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 #37 Leukocoria
History
For several weeks, the mother of this child noted an intermittent “glow” in his right eye, especially when the light was “just right”.
A more advanced example of the same problem is visible in the following case.
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Question #1
What is leukocoria?
Question #2
List several causes of leukocoria.
Question #3
Why is early diagnosis and treatment important?
Question #4
What constitutes an adequate eye examination by a non-ophthalmologist: 1) as a part of a routine newborn or six week “check up” 2) in a patient whose parents feel somthing is wrong with one of the eyes like an intermittent “glow”?
References
Pediatric Ophthalmology & Strabismus: Basic & Clinical Science Course, American Academy of Ophthalmology, Section 6:138-143, 1987-88.
Ellsworth RM: Management of retinoblastoma. Trans Am Ophthalmol Soc 1969; 67:486-495.