Case Studies in Ophthalmology
Cases for the Ophthalmology Clerkship
Note to Medical Students on the Ophthalmology Rotation at the University of Iowa:
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Case #39 Hypopyon
History
A 70 year old lady comes to the emergency room complaining of increasing pain, increasing redness, and decreasing vision over the past two days in her right eye.
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Question #1
What kind of cells are layered in the anterior chamber?
Question #2
What is the name of this condition?
Question #3
What is the differential diagnosis?
Question #4
What are some possible “masquerade” diseases that can also have layering of cells in the anterior chamber?
Question #5
If this lady had had cataract sugery five days prior to her presentation, what organisms might be involved and how should the patient be managed?
References
Grand MG: Endophthalmitis, In Modern Management of Ocular Diseases, Spoor TC, ed. Thorofare, Slack, 1985 pp 361-374.
Ostler HB, Dawson CR, Okumoto M: Color Atlas of Infectious and Inflammatory Disease of the External Eye. Baltimore, Urgan and Schwarzenberg, 1987; pp 140-147.
Ray FH: Ocular Differential Diagnosis. ed 3. Philadelphia, Lea and Febiger, 1984; pp 227.