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 #43 Blow-out Fracture
History
A 34 year old man presents with complaints of diplopia, numbness of the left cheek and left globe ptosis.
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Question #1
What is the most likely etiology for this patient’s complaint?
Question #2
What is the mechanism of action for this problem?
Question #3
What diagnostic test would you order?
Question #4
Why is a complete eye examination warranted?
Question #5
What symptoms or signs would influence you to recommend surgical therapy versus non-surgical therapy?
Question #6
What bony walls of the orbits are most commonly affected with this injury?
Reference
McCord C: Oculoplastic Surgery, 2nd Edition, Raven Press. 1987.