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 #38 Ptosis
History
A 69 year old gentleman presents with the complaint of a drooping right upper lid that interferes with his reading.
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Question #1
In reviewing this patient’s medical history what other symptoms would you ask about?
Question #2
What would be a diagnostic test to aid in ruling out a possible neurogenic cause?
Question #3
What muscle is causing this physical finding?
Question #4
In children with congenital ptosis is this muscle normal or abnormal?
Question #5
What is the etiology of the ptosis in this patient?
Question #6
What treatment options are available for this condition?
References
Beard C: Ptosis, 3rd Ed. CV Mosby 1981.
McCord C: Oculplastic Surgery, 2nd Ed. Raven Press 1987.