optometry case studies optometry case studies

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 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. Clinical Imaging Case Studies. Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis. a case and review. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. 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 Innovative 12-month PA and NP transition to practice programs in a variety of specialty clinical tracks. Transitioning to this new case report format will occur over the next year, with final implementation completed within the next 2 years. Vision Therapy for Intermittent Exotropia Stage Two downloads: DO and Overarching case scenarios Discussion of the management of Refractive Accommodative Esotropia. This website also contains material copyrighted by 3rd parties. 2-month-old with bilateral optic nerve hypoplasia: Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection. 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. 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. Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. See actual mailing lists, optometry postcards designs, frequency of mailings, and all the details of real optometry marketing plans! 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. 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. Symptoms began that morning with diplopia when he left home to walk his dog. Although these cases provide a little information on the typical presentation of various ophthalmic diseases it should not replace a personal consultation with an ophthalmologist or other eye care provider. Conjunctival rhinosporidiosis in a temperate climate. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. Internuclear Ophthalmoplegia: 40-year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye (OS). By the time he returned home, he had profound vision loss and right eye protruding. [video included]. Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion OS. 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. For more information, please refer to our Privacy Policy. ProFile Specsavers journal | Specsavers journal for Develops applied learning experiences and supports continual education of the healthcare professional beyond graduation. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. Primary Congenital Glaucoma (Infantile Glaucoma): 3-year-old female referred for evaluation of increased eye size, left eye. Each case report is required to begin with Interferon Retinopathy: 60-year-old male with hepatitis C virus infection presents with new floaters in both eyes. 2. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. Age-related Macular Degeneration: Progression from Atrophic to Proliferative: Cat-Scratch neuroretinitis (Ocular bartonellosis). Leiomyosarcoma: 53-year-old male with a bump along his left upper eyelid accompanied by mild discharge, but no pain, duration of one month. date posted; Available from: http://www.eyerounds.org/cases/filename.htm. 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. 56-year-old male with two-month history of progressive proptosis & drooping of the left upper eyelid and binocular diplopia for several weeks, Ciliary Body Leiomyoma: Clinicopathologic Correlation, Congenital dacryocystocele with spontaneous resolution: Full-term 10 day-old female referred to the pediatric ophthalmology clinic by dermatologist for a bluish mass inferior to the right medial canthus, Congenital Ptosis. Optometry Clinical Cases - Index - Medscape He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. 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. Nasolacrimal duct obstruction secondary to sarcoidosis. 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. Treated with peginterferon and ribavirin for 6 weeks prior to visit. 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). Eldeeb M, Chan EW, Omar A. She also noted decreased perception of color and contrast. Megalocornea. He had intermittent redness and mild foreign body sensation in both eyes. Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. Minocycline-Induced Hyperpigmentation. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. Over the last ten years, she has experienced further painless vision loss OD. Capsular Block Syndrome: An Unusual Presentation: 51-year-old pseudophakic female presents with poor vision in the right eye (OD). 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. (Iridocorneal endothelial syndrome: Chandler Syndrome variant) Patient initially sought care for migraines with mild headache on the right side of her head and halos around lights through her right eye. She describes tears that run down the front of her face and denies any ocular irritation. Age-related Macular Degeneration: Progression from Atrophic to Proliferative: 76-year-old female with 17-year history of atrophic AMD and increased size of existing central scotoma discovered with home Amsler grid testing, Birdshot Choroiditis: 55-year-old female with persistent vitreous floaters, Behcet's Disease: A 32-year-old female with recurrent ocular inflammation. Visit our, select for list of related links, link list also found in footer. 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). 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. Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. Optom Vis Sci 2017;94:1356. 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. Ethambutol Toxicity and Optic Neuropathy: 60-year-old female with bilateral painless central vision loss. Due to the rapid onset and severity of the cataract, there was concern for an iatrogenic break in the posterior capsule during vitrectomy. {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}. Enhancing learning, research, patient care and the health of the community. Case Study Submissions. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. WebOphthalmic Case Studies. Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS. When symptoms persist 2 months after surgery, this patient pays you a visit. Clinical Case Resources - Optometry and Vision 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. Recurrent anterior uveitis in HLA-B27 positive Ulcerative Colitis (IBD) with multiple positive auto-antibodies. Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain. 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. MyCPD Portal. He wore spectacles with the right eye under-corrected to minimize his symptoms. 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. 