Case Studies in Ophthalmology
Cases for the Ophthalmology Clerkship
Note to Medical Students on the Ophthalmology Rotation at the University of Iowa:
Print the question and answer sheet (Ctrl-Print or Command-Print) and enter your answers on it. You may prefer to type your answers on this page and then print it. If you do this, be careful that your full answer shows in the printout. Experience with Internet Explorer has been less than optimal.
Return the printed copy with your answers to Michelle Snyder or Dr. Kemp via campus mail (11290 PFP) or scan as a pdf and email to Michelle at michelle-r-snyder@uiowa.edu or Dr. Kemp at pavlina-kemp@uiowa.edu.
Case #15 Hypertensive Retinopathy
History
A 38-year-old man, 3 weeks before he was seen in the clinic, awoke in the morning with painless progressive blurring of vision in the left eye. Two weeks later, he developed progressive blurring of vision in the right eye.
Enter Full Name (required):
Your email address (required):
Question #1
When evaluating this patient's history, what questions would you ask?
Question #2
What would be your differential diagnosis?
Question #3
What diagnostic tests would you order?
Question #4
What treatment options would you consider for this patient?
Question #5
How are these lesions classified, and what are the characteristic lesions for each category?
Question #6
What are the earliest ophthalmic manifestations of this disease?
Question #7
What are the long-term prognosis and complications of this condition?
References
Duke-Elder S: Diseases of the retina. In System of Ophthalmology Vol X, St Louis, Mosby, 1967; pp 315-356.
Kishi S, Tso MOM, Hayreh SS: Fundus lesions in malignant hypertension - I, II. Arch Ophthalmol 1985;103:1189-1206.
Hayreh SS, Servais GE, Virdi PS, et al: Fundus lesions in malignant hypertension - III. Ophthalmology 1986; 93:45-49.
Hayreh SS, Servais GE, Virdi PS: Fundus lesions in malignant hypertension - IV, V, VI. Ophthalmology 1986; 93:60-87,1383-1400.