Ophthalmology review: a case-study approach

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Vision in the right eye was progressively more blurred. Salzmann's Nodular Corneal Degeneration : year-old woman presents with 3 years of progressive decrease in vision. She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. Surgical Management of Keratoconus : A year-old male with a history of progressive keratoconus.

Superior Limbic Keratitis: A year-old male presents for evaluation of irritation and injection of both eyes, that is refractory to management with lubrication. Thygeson's Superficial Punctate Keratitis: A year-Caucasian male presents with bilateral photophobia, foreign body sensation, and tearing that is worse in the left eye.

Ophthalmology Review: A Case Study Approach: A Case Study Approach by Kuldev Singh

Use of Ophthalmic Medications in Pregnancy: A year-old pregnant woman at 19 weeks gestation was referred for evaluation and treatment of suspected Acanthamoeba keratitis. Vernal Keratoconjunctivitis: 8-year-old asthmatic male with reduced vision. Verticillata : year-old white male with a known history of atrial fibrillation and hypertension on amiodarone.

Since the majority of cases of microbial keratitis mk in contact lens wearers are due to Pseudomonas, and this specific infection heralds a worse prognosis, we investigated outcomes at our facility to determine the frequency and extent of visual loss in cases of Pseudomonas keratitis occurring in eyes with previously normal visual acuity and no risk factors for MK except contact lens wear. Autosomal Dominant Optic Atrophy : year-old female with chronic, mildly subnormal vision.

Best Vitelliform Macular Dystrophy : year-old female referred for bilateral macular lesions. Homocystinuria : 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.

Juvenile open-angle glaucoma: year-old Caucasian female referred in for evaluation of elevated intraocular pressure IOP. Malattia Leventinese Familial Dominant Drusen : year-old female with drusen. Pattern Dystrophy Associated with Myotonic Dystrophy : year-old female presented with a one-year history of increasingly distorted vision OS described as "crinkled".

Unilateral Retinitis Pigmentosa : Visual field changes in a year-old female. Bilateral sequential aqueous misdirection: an overview of medical and surgical management : year-old Caucasian woman was referred to the University of Iowa Glaucoma Service for evaluation of ocular hypertension and anatomically narrow angles in both eyes.

Blebitis: year-old with red eye after trabeculectomy. Giant reservoir formation from Ahmed seton valve : A year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. His wife mentioned that he exhibits a right head turn while watching television. Grant syndrome Syndrome of precipitates on the trabecular meshwork : year-old male referred for evaluation of elevated intraocular pressure IOP , right eye with corneal edema.

The only pertinent exam findings were pigmented precipitates on the anterior trabecular meshwork OD on gonioscopy. Hypotony: Late hypotony from trabeculectomy and Ahmed seton with resulting hypotony maculopathy: A year old female presented with poor vision secondary to a low intraocular pressure IOP in her right eye. Iris Cyst: year-old female with iris lesion and gradual decrease in vision. Iris Melanoma : year-old male referred in for evaluation of iris lesion.

Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds. Neovascular Glaucoma: 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 : year-old female with progressive visual field loss, glaucomatous disc change and normal IOP.

Pigmentary Glaucoma : year-old male with episodic haloes around lights and blurry vision. Phacolytic Glaucoma : 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 year-old female referred for evaluation for glaucoma exhibitsan uncommon form of primary angle closure glaucoma. Posner-Schlossman Syndrome : year-old male was evaluated on an urgent basis for pain, redness, and "elevated eye pressure" in the left eye OS. Primary Congenital Glaucoma Infantile Glaucoma : 3-year-old female referred for evaluation of increased eye size, left eye. Pseudoexfoliation Glaucoma : year-old male with complaints of painless, gradual loss of vision OS. A year-old female was referred for management of secondary open-angle glaucoma.

Shortly after treatment with intravitreal steroids and photodynamic therapy, her IOP spiked to 59 mm Hg. Seton Infection : Serratia Marcescens: year-old white female with 1 day history of redness, swelling, and pain in her right eye. Sturge-Weber Syndrome : 4-year-old child with a history of seizures and glaucoma. Topiramate-Induced Angle Closure : year-old woman presented with bilateral blurry vision and headache.

Book Review: Ophthalmology Review – A Case-Study Approach, 2nd edition

Several hours prior to presentation, she noted a progressive decrease in distance vision that limited her ability to read the whiteboard across the room. Opsoclonus-Myoclonus Syndrome Secondary to West Nile Encephalitis: A year-old man with a history of degenerative joint disease, migraines, and viral encephalitis 15 years prior presented to the Emergency Department with two weeks of progressive back pain, maculopapular rash, fever, night sweats, headache, and photophobia following a trip to Indiana.

