - Medical College of Case Reports. EyeRounds.org - Ophthalmology - The Orbital Lymphatic Malformation (Lymphangioma), Pan-endophthalmitis and Orbital Cellulitis, Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel, Secondary Tumors After Hereditary Retinoblastoma.

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