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* Entrants in each of the three 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. 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. Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT). 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. Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. Bell's Palsy Treated with Facial Nerve Decompression: 68-year-old man presented to the eye clinic with five days of right-sided facial droop, which was associated with the inability to fully close the right eye and slurred speech. Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion OS. 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. 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. July 8, 2014; available from http://EyeRounds.org/cases/190-choroidal-malignant-Melanoma.htm, Featured Case: MOG-IgG Associated Optic Neuritis, Miller Fisher Syndrome: Acute-onset diplopia and bilateral ophthalmoplegia, (MOG)-IgG Associated Optic Neuritis: Progressive vision loss left > right, Charles Bonnet Syndrome: I see people outside my home., Diabetic White Cataract: Bilateral white cataracts in a patient with untreated diabetes, Primary Vitreoretinal Lymphoma (PVRL): Six months of persistently blurry vision in the left eye, Copyright 2019 The University of Iowa. Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. Valsalva Retinopathy: Vision loss after asthma attack: 32-year-old female patient presented with a "black spot" in the vision of her left eye. Facial Nerve Palsy: Ocular Complications and Management. Invasive Fungal Orbitorhinocerebral Mucormycosis. Capsular Block Syndrome: An Unusual Presentation: 51-year-old pseudophakic female presents with poor vision in the right eye (OD). An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. 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. Polypoidal Choroidal Vasculopathy (PCV): 57-year-old Caucasian male referred for retinal thickening and subretinal fluid in right eye greater than left eye. 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. Michael D. Twa, OD, PhD, FAAO 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. This website also contains material copyrighted by 3rd parties. The discussion, although brief, is intended to give you a simple overview of each disease. 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. 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. Carotid Cavernous Fistula: 46-year-old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Clinical Cases in Optometry - Index Pediatric headache: The vital role of the optometrist Orbital Lymphatic Malformation (Lymphangioma): 5 year-old female complained of an intermittent frontal headache. Refractive Accommodative Esotropia. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: A 34-year-old woman presents with optic neuritis and develops demyelinating brain lesions. 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. Lymphoma, Orbital. A 44-year-old woman presents with an insidious headache along her left occipital region. If you log out, you will be required to enter your username and password the next time you visit. 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. Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye. It's up to you to find out the most likely cause. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. 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. Commotio Retinae: 29-year-old man was referred after sustaining a head injury during an altercation. Can you provide it? Central Retinal Artery Occlusion (CRAO): 81-year-old white male with sudden, painless vision loss left eye. Every discovery advances academic medicine and improves the vitality 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. Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis. A bedside ocular examination was remarkable for a linear, horizontal corneal epithelial defect. 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. 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. 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. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. Case Study 2 - CC: Red, itchy eyes - Medical College of 3 years prior she had been diagnosed with an unusual vasoproliferative tumor in her left eye. to maintaining your privacy and will not share your personal information without 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). Innovative 12-month PA and NP transition to practice programs in a variety of specialty clinical tracks. She was taken to the emergency room where an MRI was performed and demonstrated a left orbital lesion extending into the superior orbital fissure. 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. 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. During an inventory check years later, a new detective noted that the victims contact lenses were not in their storage case. His wife mentioned that he exhibits a right head turn while watching television. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Dispensing Case Studies. EyeRounds.org.
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