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. All-trans retinoic acid ATRA induced intracranial hypertension in a patient with acute promyelocytic leukemia : year-old male ungergoing ATRA and Idarubicin induction therapy for APL with one-week complaint of intermittent headaches and transient visual obscurations. ANCA-associated granulomatous vasculitis Wegener's granulomatosis : year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening.


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Vision in the right eye was starting to "darken. Bilateral optic nerve hypoplasia, 2-month-old with: Highlighting the importance of a multi-disciplinary approach. Cavernous Sinus Syndrome Secondary to Pituitary Apoplexy : year-old woman developed a headache across the forehead and behind the left eye that began five days prior to presentation. Ethambutol Toxicity and Optic Neuropathy : year-old female with bilateral painless central vision loss.

This case features 11 oculoplastic surgery videos. Functional Visual Loss : year-old male with decreased vision progressively worsening over the past year. The patient was referred because he could not read any of the letters on the chart and showed no improvement with refraction. Idiopathic Intracranial Hypertension Pseudotumor Cerebri : year-old obese female presenting with a history of headaches and transient visual obscurations for six months.

Idiopathic Orbital Myositis: A Treatment Algorithm: 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. Internuclear Ophthalmoplegia: year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye OS.


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  4. Myasthenia Gravis : year-old female with progressive LUL ptosis for several years. Neurofibromatosis Type 1 - Optic Nerve Glioma : 8-year-old white female with acute awareness of complete vision loss, left eye. Nutritional Optic Neuropathy : year-old man who first noticed visual changes one year prior to presentation. Ocular Tilt Reaction: year-old female complaining of vertical diplopia following a stroke and found to have a skew deviation, fundus torsion, and torticollis. Ophthalmoplegic Migraine: year-old male with migraine headaches and occasional diplopia. Optic Nerve Drusen: year-old female with blurred vision.

    Optic Nerve Hypoplasia : year-old female referred for consideration of cataract surgery. Optic Neuritis : A year-old female noticed visual loss in her right eye accompanied by pain with eye movements and a dull retro-orbital ache, two weeks prior to her clinic visit.

    Review Questions in Ophthalmology by Chern, 3rd Edition

    She also noted decreased perception of color and contrast. Orbital inflammation secondary to bisphosphonate therapy : year-old female with right eyelid swelling, pain, decreased vision, diplopia. Parkinson's disease: a review of the ophthalmological features : year-old man presented to the strabismus clinic with increased difficulty reading for the past year. He experienced intermittent, horizontal, binocular diplopia and blurring of his vision while reading, accompanied by fatigue and headaches.

    Pituitary Adenoma Causing Compression of the Optic Chiasm : year-old white female with painless progressive vision loss. Posterior Ischemic Optic Neuropathy: 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. His corrective lenses did not improve his vision. Progressive Supranuclear Palsy in a Patient with Progressive Nonfluent Aphasia : A case of an year-old woman with limited eye movements. Recurrent Neuroretinitis: year-old white female with progressively worsened vision, right eye, diminished central vision, and pain with eye movements.

    Sarcoidosis : year-old A female with gradual, painless loss of vision in both eyes. See-Saw Nystagmus : year-old male who first noted the onset of oscillopsia five months prior to presentation. Spinocerebellar Ataxia with Ophthalmoplegia : year-old male presenting with progressive esotropia. Thyroid Eye Disease Graves' ophthalmopathy : year-old male seen in consultation from the internal medicine service for evaluation and management of "dry and red eyes.

    Successive Presentation of Arteritic and Non-arteritic Anterior Ischemic Optic Neuropathy : year-old gentleman was referred to the Veteran's Affairs eye clinic for a temporal artery biopsy in the setting of possible giant cell arteritis GCA.

    source url Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: A year-old woman presents with optic neuritis and develops demyelinating brain lesions. Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. A 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.

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    Adenoid cystic carcinoma lacrimal gland: year-old patient presented to the oculoplastics clinic with double vision, left proptosis, and decreased vision on the left, which had progressed slowly over the last year. Allergic Contact Dermatoblepharitis : year-old female with a Medical History significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision. Bell's Palsy Treated with Facial Nerve Decompression : 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.

    Bilateral Nasolacrimal Duct Obstruction after Adjuvant I for Thyroid Cance r: year-old female with bilateral tearing worsening over the preceding year. She describes tears that run down the front of her face and denies any ocular irritation. Blepharospasm and Apraxia of Eyelid opening: "I Can't Open My Eyes" : 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.

    Canalicular Laceration - Dog Bite : 5-year-old white female presenting with dog bite to left side of face.

    Elective Care Pathway Case Study: Dr Hasan Chowhan, Ophthalmology and Dermatology

    Capillary Hemangioma : 4 month-old female with occlusive vascular lesion of right upper eyelid. Carotid Cavernous Fistula: year-old female patient presented twith double vision and visual distortion. Cavernous Hemangioma: Painless Proptosis in a year-old female : Patient states that over the last year she has noticed that her right pupil is higher than her left.

