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 #31 Cloudy Cornea in Children
History
A one month old female was noted to have “haziness” of both eyes for the past week.
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Question #1
What general classification system would you consider in developing a differential diagnosis?
Question #2
What information may be helpful from the history?
Question #3
Which disorders are the most important to diagnose and why?
Question #4
Name three causes of this condition with systemic manifestations.
Question #5
Name two treatable causes of infantile corneal haziness and describe a general approach to treatment?
References
Laibson PR, Waring GO: Diseases of the cornea. In Pediatric Ophthalmology, Harley RD (ed), Vol 1, Chpt 16, 1983, pp 480-490.
Smith RE, Lee JS: The cornea in systemic disease. In Clinical Ophthalmology, Duane TA, Jaeger EA (eds), Vol 4, Chpt 15, 1987, pp 1-44.