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 #26 Glaucomatous Cupping
History
A 58 year old white female presents for routine evaluation.
Photo #1
Photo #2
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Question #1
Would a family history be pertinent in evaluating this patient?
Question #2
What features about the visual field make one feel that this is not a neurologic process?
Question #3
Are these visual fields and optic nerve changes consistant with an intraocular pressure of 18 mmHg?
Question #4
Assuming that these changes in the optic nerve and visual field are progressive, what therapy could be instituted?
Question #5
In early glaucoma is the cup more likely to enlarge vertically or horizontally?
References
Shields, MB: Textbook of Glaucoma, Baltimore: Williams and Wilkins, 1987: 148, 106-111, 145, 155-157, 87-91.