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 #21 Cataract
History
Patient complaining about painless, progressive loss of vision over a period of a year. Reading became more difficult and an increase in strength of the bifocal glasses did not help. There was no history of eye trauma or disease. After dilation of the pupil, the view with the direct ophthalmoscope showed a central opacity. Slit lamp examination showed the opacificaton was localized in the posterior lens capsule.
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Question #1
What is a cataract? Elaborate on the types and location of lens changes?Question #2
Is there an hereditary basis for all cataracts?
Question #3
What are the indications for cataract removal?
Question #4
List the different methods of cataract removal.
Question #5
What is meant by the term pseudophakia?
References
Kolder HE: Care of cataracts. Primary Care. Vol. 9. 1982, 4:801-815.
Dowling JL Jr, Bahr RL: A survey of current cataract surgical techniques. Am J Ophthalmol. 1985; 99:35-39.