Blepharospasm and Apraxia of Eyelid opening: "I Can't Open My Eyes": 72-year-old man with increasingly frequent difficulty opening his eyes, hw was also bothered by frequent contractions of the muscles around the eyes on both sides of his face which caused forcible eyelid closure. An innovative three-year PharmD program designed for the expanding pharmacist role in patient care. Author. Pituitary Adenoma Causing Compression of the Optic Chiasm: HLA-B27-associated Acute Anterior Uveitis, Intermediate uveitis associated with hidradenitis suppurativa, Tubulointerstitial Nephritis and Uveitis Syndrome (TINU, Receive notification of new cases, sign up here. Vertical Oscillopsia: A Case of Superior Oblique Myokymia. This patient, with a history of multiple endocrine neoplasia type 2B (MEN2B) was referred by his oncologist for a large lesion on the outer corner of his right eye. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. The revised instructions included the following statement: Priority is given to cases that illustrate applications of evidence-based practice, critical thinking, novel mechanistic reasoning, or those that have importance to public health or health policy implications. This site explains how to work through the EBP Process, and offers online EBP resources and case studies demonstrating use of EBP in action. Ocular Tilt Reaction: 53-year-old female complaining of vertical diplopia following a stroke and found to have a skew deviation, fundus torsion, and torticollis, 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 female referred for consideration of cataract surgery. Halos around lights and a mild decreased acuity persisted. Translational scientists turn science and research into improved treatments. She has had 3 updates of her spectacle prescription that have not provided satisfactory vision. All Rights Reserved 63-year-old female presenting with progressive double vision and a droopy right eyelid. Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT). Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. WebStage Two downloads: DO and Overarching case scenarios - College of Optometrists Scheme for Registration Find a pre-registration training placement before you enrol with Internuclear Ophthalmoplegia: 40-year-old man presented to the emergency room complaining of acute onset blurry vision through his left eye (OS). Why is this 65-year-old patient with relapsing-remitting MS having decreased vision in her right eye? Anisometropic Amblyopia. WebCase studies for members. Post LASIK Ectasia: Female patient presented status post bilateral LASIK for myopia. All rights reserved. Case Studies Evidence-based practice has three essential elements: a solid base of well-founded knowledge from unbiased clinical studies, a clinical practitioner who is informed and guided by this knowledge base, and respect for the individual preferences and unique context of each patient. Choose from a three or four-year MD program at various campus locations, our anesthesiologist assistant, physician associate, or a number of dual degree programs. Copyright 2023 Jobson Medical Information LLC unless otherwise noted. Capsular Block Syndrome: An Unusual Presentation: Cataract Formation after Pars Plana Vitrectomy. 2. Carotid Cavernous Fistula: 46-year-old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion. Parents feel that it is worsening. WebOptometry Case Studies. Fungal Endophthalmitis: Hematogenous seeding in an immune suppressed patient with positive fungal and bacterial blood cultures. WebCase Report Format AMERICAN ACADEMY OF OPTOMETRY There is a 4,000 character limit (including spaces and the bibliography). Case Reports; Coding; Contact Lenses & Solutions; Cornea; Diagnostics; Dry Eye; Eyelids; Glaucoma; Low Vision; Neuro-ophthalmic Disorders; News; Ophthalmic A boy comes to your clinic with myopia in the right eye. Phakic intraocular lenses for high myopia: A 24-year-old male with unilateral high myopia presented with anisometropia (unequal refractive error between the eyes) with aniseikonia (binocular differences in image size) and a large right sensory exotropia. Let us help you find an answer to your question. Use of Ophthalmic Medications in Pregnancy: A 19-year-old pregnant woman at 19 weeks gestation was referred for evaluation and treatment of suspected Acanthamoeba keratitis. Management of Amblyopia: Discussing Options for Treatment in the Age of the Internet, Monofixation Syndrome: 11-year-old female referred after inability to improve vision with refraction in the left eye, Non-accidental Trauma: An unresponsive infant with bilateral retinal hemorrhages. A 64-year-old woman comes to you after 2 weeks of symptoms. Prospective authors should report cases that illustrate clinical decision making relative to the following: Interventions questions addressing the treatment of an illness or dysfunction, Diagnosis questions on the identification or determination of the nature and cause of a disease or condition, Etiology questions addressing the cause or disease origin, including risk factors for a certain disease or condition, Prognosis questions on the prediction of the course of a disease, Prevention questions related to reducing the chance or impact of disease by identifying and modifying risk factors, screening, and early diagnosis. Horner's Syndrome (due to Cluster Headache): 46-year-old male presenting with HA and ptosis. It has grown rapidly in size over the previous two weeks and is now obstructing her vision. Ophthalmic Case Studies This is a collection of case studies to help you get an insight on the typical history and initial examination of various ophthalmic disorders. