Case Studies in Ophthalmology
Cases for the Ophthalmology Clerkship
Note to Medical Students on the Ophthalmology Rotation at the University of Iowa:
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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 #48 Ophthalmia Neonatorium
History
Between the 5th and 6th postpartum days, this infant developed a purulent conjunctivitis with lid swelling.
Photo #1
A photomicrograph of a scraping of the patient’s conjunctival epithelium stained with Giemsa stain showed intracytomplasmic inclusions.
Photo #2
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Question #1
Discuss the historical significance of ophthalmia neonatorum.
Question #2
Discuss the more common as well as the most serious infectious causes of ophthalmia neonatorum.
Question #3
Discuss the reasons for making a specific etiologic diagnosis and the appropriate studies to do so.
Question #4
What is Crede prophylaxis and what are its short-comings?
Question #5
Discuss the appropriate treatment for the currently most common cause of ophthalmia neonatorum.
References
Raucher HS, Newton MJ: New issues in the prevention and treamentof ophthalmia neonatorum. Ann Ophthalmol 1983; 15:1004-1009.
Sandstrom KI et al: Microbial causes of neonatal conjunctivitis. J Pediatr 1984: 105:706-11.
Rapoza PA et al: Epidemiology of neonatal conjunctivitis. Ophthalmology 1986; 93:456-461.
Harrison HR: Chlamydial ophthalmia neonatorum. The dilemma of diagnosis and treatment. AJDC 1985; 139:550-551