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 #17 Presbyopia
History
A 45-year-old individual has noted a gradual decrease in near vision -especially printed material such as the phone book. He has found that brighter lighting and holding the reading material further away helps.
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Question #1
How do you evaluate this problem?
Question #2
What is the underlying pathophysiology of this condition?
Question #3
Why can some individuals age 40 and over read without glasses?
Question #4
What role does vocation/avocation have on the onset, cause and treatment of this condition?
References
Michaels, DD: Visual Optics and Refraction A Clinical Approach. St. Louis, 1985, CV Mosby Co. pp 419.
Sloane, AE: Manual of Refraction. Boston, 1961, Little Brown & Co. pp 74-81.