Case Studies in Ophthalmology
Cases for the Ophthalmology Clerkship
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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 #47 Temporal Arteritis
History
A 67 year old man presents to his family physician complaining of transient loss of vision in the right eye. The vision in the right eye is decreased and an afferent pupillary response is demonstrated.
Photo #1
Photo #2
Photo #3
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Question #1
What finding is illustrated in the first photograph?
Question #2
What systemic symptoms may be associated with this condition?
Question #3
What systemic diseases may be associated with temporal arteritis?
Question #4
What is the laboratory evaluation of a patient suspected of having temporal arteritis?
Question #5
What are the indications for temporal artery biopsy?
Question #6
What is the pathology of temporal arteritis?
Question #7
What is the treatment for temporal arteritis?
Question #8
What are the ocular and systemic sequelae of untreated temporal arteritis?
References
Jakobiec FA, Jones IS: Orbital inflammations. In Clinical Ophthalmology, Duane TA, Jaeger EA (eds), Vol 2, Chpt 35, 1987. pp 26-30.
Henkind P, Chambers JK: Arterial occlusive disease of the retina. In Clinical Ophthalmology, Duane TA, Jaeger EA (eds), Vol 3, Chpt 14, 1987 pp 7-9.