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 #40 Central Retinal Vein Occlusion
History
A 56 year old man came to the clinic complaining of painless blurring of vision for one week.
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Question #1
When evaluating the patient’s history, what questions would you ask the patient?
Question #2
What diagnostic tests would you choose to arrive at the correct diagnosis?
Question #3
How would you classify this disease and what are the characteristic features of each category?
Question #4
What is the long-term course of this disease?
Question #5
What treatment options would you consider for this patient?
References
Hayreh SS. Rojas P, Podhajsky P, Montague PR, Woolson RF: Ocular neovascularization with retinal vascular occlusion - III. Incidence of ocular neovascularization with retinal vein occlusion. Ophthalmology 1983; 90:488-506.
Hayreh SS: Classification of central retinal vein occlusion: Ophthalmolgy 1983; 90:458-474.
Servais GE, Thompson HS, Hayreh SS: Relative afferent pupillary defect in central retinal vein occlusion. Ophthalmology 1986; 93:301-303