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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 #33 Von-Hippel Lindau Syndrome


History

A 23 year old woman comes to your office for a routine examination. She wonders about the possibility of wearing soft contact lenses to correct her mild myopia.

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Question #1

When evaluating this patient’s ophthalmic history what questions would you ask?

Question #2

When evaluating the patient’s medical history what questions would you ask?

Question #3

What medical work up should be performed?

Question #4

Discuss the genetic implications of this condition?

Question #5

What treatment options could be considered for this patient?

References

Harding, P, Robertson, DM: Von Hippel-Lindau Disease. A familial, often lethal, multi-system phakomatosis. Ophthalmology 1984; 91:263.

Gass, JDM: Angiomatosis retinae. In Differential Diagnosis of Intraocular Tumors, Gass, JDM, CV Mosby Co., St. Louis, 1979, pp. 265-292.

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