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optometry case studies

Conjunctival Lymphoma: 51-year-old male noticed a raised bump on the nasal portion of his eye a month prior to presentation. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. There were no known maternal infections during the pregnancy and no problems during the perinatal period. Report an issue with this page Prospective authors should report cases that illustrate clinical decision making relative to the following: Interventions questions addressing the treatment of an illness or dysfunction, Diagnosis questions on the identification or determination of the nature and cause of a disease or condition, Etiology questions addressing the cause or disease origin, including risk factors for a certain disease or condition, Prognosis questions on the prediction of the course of a disease, Prevention questions related to reducing the chance or impact of disease by identifying and modifying risk factors, screening, and early diagnosis. Patient unable to assume typical supine position used for cataract surgery, Metastatic Choroidal Lesion: 61-year-old male presents with pain and blurry vision, right eye. Optom Vis Sci 2018;95:5459. Over the last ten years, she has experienced further painless vision loss OD. Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident. your express consent. 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. We look forward to receiving your quality case report submissions. He had intermittent redness and mild foreign body sensation in both eyes. Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. He had felt unwell for several days, had decreased vision and pain in his left eye, and attributed his suicidality to pain. Shortly after treatment with intravitreal steroids and photodynamic therapy, her IOP spiked to 59 mm Hg. Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. Superior Limbic Keratitis: A 63-year-old male presents for evaluation of irritation and injection of both eyes, that is refractory to management with lubrication. Patient referred from the retina service for dense cataract formation three days following pars plana vitrectomy. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. 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. Log in to make an appointment. Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. An otherwise healthy 5-year-old boy presents after a failed vision exam. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Nanophthalmos with Ocular Hypertension and Angle-Closure: 37-year-old woman presented as a referral from her local eye doctor who found that her intraocular pressure (IOP) was high on routine eye examination. 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. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Choose from more than 140 specialties and sub-specialties for advanced medical training at MCW. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. 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. 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. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. 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). 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. Pituitary Adenoma Causing Compression of the Optic Chiasm: 49-year-old white female with painless progressive vision loss. 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. 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. Acute Retinal Necrosis: 84-year-old man with Alzheimers dementia presented with floaters and decreased vision in both eyes (OU). Onset of dramatically decreased vision in both eyes began at the time of child delivery. Polypoidal Choroidal Vasculopathy (PCV): 57-year-old Caucasian male referred for retinal thickening and subretinal fluid in right eye greater than left eye. From the start of Optometry school, professors and supervisors preached that a patients chief complaint and case history should direct your exam. 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. Calcific Band Keratopathy. Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. Through collaboration with the brightest minds in science and medicine MCWs Centers are at the forefront of discovery and innovation. Vision in the right eye was progressively more blurred. What is your diagnosis? ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. 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. 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. Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis. Herpes Simplex Keratitis: 36-year-old female presented to the Emergency Treatment Center (ETC) with one day of right eye pain, photophobia and decreased vision. The discussion, although brief, is intended to give you a simple overview of each disease. * Entrants in each of the three 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. Morgagnian Cataract: 59-year-old female with decreased vision at distance and near, more so in the right eye than the left and iincreasing difficulty with glare from bright lights at night, seeing road signs, watching television, and reading the newspaper. His wife mentioned that he exhibits a right head turn while watching television. Clinical trials are invaluable in testing new treatments, drugs and technologies. The double vision was worse with lateral gazes in both directions.. Horner's Syndrome (due to Cluster Headache): 46-year-old male presenting with HA and ptosis. ARMD is the Enophthalmos Secondary to Metastatic Breast Cancer. 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. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. After thoroughly reviewing these case studies, the learner will be able to: We've included a listing of commonly used ophthalmic abbreviations for your review. 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. Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. Recurrent anterior uveitis in HLA-B27 positive Ulcerative Colitis (IBD) with multiple positive auto-antibodies. 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. Intermediate uveitis associated with hidradenitis suppurativa. Involutional ectropion: Options for surgical management of ectropion. Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness. Internuclear Ophthalmoplegia: 40-year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye (OS). Methods: 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. A 42-year-old woman with a chronic productive cough is repeatedly treated for pneumonia. Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. Why is this 65-year-old patient with relapsing-remitting MS having decreased vision in her right eye? MyCPD Portal. He wore spectacles with the right eye under-corrected to minimize his symptoms. The intervention is intense pulsed light therapy, and the outcome measure is the recovery time. The principles discussed apply equally to the plus and minus cylinder methods. Check the, To narrow your results further:go back to the left column, and under Publication dates choose "5 years. 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. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. 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. 52-year-old woman presented with elevated intraocular pressure (IOP) and visual fields demonstrating progressive field loss despite maximum tolerated medical therapy. Leiomyosarcoma: 53-year-old male with a bump along his left upper eyelid accompanied by mild discharge, but no pain, duration of one month. A 5-month-old presents with left face turn. Evidence-based Clinical Practice: Asking Focused Questions (PICO). Infectious Crystalline Keratopathy (ICK): 72-year-old female with decreased vision. For Medical Students. The scar was present 10 years previously when she was evaluated for painless and slowly progressive vision loss. To further investigate private practice optometry, I shadowed 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.

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