EyeRounds.org: Ophthalmology Case Index

Ophthalmology Case Index

DISCLAIMER:

Presentations are being made available for review purposes only.
Material presented at morning rounds is presented to initiate discussion.
Material presented may not be medically proven fact and should not be used to guide treatment.
Opinions expressed are not necessarily those of the University of Iowa.

The content of the Department of Ophthalmology & Visual Sciences web site is copyright © The University of Iowa. The University of Iowa allows visitors (including health care professionals who wish to distribute materials to patients) to duplicate portions of this site for personal or educational use without seeking permission from the authors. Any other requests to reproduce the content of this website may be submitted via the contact form.

If you would like to submit a case, then please read the instructions to authors . Photos and imaging studies must have all patient information or identifiable features removed before submission.

Editorial Board

Suggested citation format for EyeRounds cases:

Author. Title. EyeRounds.org. date posted [cited today's date]; Available from: http://webeye.ophth.uiowa.edu/eyeforum/filename.htm.

example: Doan A, Lee A. Cystinosis: 4 y.o. girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency. EyeRounds.org. February 21, 2005 [cited August 10, 2007]; Available from: http://webeye.ophth.uiowa.edu/eyeforum/case4.htm

Cataracts ^Top

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

Traumatic Cataract: 11 year-old boy with glass injury to the right eye

Cornea & Anterior Segment ^Top

Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain

Cogan's Syndrome: 42 year-old Female with Interstitial Keratitis and Vertigo

Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK)

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.

The Evolution of Surgical Approaches to AlphaCor Keratoprosthesis Insertion and Associated Complications

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

Ocular Rosacea: 62 year-old female with blurry vision and red, itchy eyes

Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy

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 ^Top

Adenoviral Conjunctivitis: 38 y.o. WF with watery, red, irritated eyes; left more than right

Adult Chlamydial Conjunctivitis: 23 year-old male with 6-week duration of red eyes

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

Genetic Eye Disease ^Top

Autosomal Dominant Optic Atrophy: 47 year-old female with chronic, mildly subnormal vision

Glaucoma ^Top

Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63 y.o. woman with PAS, “iris mass”, corectopia, and increased IOP OS

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 ^Top

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

New Case posted 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

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

Sarcoidosis: 53 y.o. AA woman with gradual, painless loss of vision in both eyes

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

Oculoplastics ^Top

Basal Cell Carcinoma, Morpheaform subtype: 78 y.o. man with complaints of enlarging LLL 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

Cavernous Hemangioma: 31 y.o. caucasian woman with a painless, “dark spot” in her left visual field

Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome: 12 y.o. boy with painless, progressive ptosis OU over 3 years

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

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

Pediatric Ophthalmology & Strabismus ^Top

Acute Acquired Brown Syndrome: 38 year-old Male with Ethmoidal Sinus Mucocele

Duane Retraction Syndrome: 31 year-old Male With Globe Retraction

Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum): 6 day-old male with limbal dermoids

Retinoblastoma: 4 month old boy with a "blur" in one eye since birth according to his mother

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 ^Top

New Case Posted 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

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

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

Cytomegalovirus (CMV) Retinitis: 36 year-old Indian male with HIV and decreasing visual acuity

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

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

Valsalva Retinopathy: Vision loss after asthma attack: 32 year-old female patient presented with a "black spot" in the vision of her left eye

We Invite your comments to the postings on the AMD Blog

Systemic Disorders ^Top

Accelerated Hypertension : 67 y.o. woman with HTN and DM with painless vision loss

Ethambutol Toxicity and Optic Neuropathy: 60 year-old female with bilateral painless central vision loss

Metastatic Choroidal Lesion: 61 y.o. man presents with pain and blurry vision OD