Ophthalmology Cases Indexed by Condition
Cataracts
Communication Issues Following a Post Operative Surprise: Blurry Vision Following Cataract Surgery
Endophthalmitis: 82 year-old male status post phacoemulsification in the left eye with acute decrease in vision
Intralenticular Foreign Body: 23 year-old male with staple in the eye
Intraocular Lens "Time Out": A Systems Based Case
Toxic Anterior Segment Syndrome (TASS): A System's Based View of a Day in the Life of a Canula
Traumatic Cataract: 11 year-old boy with glass injury to the right eye
Cornea & Anterior Segment
Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain
Allergic Contact Dermatoblepharitis: 55 year-old woman with a past medical history significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision
Boston Keratoprosthesis: An option for patients with multiple failed corneal grafts
Cogan's Syndrome: 42 year-old Female with Interstitial Keratitis and Vertigo
Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK)
Corneal Stromal Dystrophies: A Clinicopathologic Review
Cystinosis: 4 y.o. girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency.
Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72 y.o. woman with Fuchs.
Fuchs Endothelial Dystrophy: 35 y.o. woman with blurry vision OU lasting hours in the morning.
Fungal Keratitis - Fusarium: 41 year-old female contact lens wearer with persisting keratitis
Infectious Crystalline Keratopathy (ICK): 72 year-old female with decreased vision
Iris Melanoma: 47 yo man referred in 1997 for evaluation of iris lesion OS.
Laser Assisted Keratoplasty: 63-year-old female with history of Fuchs endothelial dystrophy and bilateral pseudophakic bullous keratopathy presents with decreasing vision in the right eye
Ocular Rosacea: 62 year-old female with blurry vision and red, itchy eyes
Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis
Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy.
Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus
Vernal Keratoconjunctivitis: 8 year-old asthmatic male with reduced vision
Verticillata: 54 yo WM with a known history of atrial fibrillation and hypertension on amiodarone.
External Disease
Adenoviral Conjunctivitis: 38 y.o. WF with watery, red, irritated eyes; left more than right.
Allergic Contact Dermatoblepharitis: 55 year-old woman with a past medical history significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision.
Adult Chlamydial Conjunctivitis: 23 year-old male with 6-week duration of red eyes
Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection: 1-week-old male with hydrocephalus and bilateral chorioretinitis
Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM): 61 y.o. Caucasian woman presenting for evaluation of corneal mass OS found on routine exam ~2 months previous.
Erythema Multiforme: 22 year-old male with a persistent red eye for two weeks
Herpes Zoster Post-herpetic Neuralgia: 68 year-old male with decreased vision
Kayser-Fleischer Ring: A Systems Based Review of the Ophthalmologist’s Role in the Diagnosis of Wilson’s Disease
Kyphotic Patient Presents for Cataract Surgery: A Systems Based Case. Patient unable to assume typical supine position used for cataract surgery.
Genetic Eye Disease
Autosomal Dominant Optic Atrophy: 47 year-old female with chronic, mildly subnormal vision
Juvenile open-angle glaucoma: 22 year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP)
Malattia Leventinese (Familial Dominant Drusen): 30 year-old female with drusen
Unilateral Retinitis Pigmentosa: Visual field changes in a 31 year old woman
Glaucoma
Blebitis: 74 year-old with red eye after trabeculectomy
Competition Leads to Healthcare Savings: A systems based case from the VA
Iris Melanoma: 47 yo man referred in 1997 for evaluation of iris lesion OS.
Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63 y.o. woman with PAS, “iris mass”, corectopia, and increased IOP OS.
Juvenile open-angle glaucoma: 22 year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP)
Normal Tension Glaucoma: 50 year-old female with progressive visual field loss, glaucomatous disc change and normal IOP
Primary Congenital Glaucoma (Infantile Glaucoma): 3 year-old female referred for evaluation of increased eye size, OS.
Pseudoexfoliation Glaucoma: 65 y.o. man with complaints of painless, gradual loss of vision OS.
Seton Infection: Serratia Marcescens: 57 y.o. WF with 1 day history of redness, swelling, and pain in her right eye.
Sturge-Weber Syndrome: 4 y.o. child with a history of seizures and glaucoma.
Neuro-ophthalmology
Acute Demyelinating Encephalomyelitis (ADEM) with associated optic neuritis: 9 year-old girl presents to an outside hospital with fatigue, poor appetite, and decreased activity for 3 weeks.
Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43 year-old man referred for evaluation of binocular diplopia.
Ethambutol Toxicity and Optic Neuropathy: 60 year-old female with bilateral painless central vision loss
Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with HA and ptosis.
Idiopathic Intracranial Hypertension (Pseudotumor Cerebri): 31-year-old obese female presenting with a history of headaches and transient visual obscurations for six months.
Myasthenia Gravis: 32 y.o. woman with progressive LUL ptosis for several years.
Neurofibromatosis Type 1 - Optic Nerve Glioma: 8 y.o. WF with acute awareness of complete vision loss, OS.
Ophthalmoplegic Migraine: 30 year-old male with migraine headaches and occasional diplopia
Optic Nerve Drusen: 19 year-old female with blurred vision
Optic Nerve Hypoplasia: 51 year-old woman referred for consideration of cataract surgery. {Related Case: Communicating with patients about alternative therapies: A case of optic nerve hypoplasia in a 14 year old male with “poor vision since birth”}
Orbital inflammation secondary to bisphosphonate therapy: 80 year old woman with right eyelid swelling, pain, decreased vision, diplopia
Pseudoabducens palsy: When a VI nerve palsy is not a VI nerve palsy
Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision OD, diminished central vision, and pain with eye movements.
Sarcoidosis: 53 y.o. A woman with gradual, painless loss of vision in both eyes. (also see Ocular Sarcoidosis)
See-Saw Nystagmus: 64 year-old man who first noted the onset of oscillopsia five months prior to presentation.
Thyroid Eye Disease (Graves' ophthalmopathy): 51 year-old man seen in consultation from the internal medicine service for evaluation and management of “dry and red eyes.
Oculoplastic Surgery, Orbit, Eyelids, Lacrimal
Allergic Contact Dermatoblepharitis: 55 year-old woman with a past medical history significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision
Basal Cell Carcinoma, Morpheaform subtype: 78 y.o. man with complaints of enlarging Left Lower Lid lesion.
Canalicular Laceration - Dog Bite: 5 y.o. WF presenting with dog bite to left side of face.
Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid
Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome: 12 y.o. boy with painless, progressive ptosis OU over 3 years.
Ciliary Body Leiomyoma: Clinicopathologic Correlation
Distichiasis: 64 year-old white male with bilateral eye irritation.
Lymphoma, Orbital: 60 y.o. man who was evaluated 1 wk ago for “conjunctivitis” OS by internal medicine.
Nodular Basal Cell Carcinoma: 49 year-old female with left lower lid lesion
Orbital Cellulitis in a Child: 9 year-old female with left nasal pain, swollen, red left eye and diplopia in all gazes
Orbital inflammation secondary to bisphosphonate therapy: 80 year old woman with right eyelid swelling, pain, decreased vision, diplopia
Pan-endophthalmitis and Orbital Cellulitis: 89 y.o. woman with a history of gradual redness and proptosis OD over 3 weeks.
Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel: 38 year-old female with persisting tearing for 6 months.
Sebaceous Cell Carcinoma: A Masquerade Syndrome
Silent Sinus Syndrome: 36 year old man with sunken left orbit (Enophthalmos)
Pediatric Ophthalmology & Strabismus
Acute Acquired Brown Syndrome: 38 year-old Male with Ethmoidal Sinus Mucocele
Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid
Coats Disease: 11-year-old male with poor vision in left eye
Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection: 1-week-old male with hydrocephalus and bilateral chorioretinitis
Duane Retraction Syndrome: 31 year-old Male With Globe Retraction
Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum): 6 day-old male with limbal dermoids
Non-accidental Trauma: An unresponsive infant with bilateral retinal hemorrhages
Orbital Cellulitis in a Child: 9 year-old female with left nasal pain, swollen, red left eye and diplopia in all gazes
Retinoblastoma: 4 month old boy with a "blur" in one eye since birth
Vernal Keratoconjunctivitis: 8 year-old asthmatic male with reduced vision
Professionalism
Documenting Pertinent Negatives: 52 year-old female with an upper respiratory tract infection for several days called the resident on-call at the University of Iowa because of a red left eye
Retina
Acquired Ocular Toxoplasmosis: 42 year-old female with "fuzzy" vision for two weeks
Acute Zonal Occult Outer Retinopathy (AZOOR) and Acute Idiopathic Blind Spot Enlargement Syndrome (AIBSE): 34 y.o. woman awoke with painless loss of vision OS 3 weeks prior to presentation.
