Case Studies in Ophthalmology
Cases for the Ophthalmology Clerkship
Note to Medical Students on the Ophthalmology Rotation at the University of Iowa:
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Case #14 Rubeosis Irides
History
A 64-year-old woman with diabetes mellitus for 21 years presents with acute pain in the right eye, and is found to have an intraocular pressure of 68 mm Hg, OD.
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Question #1
Would you expect this patient to have a secondary open angle glaucoma or a secondary angle closure glaucoma?
Question #2
Besides proliferative diabetic retinopathy, what other diseases would result in a similar picture?
Question #3
In diabetics, does previous cataract surgery have any impact on the development of this disease process?
Question #4
What is the treatment of this form of glaucoma?
Question #5
What is the chance of successful filtering surgery in this patient?
Question #6
What is the overall prognosis for good vision in this patient?
References
Shields, MB: Textbook of Glaucoma. Baltimore, Williams and Wilkins, 1987: 260-269.
Ritch, R and Shields, MB: The Secondary Glaucomas. St. Louis, Mosby, 1982: 162-193.