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. Optometry Clinical Cases (registration required; please note that the NECO Library staff does not recommend Medscape as a reputable source for anything but case 2023 Medical College of Wisconsin. Forensic Analysis of a Contact Lens Vision in the right eye was starting to "darken." 3. Management of Amblyopia: Discussing Options for Treatment in the Age of the Internet, Monofixation Syndrome: 11-year-old female referred after inability to improve vision with refraction in the left eye, Non-accidental Trauma: An unresponsive infant with bilateral retinal hemorrhages. Cataract Formation after Pars Plana Vitrectomy. ", If you have trouble accessing full text, or it is not available, please email us at. I have found that when it comes to binocular vision disorders or what Griffin & Grisham in Binocular Anomalies: Diagnosis and Vision To further investigate private practice optometry, I shadowed There were no known maternal infections during the pregnancy and no problems during the perinatal period. OPTOMETRY Case Excess tearing henders vision. An ophthalmologist confirmed the narrow angles and placed her on medications to successfully lower her intraocular pressure. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. Anisometropic Amblyopia. ARMD is the 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. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. What's the diagnosis? A 44-year-old woman presents with an insidious headache along her left occipital region. The revised instructions included the following statement: Priority is given to cases that illustrate applications of evidence-based practice, critical thinking, novel mechanistic reasoning, or those that have importance to public health or health policy implications. Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS. Merkel Cell Carcinoma of the Eyelid. Myopia Myopia Case 1 They are composite cases representing situations that will present to the refractionist. Case Reports. EyeRounds.org - Ophthalmology - The He had felt unwell for several days, had decreased vision and pain in his left eye, and attributed his suicidality to pain. 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night. 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. Through research, health care education, workforce development, and community health initiatives, AHW drives change. 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. 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. Communication Issues Following a Post Operative Surprise, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema. 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. Optom Vis Sci 2016;93:11878. Bilateral optic nerve hypoplasia, 2-month-old with: Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy, Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy, Facial Nerve Palsy: Ocular Complications and Management, Horner's Syndrome (due to Cluster Headache), Idiopathic Intracranial Hypertension (Pseudotumor Cerebri), Neurofibromatosis Type 1 - Optic Nerve Glioma, Communicating with patients about alternative therapies, Orbital inflammation secondary to bisphosphonate therapy, Parkinson's disease: a review of the ophthalmological features, Pituitary Adenoma Causing Compression of the Optic Chiasm, Progressive Supranuclear Palsy in a Patient with Progressive Nonfluent Aphasia, Spinocerebellar Ataxia with Ophthalmoplegia, Thyroid Eye Disease (Graves' ophthalmopathy). Peters Anomaly: 2-day-old infant evaluated for bilateral corneal opacity noted at the time of delivery. Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident. 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. 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). He also has research interests in contact lens and surgical correction of presbyopia. Or call Adult Specialties (800) 272-3666 or Pediatric Specialties (877) 607-5280. Cystinosis: A 12-year-old boy with light sensitivity. Age-related macular degeneration: a case study - PubMed Thyroid Eye Disease (Graves' ophthalmopathy): 51-year-old male seen in consultation from the internal medicine service for evaluation and management of "dry and red eyes. Optometry case study: Evidence-based management of Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. 40-year-old male was referred to the University of Iowa for worsening floaters in his left eye starting two months prior to presentation. Optometry and Vision Science99(2):93-94, February 2022. Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness. Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. 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. A hub focused on population health, biostatistics, bioethics and epidemiology research. The results will help determine whether to proceed to a full-scale, long-term randomized trial. 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. 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. WebCase report submissions to Optometry and Vision Science should also now include additional information. Onset of dramatically decreased vision in both eyes began at the time of child delivery. 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. Twa MD. The discussion, although brief, is intended to give you a simple overview of each disease. Over the next 2 days, she began having daily episodes of emesis and her parents noticed "bulging of her left eye." Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss. Translational scientists turn science and research into improved treatments. Let us help you find an answer to your question. Neurofibromatosis Type 1 - Optic Nerve Glioma: 8-year-old white female with acute awareness of complete vision loss, left eye. Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. All Rights Reserved We thank the Iowa Eye Association: Friends and Alumni of the Univeristy of Iowa Department of Ophthalmology and Visual Sciences. A 50-year-old man was noted to have optic disc edema and visual field defects in each eye. Can you identify the cause of his obesity and related conditions? She developed mild light sensitivity in both eyes as well as mild, circumferential headaches during the four months leading up to ophthalmologic evaluation. With decreased red reflex and a family history of cataracts, this newborn is in need of a diagnosis. Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. CASE STUDY: Doug The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. EyeRounds.org. Meningiomas. Michael D. Twa, OD, PhD, FAAO Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis.