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Central Retinal Artery Occlusion (CRAO): 81-year-old white male with sudden, painless vision loss left eye. 44-year-old male with progressive decrease in vision in both eyes with "tremendous" glare symptoms. He reports a sudden, painless Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS. 2-month-old with bilateral optic nerve hypoplasia: Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. How would you approach a patient who comes to the primary care clinician with worries about bumps on her buttocks and knees? Forensic Analysis of a Contact Lens Over the next year, the journal will implement requirements for case reports that further emphasize evidence-based care. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel: 38-year-old female with persisting tearing for 6 months. The case of a 39-year-old woman with Sjgren syndrome and clinically relevant pulmonary involvement. Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK), Corneal Marginal Ulcer: Marginal keratitis with ulceration in a 45 year-old male. Recently, he became symptomatic indoors. She also noted decreased perception of color and contrast. Optom Vis Sci 2018;95:5459. Female child presenting to the eye clinic at age 15 months for eye crossing. Visit our, select for list of related links, link list also found in footer. 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. We thank the Iowa Eye Association: Friends and Alumni of the Univeristy of Iowa Department of Ophthalmology and Visual Sciences. Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision, right eye, diminished central vision, and pain with eye movements. Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass. Data is temporarily unavailable. It's up to you to find out the most likely cause. Report an issue with this page Translational scientists turn science and research into improved treatments. Intermediate uveitis associated with hidradenitis suppurativa. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. Case studies Adenoviral Conjunctivitis: 38-year-old white female with watery, red, irritated eyes; left more than right. Can you determine the cause? Cytarabine-induced Keratoconjunctivitis: 17-year-old boy presented with one day of acute-onset bilateral foreign body sensation, tearing, photophobia, blurriness, and redness. Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. Refractive Accommodative Esotropia. 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 Multiple endocrine neoplasia type 2B: A 27-year-old male presents with multiple eyelid lesions. Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis. He also has research interests in contact lens and surgical correction of presbyopia. There is a 4,000 character limit (including spaces and the bibliography). 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. MyChart user? Horner's Syndrome (due to Cluster Headache): 46-year-old male presenting with HA and ptosis. Please try again soon. Between visual testing and MRI, can you offer her a diagnosis? Iris Cyst: 38-year-old female with iris lesion and gradual decrease in vision, Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion. Topics include, cataracts, cornea, Myasthenia Gravis: 32-year-old female with progressive LUL ptosis for several years. Complained of sudden vision loss in the right eye. Involutional entropion: options for surgical management of entropion. Doctors of optometry can draw upon several resources when it comes to professional conduct in the practice of optometry. Through collaboration with the brightest minds in science and medicine MCWs Centers are at the forefront of discovery and innovation. Jennifer Loh, MD, and Gregory Caldwell, OD, FAAO, Ranjan Malhotra, MD, FACS, and Kelly Nichols, OD, MPH, PhD, FAAO, 2022 ORS Resident Case Report Contest Winners, Detecting and Managing Multifocal Vitelliform Dystrophy, A Case of Bilateral Bartonella Henselae Neuroretinitis, ORS Resident Case Report Contest Winners Announced, Multimodal Imaging of Choroidal Melanoma with Submacular Fluid, Diagnosis of Bilateral, Combined Hamartomas of the Retina and Retinal Pigment Epithelium in a Pediatric Patient, The Larry Alexander Resident Case Report Contest: A Rare Case of Nevus of Ota, Tracing Clues Back to Retinitis Pigmentosa. ProFile Specsavers journal | Specsavers journal for Anisometropic Amblyopia. 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). Methods: TTP-HUS: 29-year-old male with HA, hematuria, and visual obscurations. Periorbital Necrotizing Fasciitis. Case 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. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. Every discovery advances academic medicine and improves the vitality of our communities. For Medical Students. a case and review. This site explains how to work through the EBP Process, and offers online EBP resources and case studies demonstrating use of EBP in action. Shortly after treatment with intravitreal steroids and photodynamic therapy, her IOP spiked to 59 mm Hg. All rights reserved. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with Evidence-based Clinical Practice: Asking Focused Questions (PICO). Treated with peginterferon and ribavirin for 6 weeks prior to visit. 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. 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. Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid. Over the next 2 days, she began having daily episodes of emesis and her parents noticed "bulging of her left eye." 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. Phacoemulsification: Considerations for Astigmatism Management, a tutorial and case, Posterior capsular folds creating a Maddox rod effect following cataract surgery: 73-year-old female presents with glare in the right eye 5 months after cataract surgery. Vitamin A Deficiency and Nyctalopia: 55-year-old male with gradual onset of night blindness. 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). Clinical Cases in Optometry - Index Clinical Cases in Optometry A Cloudy and Painful Eye A 30-year-old man with keratoconus has sudden eye pain with light The intervention is intense pulsed light therapy, and the outcome measure is the recovery time. The firework launched and directly contacted the left orbit. 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. 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. AMERICAN ACADEMY OF OPTOMETRY. Optometry Clinical Cases (registration required; please note that the NECO Library staff does not recommend Medscape as a reputable source for anything but case Progression of Proliferative Diabetic Retinopathy During Pregnancy. 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. A bedside ocular examination was remarkable for a linear, horizontal corneal epithelial defect. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. Valsalva Retinopathy: Vision loss after asthma attack: 32-year-old female patient presented with a "black spot" in the vision of her left eye. MyCPD Portal. Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. His wife mentioned that he exhibits a right head turn while watching television. Webthe case. Please try after some time. 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. Case Reports - Review of Optometry The patient first noticed the lesion about one month prior to presentation. 72-year-old male with left lower eyelid retraction in left facial nerve palsy secondary to metastatic lymphoma and radiation therapy. At her latest follow-up, she reports intermittent dyspnea and fatigue. This case features 11 oculoplastic surgery videos. Orbital inflammation secondary to bisphosphonate therapy: 80-year-old female with right eyelid swelling, pain, decreased vision, diplopia. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months. 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). Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging left lower lid lesion. ", If you have trouble accessing full text, or it is not available, please email us at. 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. She reports that she recently failed a school screening, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. Case Study Submissions. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. 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. Autosomal Dominant Optic Atrophy: 47-year-old female with chronic, mildly subnormal vision. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion. Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT). Serpiginous Choroiditis: 60-year-old male with 15 year history of serpiginous choroiditis reports a 2 day history of a new scotoma noticed on Amsler Grid testing of his right eye. Case Studies | Evidence Based Practice in Optometry 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. She describes tears that run down the front of her face and denies any ocular irritation. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. Vision Loss After Contact Lens-Related Pseudomonas Keratitis. Can you provide it? 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. Twa MD. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. [video included]. Iris Melanoma: 47-year-old male referred in 1997 for evaluation of iris lesion OS. A 50-year-old man was noted to have optic disc edema and visual field defects in each eye. Malattia Leventinese (Familial Dominant Drusen), Pattern Dystrophy Associated with Myotonic Dystrophy, Giant reservoir formation from Ahmed seton valve. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. The double vision was worse with lateral gazes in both directions.. Chuck is a 60-year-old white male who presents for a yearly exam. The patient experienced severe eye pain and had immediate loss of vision in the left eye (OS). Clinical Cases in Optometry - Index 80-year-old male presented with diplopia and proptosis of right eye. 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. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. 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). Excess tearing henders vision. Case studies for members - College of Optometrists Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain. 17-year-old male with a longstanding sensory left exotropiainquiring about strabismus surgery. 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 Ocular Sarcoidosis). 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. Check the, To narrow your results further:go back to the left column, and under Publication dates choose "5 years. Changing Trends in Sympathetic Ophthalmia: Choroidal Hemangioma: Central scotoma in the right eye, Idiopathic Juxtafoveal Telangiectasia Type II (Macular Telangiectasia type 2, Multilayered hemorrhage in Acute Myeloid Leukemia (AML), Multiple Evanescent White Dot Syndrome (MEWDS), Progression of Proliferative Diabetic Retinopathy During Pregnancy, Valsalva Retinopathy: Vision loss after asthma attack, Vitreous Syneresis: An Impending Posterior Vitreous Detachment (PVD). Ocular Manifestations of Stevens-Johnson Syndrome: 13-year-old female treated with trimethoprim-sulfamethoxazole developed mucosal and dermatologic eruptions with ocular involvement. Choose from a three or four-year MD program at various campus locations, our anesthesiologist assistant, physician associate, or a number of dual degree programs. Initial cultures from her blood and periocular drainage grew group A beta-hemolytic streptococci. 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. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. 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. Cat-Scratch neuroretinitis (Ocular bartonellosis): 44-year-old female with non-specific "blurriness" of vision, left eye. Terrien Marginal Degeneration: A 35-year-old man with spontaneous open globe injury. He had stable chronic floaters but no flashes of light, eye pain, or other ocular symptoms. Instead, authors should focus on cases that illustrate the application of evidence from clinical trials, preferred practice guidelines, systematic reviews, and other existing standards for care. Ophthalmic Case Studies This is a collection of case studies to help you get an insight on the typical history and initial examination of various ophthalmic disorders. 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. Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy. Cystinosis: A 12-year-old boy with light sensitivity. 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. The patient noted a stable gray spot and visual distortion OD for the previous several weeks. Develops applied learning experiences and supports continual education of the healthcare professional beyond graduation. EyeRounds.org. Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes. For more information, please refer to our Privacy Policy. 2023 Medical College of Wisconsin. A 59-year-old male presented with a history of Granulomatosis with Polyangiitis (GPA) - formerly known as Wegener's Granulomatosis, medically-uncontrolled primary open angle glaucoma (POAG), and pathologic myopia. If you need assistance logging into subscribed resources from off campus, or finding the specific case studies you need, please email [emailprotected]. The infant did not show evidence of tearing, blepharospasm, photophobia, drainage, or ocular redness. Parents feel that it is worsening. Multiple Evanescent White Dot Syndrome (MEWDS): 24-year-old female with one week duration of central scotoma, right eye. Find primary and specialty care near you. 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. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye. Anterior Chamber Cilium: 81-year-old male with intraocular cilium and dislocated intraocular lens. Post LASIK Ectasia: Female patient presented status post bilateral LASIK for myopia. Non-accommodative Esotropia and Botulinum Toxin Therapy: Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes, Acute Zonal Occult Outer Retinopathy (AZOOR) and Acute Idiopathic Blind Spot Enlargement Syndrome (AIBSE). 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. Unilateral Optic Nerve Granuloma: Patient with bilateral panuveitis and unilateral optic nerve sarcoid granuloma, Carotid Cavernous Fistula: 46-year-old female patient reporting double vision and visual distortion, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. There is an easy way to search PubMed to find clinical case reports in your area of interest. Lattice Corneal Dystrophy Type II Meretoja's Syndrome: patient with anterior stromal corneal dystrophy, progressive decline in vision with glare, Laser Assisted Keratoplasty: 63-year-old female with history of Fuchs endothelial dystrophy and bilateral pseudophakic bullous keratopathy presents with decreasing vision in the right eye. 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. Endogenous Endophthalmitis: 33-year-old male presented to an outside hospital for suicidal ideation. His corrective lenses did not improve his vision. Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. An otherwise healthy 5-year-old boy presents after a failed vision exam. your express consent. 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. Changing Trends in Sympathetic Ophthalmia: Sympathetic ophthalmia following repeated vitreoretinal surgery with no history of trauma. Can you identify the cause of his obesity and related conditions? If you log out, you will be required to enter your username and password the next time you visit. Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43-year-old male referred for evaluation of binocular diplopia. Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid. Over the last ten years, she has experienced further painless vision loss OD. Ophthalmic Case Studies - Medical College of Wisconsin contact lenses in myopia control Vision in the right eye was starting to "darken." WebOphthalmic Case Studies. 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. 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. Posterior Polymorphous Corneal Dystrophy (PPMD). Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia.