optometry case studies

Authors will be required to articulate a specific clinical question. For more information, please refer to our Privacy Policy. His wife mentioned that he exhibits a right head turn while watching television. Valsalva Retinopathy: Vision loss after asthma attack: 32-year-old female patient presented with a "black spot" in the vision of her left eye. 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. (also see: Painless Proptosis in a 62-year-old female). Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging left lower lid lesion. WebOptometry Case Studies. Optometry case study: Evidence-based management of Holoprosencephaly and Strabismus. 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. 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. An otherwise healthy 5-year-old boy presents after a failed vision exam. Internuclear Ophthalmoplegia: 40-year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye (OS). Sarcoidosis Affecting the Lacrimal Gland: 39-year-old female with left upper eyelid swelling of 4 months duration, Sebaceous Cell Carcinoma: A Masquerade Syndrome. WebThis case study concerns a patient undergoing treatment for age-related macular degeneration (ARMD) by intravitreal injections of ranibizumab (Lucentis). With decreased red reflex and a family history of cataracts, this newborn is in need of a diagnosis. Ocular Cicatricial Pemphigoid: atypical presentation as pseudopterygium and limbal stem cell deficiency. 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 presenting with decreased vision after BB gun injury to right orbit. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. Initial cultures from her blood and periocular drainage grew group A beta-hemolytic streptococci. 71-year-old female referred for evaluation of a corneal scar in the right eye (OD). Distichiasis: 64-year-old white male with bilateral eye irritation. Patient with BB gun injury to right orbit, Coats Disease: 19-year-old male presented to his local optometrist with a 4-week history of floaters and a shadow in the superotemporal visual field of his left eye. A 50-year-old man was noted to have optic disc edema and visual field defects in each eye. Melanocytoma of the Iris and Ciliary Body: Nanophthalmos with Ocular Hypertension and Angle-Closure: Primary Congenital Glaucoma (Infantile Glaucoma), Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC), Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT), Acute Demyelinating Encephalomyelitis (ADEM) with associated optic neuritis, All-trans retinoic acid (ATRA) induced intracranial hypertension in a patient with acute promyelocytic leukemia, ANCA-associated granulomatous vasculitis (Wegener's granulomatosis). Complained of sudden vision loss in the right eye. 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. 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. Calcific Band Keratopathy. Posterior Polar Cataract. 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. Patient referred from the retina service for dense cataract formation three days following pars plana vitrectomy. |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. Female child presenting to the eye clinic at age 15 months for eye crossing. Every discovery advances academic medicine and improves the vitality of our communities. Twa MD. A 64-year-old woman comes to you after 2 weeks of symptoms. EyeRounds.org. Case Studies - Optometry Times Find primary and specialty care near you. 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. She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. Methods: Merkel Cell Carcinoma of the Eyelid. Let us help you find an answer to your question. Lymphoma, Orbital. Case Studies in Cultural Competency 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. 78-year-old male with chronic irritation and dry eye unresponsive to aggressive lubrication, punctal occlusion, and prednisolone/sulfacetamide drops. Chandler Syndrome: A subtle presentation. He also has research interests in contact lens and surgical correction of presbyopia. 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. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. Visit our, select for list of related links, link list also found in footer. Clinical trials are invaluable in testing new treatments, drugs and technologies. 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. Clinical Case Resources - Optometry and Vision Between visual testing and MRI, can you offer her a diagnosis? 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. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. A 67 year-old male presents with irritation and "scratchiness" of the right eye. Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. 50-year-old male with penetrating globe injury. 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. MyChart user? Michael D. Twa, OD, PhD, FAAO Diplopia was only present at distance and no double vision with near tasks. 80-year-old male presented with diplopia and proptosis of right eye. The case of a 39-year-old woman with Sjgren syndrome and clinically relevant pulmonary involvement. The firework launched and directly contacted the left orbit. Thygeson's Superficial Punctate Keratitis: A 23-year-Caucasian male presents with bilateral photophobia, foreign body sensation, and tearing that is worse in the left eye. Need clinical cases or reports to use in your teaching? What's the diagnosis? WebCase Report Format. 