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 #44 Proliferative Diabetic Retinopathy
History
A 34 year old juvenile onset diabetic comes to your office with no ocular symptoms. Fundus photographs of the left eye reveal.
Photo #1
Photo #2
Enter Full Name (required):
Your email address (required):
Question #1
What do the two fundus photographs reveal?
Question #2
What are the causes of these findings?
Question #3
What is the appropriate treatment of these findings?
Question #4
What other questions would you ask this patient?
Question #5
How frequent should you examine diabetic patients? What is the risk of them developing retinopathy?
Question #6
What is the risk to these eyes if they are not treated?
Question #7
Describe the changes in the following photograph?
Photo #3
References
Fine SL, Patz A: Sights and Sounds in Ophthalmology. Vol 4 Diabetic Retinopathy. A slide-tape presentation of the Retinal Vascular Center, Wilmer Institute. Mosby
The Diabetic Retinopathy Study Research Group: Photocoagulation Treatment of Proliferative Diabetic Retinopathy: The second report of diabetic retinopathy study findings. Ophthalmology 1979; 85:82-105.