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 #2 Malignant Melanoma of the Choroid

History

This 64-year old man was noted, during a routine eye examination, to have an elevated pigmented lesion in the left eye.

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Question #1

When evaluating the patient's medical history, what specific questions would you ask the patient?

Question #2

Describe the clinical appearance of the lesion.

Question #3

What diagnostic tests would you order?

Question #4

What is you differential diagnosis?

Question #5

What treatment options are available?

References

Duane TD & Jaeger EA (ed): In Clinical Ophthalmology, Vol. 4, Chpt. 67; Shields JA: Tumors of the uveal tract. Harper & Row, Publishers, 1987.

Gass JDM: Differential diagnosis of intraocular tumors. CV Mosby Co., 1974.