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    Chalazion : Acute presentation and recurrence in a 4-year-old female. Churg-Strauss Syndrome with Orbital Inflammation. 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. Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass. Distichiasis : year-old white male with bilateral eye irritation.

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    Enophthalmos Secondary to Metastatic Breast Cancer. Enucleation and Evisceration: What to Expect : This guide is intended to provide education about eye removal to patients and families who are considering or undergoing eye removal surgery. Fibrous Dysplasia: year-old female was referred to the University of Iowa Oculoplastics Clinic by her comprehensive ophthalmologist for the evaluation of worsening right-sided proptosis. Floppy Eyelid Syndrome. Two cases illustrating the presenting symptoms and comorbidities associated with floppy eyelid syndrome.

    Giant reservoir formation from Ahmed seton valve. A year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. Invasive Fungal Orbitorhinocerebral Mucormycosis. Involutional ectropion: Options for surgical management of ectropion. A year-old male presents with epiphora of the left eye, present for one year, worsening over the last month.

    Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid. Involutional entropion: options for surgical management of entropion. A 67 year-old male presents with irritation and "scratchiness" of the right eye. His symptoms have been present for the past 8 months and have been only partially relieved with artificial tears and lubricating ointment at night.

    Localized Orbital Amyloidosis Presenting as New-Onset Diplopia : year-old woman with an unremarkable medical history developed sudden painless onset of horizontal diplopia while driving and noticed her right eye OD turning inwards. Lymphoma, Orbital. A year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Merkel Cell Carcinoma of the Eyelid. A year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. The lesion has been present on the left lower lid for about one month.

    It has grown rapidly in size over the previous two weeks and is now obstructing her vision. Multiple endocrine neoplasia type 2B : A year-old male presents with multiple eyelid lesions. 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.

    Myeloid Sarcoma: 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. Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. Nasolacrimal duct obstruction secondary to sarcoidosis : year-old female with sarcoidosis, corneal perforation, and nasolacrimal duct obstruction. Nodular Basal Cell Carcinoma : year-old female with left lower lid lesion. Oculopharyngeal muscular dystrophy : year-old female with gradual worsening of bilateral blepharoptosis.

    She also has mild dysphagia and proximal muscle weakness. Complained of sudden vision loss in the right eye. Symptoms began that morning with diplopia when he left home to walk his dog. By the time he returned home, he had profound vision loss and right eye protruding. 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 : month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Orbital Lymphatic Malformation Lymphangioma : 5 year-old female complained of an intermittent frontal headache. The new edition reflects The focus is on patient management problems and how to handle them and optimally manage the patient. A cadre of esteemed contributors discuss diagnostic methods, evaluation, contraindications, and patient management issues for a full spectrum of clinical disorders, with significant clinical pearls gleaned from hands-on expertise.

    A full spectrum of subspecialties are reflected in nearly ophthalmology cases presented in 11 sections, encompassing the cornea and external disease, lens, glaucoma, retina, uveitis, tumors, posterior segment complications, ocular trauma, neuro-ophthalmology, pediatrics, and oculoplastic surgery. Key Features Hundreds of tables, full-color images, and line drawings enhance clinical understanding Presents patient management problems, focusing on diagnosis, problem-solving, and treatment Disorders of the retina such as diabetic retinopathy, retinal vein and artery occlusion, AMD, myopic degeneration, chorioretinopathy, vitreous hemorrhage, and retinitis pigmentosa Neuro-ophthalmologic conditions including optic neuritis, various types of nerve palsy, internuclear ophthalmoplegia, and anisocoria Pediatric eye conditions - from leukocoria and torticollis - to optic nerve hypoplasia This is an essential exam review resource for ophthalmology residents Its systematic approach provides an ideal teaching tool for ophthalmologists to use in courses and grand rounds.

    EUR , In den Warenkorb. Klappentext Real-world ophthalmology patient management cases provide a solid foundation of clinical knowledge Ophthalmology Review: A Case-Study Approach, Second Edition by renowned experts Kuldev Singh, William Smiddy, and Andrew Lee is a practical, case-based reference covering a wide array of common to serious ophthalmic conditions encountered in daily practice.

    The new edition reflects significant advances in ophthalmologic surgery and additional quick-reference material. Produktart Bundle. Einbandart Kartoniert, Paperback. Verlag Thieme, Stuttgart. Erscheinungsjahr Erstverkaufstag Ophthalmology Review Other editions. Error rating book. Refresh and try again. Open Preview See a Problem? Details if other :. Thanks for telling us about the problem. Return to Book Page. Preview — Ophthalmology Review by Kuldev Singh.

    William Smiddy Editor. This is a case-driven text offering a general overview of ophthalmology. It offers a basic introduction to clinical problems, evaluation, management, and treatment