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. By the time he returned home, he had profound vision loss and right eye protruding. Can you provide it? 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. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. 5-year-old male with unequal vision. Examination showed the presence of corneal crystals, laboratory testing showed increased levels of leukocyte cystine. Allergic Contact Dermatoblepharitis: 55-year-old female with a Medical History significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision. Case studies for members - College of Optometrists Facial Nerve Palsy: Ocular Complications and Management. Verticillata: 54-year-old white male with a known history of atrial fibrillation and hypertension on amiodarone. Every discovery advances academic medicine and improves the vitality of our communities. EyeRounds.org. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Tumor Necrosis Factor Alpha Antagonist Precipitating Demyelinating Disease: Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. 56-year-old male with two-month history of progressive proptosis & drooping of the left upper eyelid and binocular diplopia for several weeks, Ciliary Body Leiomyoma: Clinicopathologic Correlation, Congenital dacryocystocele with spontaneous resolution: Full-term 10 day-old female referred to the pediatric ophthalmology clinic by dermatologist for a bluish mass inferior to the right medial canthus, Congenital Ptosis. Juvenile Idiopathic Arthritis with Associated Bilateral Anterior Uveitis in a Four-year-old Girl. Eldeeb M, Chan EW, Omar A. Morgagnian Cataract: 59-year-old female with decreased vision at distance and near, more so in the right eye than the left and iincreasing difficulty with glare from bright lights at night, seeing road signs, watching television, and reading the newspaper. Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs. Moreover, it is designed to influence the culture, behaviors, and expectations surrounding the interpretation and use of evidence-based guidelines in clinical eye care. If you are having any problems with your vision, feel free to call (414) 955-2020 and make an appointment to see any of us. She had gradual periorbital changes consisting of a sunken appearance with a larger eyelid opening. Cystinosis: A 12-year-old boy with light sensitivity. A 19-year-old man presents with chief symptoms of morbid obesity and oozing skin ulcers. Optometry Case Studies. He had felt unwell for several days, had decreased vision and pain in his left eye, and attributed his suicidality to pain. He complained of blurry vision while reading and letters running together on the page. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. This case features 11 oculoplastic surgery videos. Enhancing learning, research, patient care and the health of the community. Orbital inflammation secondary to bisphosphonate therapy: 80-year-old female with right eyelid swelling, pain, decreased vision, diplopia. We have a growing collection of peer review and peer discussion case studies, including case studies for IP optometrists, covering real life Age-related macular degeneration: a case study - PubMed The results will help determine whether to proceed to a full-scale, long-term randomized trial. Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision, right eye, diminished central vision, and pain with eye movements. Involutional entropion: options for surgical management of entropion. Vitamin A Deficiency and Nyctalopia: 55-year-old male with gradual onset of night blindness. This website also contains material copyrighted by 3rd parties. Merkel Cell Carcinoma of the Eyelid. Choose from more than 140 specialties and sub-specialties for advanced medical training at MCW. Involutional entropion: options for surgical management of entropion. The double vision was worse with lateral gazes in both directions.. Feel free to contact. Vascular Tufts of the Pupillary Margin: 68-year-old female presented to the retina clinic with a history of recurrent hyphema in both eyes (OU). She had multiple instances of spontaneous, non-traumatic hyphema for which she had eventually sought medical attention. WebOphthalmology Case Reports and Grand Rounds Presentations from the University of Iowa Department of Ophthalmology and Visual Sciences. Cholesterol Granuloma: 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. Conjunctival rhinosporidiosis in a temperate climate. Finally, the Discussion section should include a clear statement articulating the rationale and importance for their case report at the beginning of the discussion. Jennifer Loh, MD, and Gregory Caldwell, OD, FAAO, Ranjan Malhotra, MD, FACS, and Kelly Nichols, OD, MPH, PhD, FAAO, 2022 ORS Resident Case Report Contest Winners, Detecting and Managing Multifocal Vitelliform Dystrophy, A Case of Bilateral Bartonella Henselae Neuroretinitis, ORS Resident Case Report Contest Winners Announced, Multimodal Imaging of Choroidal Melanoma with Submacular Fluid, Diagnosis of Bilateral, Combined Hamartomas of the Retina and Retinal Pigment Epithelium in a Pediatric Patient, The Larry Alexander Resident Case Report Contest: A Rare Case of Nevus of Ota, Tracing Clues Back to Retinitis Pigmentosa. Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness. Enophthalmos Secondary to Metastatic Breast Cancer. Data is temporarily unavailable. Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid. Hypotony: Late hypotony from trabeculectomy and Ahmed seton with resulting hypotony maculopathy: A 36-year old female presented with poor vision secondary to a low intraocular pressure (IOP) in her right eye. Fibrous Dysplasia: 43-year-old female was referred to the University of Iowa Oculoplastics Clinic by her comprehensive ophthalmologist for the evaluation of worsening right-sided proptosis. A case study in professionalism | AOA - American Idiopathic Intracranial Hypertension (Pseudotumor Cerebri): 31-year-old obese female presenting with a history of headaches and transient visual obscurations for six months. Chandler Syndrome: A subtle presentation. Please confirm that you would like to log out of Medscape. Successful case report submissions should no longer focus on rare and unexpected conditionsnovelty alone will not be sufficient for publication. Bell's Palsy Treated with Facial Nerve Decompression: 68-year-old man presented to the eye clinic with five days of right-sided facial droop, which was associated with the inability to fully close the right eye and slurred speech. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. Excess tearing henders vision. Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC): TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. She attributed the scar to a "fan injury" that she experienced at 20 years of age. You may be trying to access this site from a secured browser on the server. Myeloid Sarcoma: 20-year-old female with a history of intermittent binocular diplopia that worsened with right head tilt and a six week history of progressive fullness of the right upper eyelid. 2023 Medical College of Wisconsin. Anterior Chamber Cilium: 81-year-old male with intraocular cilium and dislocated intraocular lens. Convergence Insufficiency: 15-year-old male with worsening headaches and eye strain while reading, present since he started high school the previous year. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. He experienced intermittent, horizontal, binocular diplopia and blurring of his vision while reading, accompanied by fatigue and headaches. Can you diagnose the problem? Pembrolizumab (Keytruda) Induced Uveitis in a Patient with Metastatic Melanoma: Phacoemulsification: Considerations for Astigmatism Management, Posterior capsular folds creating a Maddox rod effect following cataract surgery. This site has been designed for optometry students, teachers and practitioners alike to enhance their learning of EBP and how to answer clinical questions for their patients. Terrien Marginal Degeneration: A 35-year-old man with spontaneous open globe injury. Photographs of this 6-year-old girl show 'white eyes' that concern her parents. Lymphoma, Orbital. MyChart user? Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel: 38-year-old female with persisting tearing for 6 months. An otherwise healthy 5-year-old boy presents after a failed vision exam. Periorbital Necrotizing Fasciitis. The lesion has been present on the left lower lid for about one month. Parkinson's disease: a review of the ophthalmological features: 67-year-old man presented to the strabismus clinic with increased difficulty reading for the past year. A 39-year-old healthy male reported intermittent episodes of "objects bouncing up and down" in his vision in his left eye lasting for seconds to minutes for the previous two months. Discussion of the management of Refractive Accommodative Esotropia. Orbital Cellulitis in a Child: 9-year-old female with left nasal pain, swollen, red left eye and diplopia in all gazes, Orbital Eosinophilic Granuloma: 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Case Studies The case studies are presented in a question-and-answer format. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. History. Case studies Retinoblastoma: 4 month old boy with a "blur" in one eye since birth, Rhabdomyosarcoma: Eleven-year-old male with two weeks of blurry vision, headaches, and difficulty moving the right eye for the past two weeks, Sagging Eye Syndrome.77-year-old female with a complaint of intermittent, binocular, horizontal diplopia present for the last six months. Higher power magnification showed elevation of lesion with mildly irregular surface without surface vessels and the iris central to the lesion pushed into folds. Case Report: Hydroxychloroquine Retinopathy. Tubulointerstitial Nephritis and Uveitis Syndrome (TINU): This 18-year-old female presented with a four month history of foggy vision, floaters, and eye redness/irritation in both eyes (OU). We work closely with partners to redefine health beyond healthcare and with a bold vision of achieving health equity for all. 4-year-old boy originally presented to ophthalmologist at 2 years of age with crossed eyes. Sarcoidosis: 53-year-old A female with gradual, painless loss of vision in both eyes. Stage Two downloads: DO and Overarching case scenarios After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. Evidence-based Case Report Guidance : Optometry and Each case report is required to begin with an abstract, limited to 35 words (present tense), describing the uniqueness of the case that merits presen-tation at the Grand Rounds. Full-thickness Macular Hole (FTMH):68-year-old female with a history of non-exudative macular degeneration referred for vision changes. Non-accommodative Esotropia and Botulinum Toxin Therapy: Prostaglandin-Associated Periorbitopathy: Progressive glaucoma and periorbital changes, Acute Zonal Occult Outer Retinopathy (AZOOR) and Acute Idiopathic Blind Spot Enlargement Syndrome (AIBSE). Lymphoma, Orbital: 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" OS by internal medicine. Melanocytoma of the Iris and Ciliary Body: Nanophthalmos with Ocular Hypertension and Angle-Closure: Primary Congenital Glaucoma (Infantile Glaucoma), Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC), Secondary Open-Angle Glaucoma Treated with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT), Acute Demyelinating Encephalomyelitis (ADEM) with associated optic neuritis, All-trans retinoic acid (ATRA) induced intracranial hypertension in a patient with acute promyelocytic leukemia, ANCA-associated granulomatous vasculitis (Wegener's granulomatosis). Idiopathic Orbital Myositis: A Treatment Algorithm: 19-year-old female who presents with a one-week history of headache, one day of left "eye swelling," and pain that is worse with eye movement. Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion. Involutional ectropion: Options for surgical management of ectropion. Retinochoroidal coloboma: 54-year-old female with blurred vision. Optic Neuritis: A 40-year-old female noticed visual loss in her right eye accompanied by pain with eye movements and a dull retro-orbital ache, two weeks prior to her clinic visit. Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass. Patient with BB gun injury to right orbit, Coats Disease: 19-year-old male presented to his local optometrist with a 4-week history of floaters and a shadow in the superotemporal visual field of his left eye. Michael D. Twa, OD, PhD, FAAO A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. New knowledge driving discovery to advance the health of our communities. The case of a 39-year-old woman with Sjgren syndrome and clinically relevant pulmonary involvement. Adenoviral Conjunctivitis: 38-year-old white female with watery, red, irritated eyes; left more than right. Adult Chlamydial Conjunctivitis: 23-year-old male with 6-week duration of red eye, Atopic Keratoconjunctivitis: 52-year-old male with poor vision, severe ocular itchin, and mucoid discharge. A hub focused on population health, biostatistics, bioethics and epidemiology research. Reproduction in whole or in part without permission is prohibited. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. Initial cultures from her blood and periocular drainage grew group A beta-hemolytic streptococci. There were no known maternal infections during the pregnancy and no problems during the perinatal period. Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. Webthe case. Congenital Ptosis. Some error has occurred while processing your request. may email you for journal alerts and information, but is committed She was taken to the emergency room where an MRI was performed and demonstrated a left orbital lesion extending into the superior orbital fissure. Calcific Band Keratopathy. Clinical case reports could focus on efficacy of treatments, implementation or demonstration of clinical trial results, illustrations of diagnostic precision or prognosis. He often had to cover one eye to read comfortably, Down Syndrome: 14-month-old male with intermittently crossed eyes, Duane Retraction Syndrome: 31-year-old Male With Globe Retraction, Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum): 6 day-old male with limbal dermoids. Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM): 61-year-old Caucasian female presenting for evaluation of corneal mass OS found on routine exam about 2 months previous. Editor in Chief University of Houston College of Optometry Houston, TX. American Academy of Optometry Microbial Keratitis Optom Vis Sci 2018;95:5459. Case reports continue to play an important role in clinical education, highlighting novel observations and identifying new questions that could spawn future clinical and experimental studies. Please try again soon. Log in to make an appointment. (also see: Painless Proptosis in a 62-year-old female). Brief Summary: The main objective of this randomized trial comparing vision therapy to observation is to determine the short-term effectiveness of vision therapy on distance intermittent exotropia control. We thank the Iowa Eye Association: Friends and Alumni of the Univeristy of Iowa Department of Ophthalmology and Visual Sciences. Stickler Syndrome: 10-year-old male with family history of retinal detachment and optically empty vitreous. Ocular Cicatricial Pemphigoid: atypical presentation as pseudopterygium and limbal stem cell deficiency. Idiopathic Juxtafoveal Telangiectasia Type II (Macular Telangiectasia type 2): 43-year-old male with decreased vision and a central scotoma OU for the past 10 years, which has been getting progressively worse. Optometry Clinical Cases Facial Spasms in a Man Recently Released From the Hospital After a recent hospitalization for a hemicranial headache, a man presents The Value of Clinical Case Reports in Evidence-based Practice. Salzmann's Nodular Corneal Degeneration: 62-year-old woman presents with 3 years of progressive decrease in vision. Progression of Proliferative Diabetic Retinopathy During Pregnancy. Innovative 12-month PA and NP transition to practice programs in a variety of specialty clinical tracks. The patient experienced severe eye pain and had immediate loss of vision in the left eye (OS). Vernal Keratoconjunctivitis: 8-year-old asthmatic male with reduced vision. Waldenstrom Macroglobulinema-Associated Retinopathy: A 61 year-old male presenting with worsening vision in both eyes over the past 2 years, poorly controlled diabetes, persistent DME, and proliferative diabetic retinopathy. Clinical trials are invaluable in testing new treatments, drugs and technologies. Optometry Clinical Cases - Index - Medscape Pseudoexfoliation Glaucoma: 65-year-old male with complaints of painless, gradual loss of vision OS. Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43-year-old male referred for evaluation of binocular diplopia. Bilateral optic nerve hypoplasia, 2-month-old with: Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy, Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy, Facial Nerve Palsy: Ocular Complications and Management, Horner's Syndrome (due to Cluster Headache), Idiopathic Intracranial Hypertension (Pseudotumor Cerebri), Neurofibromatosis Type 1 - Optic Nerve Glioma, Communicating with patients about alternative therapies, Orbital inflammation secondary to bisphosphonate therapy, Parkinson's disease: a review of the ophthalmological features, Pituitary Adenoma Causing Compression of the Optic Chiasm, Progressive Supranuclear Palsy in a Patient with Progressive Nonfluent Aphasia, Spinocerebellar Ataxia with Ophthalmoplegia, Thyroid Eye Disease (Graves' ophthalmopathy). Were driving research that leads to improved diagnoses, more effective treatments, and new cures. The purpose of this editorial is to provide details on these revisions and guidance on how prospective authors should approach case report submissions to Optometry and Vision Science. Perioperative Corneal Abrasions: Systems-based review and analysis. Patient presenting with decreased vision after BB gun injury to right orbit. The intervention is intense pulsed light therapy, and the outcome measure is the recovery time. Related: Coats disease: A case study of a 4-year old boy. Get new journal Tables of Contents sent right to your email inbox, Articles in PubMed by Michael D. Twa, OD, PhD, FAAO, Articles in Google Scholar by Michael D. Twa, OD, PhD, FAAO, Other articles in this journal by Michael D. Twa, OD, PhD, FAAO, Blue-lightblocking Lenses in Eyeglasses: A Question of Timing, Contrast Sensitivity with Center-distance Multifocal Soft Contact Lenses, The Value of Clinical Case Reports in Evidence-Based Practice, A 3-year Randomized Clinical Trial of MiSight Lenses for Myopia Control, Privacy Policy (Updated December 15, 2022). Chuck is a 60-year-old white male who presents for a yearly exam. 60-year-old male with a history of simple megalocornea reported visual disturbance while changing head position, his vision worsened with his head bent down.He previously had cataract surgery with an iris-sutured IOL. your express consent. A 14-year-old boy presents with painful periorbital edema and erythema in his right eye. His primary concerns were the cosmetic effect of his exotropia and the intolerable double vision and aniseikonia he experienced when his "bad eye decided to work." He had stable chronic floaters but no flashes of light, eye pain, or other ocular symptoms. In her case study, Dr. Fortenberry Commotio Retinae: 29-year-old man was referred after sustaining a head injury during an altercation. The patient noted a stable gray spot and visual distortion OD for the previous several weeks. Meningiomas: a case and review. Onset of dramatically decreased vision in both eyes began at the time of child delivery. Currently treated with prednisone and methotrexate for Sjogren syndrome and inflammatory arthritis and was previously treated with hydroxychloroquine for 10 years, stopped one year ago. Acquired Peripheral Retinoschisis: 83-year-old male was referred to our retina clinic for a retinal detachment which was described as close to the macula in his right eye. [video included]. Aphakic Glaucoma: 5-year-old female was referred to the University of Iowa Hospitals and Clinics (UIHC) Glaucoma Clinic for evaluation of suspected aphakic glaucoma of the left eye (OS). Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP): 89-year-old male presents with multiple choroidal nevi, both eyes. Case Studies in Neuro Disease - Review of Optometry Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. Vitreous Syneresis: An Impending Posterior Vitreous Detachment (PVD): 60 year-old female with newly reported flashing lights and "large and stringy" floaters in the left eye. Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. Visual Snow Syndrome A 59-year-old pilot with a history of visual aura since his teenage years and anxiety presented to the neuro-ophthalmology clinic with a primary complaint of seeing a "snow storm" for one year.
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