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. OPTOMETRY Case 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. Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. WebThe following case studies were entries in Cultural Competency Case Study Competitions for optometry students and residents implemented in 20 14, 2015, and 2020 by the Diversity and Cultural Competency Committee of the Association of Schools and Colleges of Optometry (ASCO). A temporal visual field defect is noted in each eye. Descemets membrane endothelial keratoplasty (DMEK) for Fuchs endothelial dystrophy, Epithelial-Stromal and Stromal Corneal Dystrophies: A Clinicopathologic Review, Erythema Multiforme: 22-year-old male with a persistent red eye for two weeks, The Evolution of Surgical Approaches to AlphaCor Keratoprosthesis Insertion and Associated Complications, Exposure Keratopathy in the Critically Ill: A Case Report, Discussion, and Systems-Based Intervention, Fabry Disease: A key differential in the diagnosis of corneal verticillata, Fuchs Endothelial Dystrophy: 35-year-old female with blurry vision OU lasting hours in the morning, Fungal Keratitis - Fusarium: 41-year-old female contact lens wearer with persisting keratitis. Do you know what's wrong? To further investigate private practice optometry, I shadowed According to the Cochrane WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! Cranial Nerve IV (Trochlear Nerve) Palsy: 57-year-old male complaining of vertical diplopia after head trauma. Congenital Ptosis. 1. Perioperative Corneal Abrasions: Systems-based review and analysis. A 14-year-old boy presents with painful periorbital edema and erythema in his right eye. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. New knowledge driving discovery to advance the health of our communities. Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. Imagine a Milwaukee that is equitable, healthy and thriving for all. His symptoms have been present for the past 8 months and have been only partially relieved with artificial tears and lubricating ointment at night.. Translational scientists turn science and research into improved treatments. Optom Vis Sci 2018;95:5459. Were driving research that leads to improved diagnoses, more effective treatments, and new cures. Infectious Crystalline Keratopathy (ICK): 72-year-old female with decreased vision. TTP-HUS: 29-year-old male with HA, hematuria, and visual obscurations. What is your diagnosis? TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. Photographs of this 6-year-old girl show 'white eyes' that concern her parents. Extranodal marginal zone B-cell lymphoma of the left eye with choroidal, episcleral, and orbital involvement. Case reports are considered low in the hierarchy of evidence, because of their restricted sample size (e.g., limited to only one or a few individuals), the absence of comparison groups, and appropriate controls to prevent bias. Feel free to contact. The discussion, although brief, is intended to give you a simple overview of each disease. Chemical Eye Injury: A Case Report and Tutorial: A guide to emergent management and medical therapy to promote ocular surface rehabilitation, Cogan's Syndrome: 42-year-old Female with Interstitial Keratitis and Vertigo, Congenital Aniridia: 18-year-old male with suspected aniridia with corneal pannus involving both eyes. See-Saw Nystagmus: 64-year-old male who first noted the onset of oscillopsia five months prior to presentation. 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. Retinochoroidal coloboma: 54-year-old female with blurred vision. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Can you determine the cause? The patient noted a stable gray spot and visual distortion OD for the previous several weeks. Pembrolizumab (Keytruda) Induced Uveitis in a Patient with Metastatic Melanoma: 65-year-old male with history of metastatic cutaneous melanoma previously on pembrolizuamb presented to the comprehensive ophthalmology service with blurred vision worse in the left eye for the past 6 months. Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. A woman with type 1 diabetes was evaluated, one week after an otherwise uncomplicated cesarian section, for decreased vision and multiple new floaters in both eyes. In her case study, Dr. Fortenberry How would you approach a patient who comes to the primary care clinician with worries about bumps on her buttocks and knees? Ocular Rosacea: 62-year-old female with blurry vision and red, itchy eyes. 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). The growing use of contact lenses in children demands our attention with surveillance and case-control studies. 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. He did not tolerate contact lenses and was interested in surgical options. 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 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. AMERICAN ACADEMY OF OPTOMETRY. 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. They are composite cases representing situations that will present to the refractionist. An ophthalmologist confirmed the narrow angles and placed her on medications to successfully lower her intraocular pressure. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology.

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