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 #42 Hollenhorst Plaque
History
A 64 year old man comes to your office with the complaint of a sudden and painless loss of vision in the superior portion of his left eye.
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Question #1
What questions should be asked about this patient’s medical history?
Question #2
What diagnostic test would you order?
Question #3
What treatment options would you consider for this patient?
Question #4
What is the prognosis for vision in the affected eye?
Question #5
What is the prognosis for survival in the affected patient?
References
Savino, PS, Glaser, JS, Casady, J: Retinal stroke. Arch Ophthalmol 1977; 95:1185-1189.
Sanborn, GE, Margargal, LE: Carotid artery disease and the eye. In Clinical Ophthalmology, Duane, TA, Jaeger, EA, (eds), Vol 3 Chpt 14A, 1987, pp.1-12.