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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 #36 Age-related Macular Degeneration


History

A 72 year old white male presents with decreased vision in his right eye for one year. (photo 1) He also complains of loss of vision in his left eye. (photo 2)

Photo #1

Photo #2


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Question #1

What is the most common cause of blindness in the U.S.?

Question #2

What are the yellow lesions in the first photograph called?

Question #3

What are some symptoms of a subretinal neovascular membrane?

Question #4

What are signs of a subretinal neovascular membrane?

Question #5

What other conditions can give rise to a subretinal neovascular membrane?

Question #6

Which membranes are treatable?

References

Walsh JB, Rosenberg PR: Medical Retina and Photocoagulation of Retinal Disorders, in Modern Management of Ocular Diseases. Spoor TC, ed. Thorofare, Slack 1985, pp 220-228.

Roy FH: Ocular differential diagnosis. ed 3. Philadelphia, Lea and Febiger, 1984 pp 379.

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