Best Vitelliform Macular Dystrophy: 30 y.o. woman referred for bilateral macular lesions.
Birdshot Choroiditis: 55 year old woman with persistent vitreous floaters
Cat-Scratch neuroretinitis (Ocular bartonellosis): 44 y.o. woman with non-specific "blurriness" of vision, left eye (OS).
Central Retinal Artery Occlusion (CRAO): 81 y.o. white man with sudden, painless vision loss OS.
Changing Trends in Sympathetic Ophthalmia: Sympathetic ophthalmia following repeated vitreoretinal surgery with no history of trauma
Choroidal Hemangioma: Central scotoma in the right eye. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months.
Choroidal Osteoma: 10 y.o. girl presents for annual follow-up. She reports that she recently failed a school screening.
Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection: 1-week-old male with hydrocephalus and bilateral chorioretinitis
Cytomegalovirus (CMV) Retinitis: 36 year-old Indian male with HIV and decreasing visual acuity.
Malattia Leventinese (Familial Dominant Drusen): 30 year-old female with drusen
Multiple Evanescent White Dot Syndrome (MEWDS): 24 y.o. woman with one week duration of central scotoma, OD
Optic Nerve Drusen: 19 year-old female with blurred vision
Purtscher's Retinopathy: 22 y.o. man with vision loss after trauma
Presumed Ocular Histoplasmosis (POHS): 30 year-old man with blurred central vision
Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision OD, diminished central vision, and pain with eye movements.
Retinochoroidal coloboma: 54 year-old female with blurred vision
Serpiginous Choroiditis: 60 year-old male with 15 year history of serpiginous choroiditis reports a 2 day history of a new scotoma noticed on Amsler Grid testing of his right eye.
Unilateral Retinitis Pigmentosa: Visual field changes in a 31 year old woman
Valsalva Retinopathy: Vision loss after asthma attack: 32 year-old female patient presented with a "black spot" in the vision of her left eye.
Systemic Disorders
Accelerated Hypertension : 67 y.o. woman with HTN and DM with painless vision loss.
Kayser-Fleischer Ring: A Systems Based Review of the Ophthalmologist’s Role in the Diagnosis of Wilson’s Disease
Kyphotic Patient Presents for Cataract Surgery: A Systems Based Case. Patient unable to assume typical supine position used for cataract surgery.
Metastatic Choroidal Lesion: 61 y.o. man presents with pain and blurry vision OD.
Myasthenia Gravis: 32 y.o. woman with progressive LUL ptosis for several years.
Herpes Zoster Post-herpetic Neuralgia : 68 year-old male with decreased vision.
Ocular Rosacea: 62 year-old female with blurry vision and red, itchy eyes
Ocular Sarcoidosis: A systems-based approach to diagnosis and treatment (also see Sarcoidosis)
Orbital inflammation secondary to bisphosphonate therapy: 80 year old woman with right eyelid swelling, pain, decreased vision, diplopia
TTP-HUS: 29 y.o. man with HA, hematuria, and visual obscurations.
Trauma
Canalicular Laceration - Dog Bite: 5 y.o. WF presenting with dog bite to left side of face.
Intralenticular Foreign Body: 23 year-old male with staple in the eye
Patient Non-Compliance: Physician responsibility. 50 year old man with penetrating globe injury
Purtscher's Retinopathy: 22 y.o. man with vision loss after trauma.
Traumatic Cataract: 11 year-old boy with glass injury to the right eye
Tumor / Oncology
Basal Cell Carcinoma, Morpheaform subtype: 78 y.o. man with complaints of enlarging LLL lesion.
Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid
Cavernous Hemangioma: 31 y.o. caucasian woman with a painless, “dark spot” in her left visual field.
Ciliary Body Leiomyoma: Clinicopathologic Correlation
Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion
Iris Melanoma: 47 yo man referred in 1997 for evaluation of iris lesion OS.
Lymphoma, Orbital: 60 y.o. man who was evaluated 1 wk ago for “conjunctivitis” OS by internal medicine.
Nodular Basal Cell Carcinoma: 49 year-old female with left lower lid lesion
Sebaceous Cell Carcinoma: A Masquerade Syndrome
Uveitis
Birdshot Choroiditis: 55 year old woman with persistent vitreous floaters
TB Uveitis: 48 y.o. A woman with c/o of photophobia, tearing, and eye pain OU.
Vascular Disorders
no cases at this time.
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