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 #22 Corneal Foreign Body
History
While working in a machine shop, this 28 year old man developed a sudden foreign body sensation in the left eye. Although he had some discomfort, he waited until the following day before seeking medical care.
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Question #1
Describe the clinical appearance and account for the pigmentary changes in the cornea.
Question #2
How would you go about evaluating and managing this patient?
Question #3
What measures should be avoided?
Question #4
Should a topical cycloplegic agent be given? If so, which one and why?
Question #5
Will this injury result in a permanent scar?
Question #6
Would your management be any different if there were no evidence of a foreign body?
References
Paton D. Goldberg MF: Management of Ocular Injuries, 2nd edition Deutsch TA, Feller DB (eds), Philadelphia: WB Saunders, 1985.
Packer AJ: Ocular Trauma: In Primary Care: Ophthalmology in Office Practice. Folk JC, Rakel RE (eds), Philadelphia: WB Saunders, 1982.