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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 #7 Myopia


History

A 23-year-old medical student complains that her/his vision at distance is not as good as it used to be. Uncorrected distance vision in each eye is 20/50 and with a pinhole it improves to 20/20, at distance and near.


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Question#1

How do you evaluate this problem?

Question #2

How does the pinhole improve the vision?

Question #3

Why is the near vision normal when the distance vision is not?

Question #4

Discuss three possible treatments for this condition.

Question #5

What possible systemic condition can be associated with the onset of this problem?

References

Michaels, DD: Visual Optics and Refraction - A Clinical Approach. St. Louis, 1985, CV Mosby, pp 174.

Sloane, AE: Manual of Refraction. Boston, 1961, Little Brown & Co. pp 29-34.

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