Age/Sex/Race 57 years old African American female Chief Complaint “I’m here for an annual eye examination. I have little blur at distance and near. Sometimes, my eyes itch and burn.” Medical History Hypertension, acid reflux, depression, mild heart attack and seasonal rhinitis Medications Aspirin, Amlodipine, Omeprazole, Lisinopril, Visine, Carvedelol and Aripiprazole Allergic to Ibuprofen Family …
Age/Sex/Race 52 year old African American male Chief Complaint “I am having trouble with distance so I think I need a new glasses prescription.” Denied having flashes, floaters, pain, itching or burning. Medical History Diabetes, hypertension, hepatitis C His blood sugar that morning was 87. Ocular History Negative Medications He didn’t have his medication list …
Hypertensive Retinopathy vs. Interferon Associated Retinopathy Read More »
Age/Sex/Race 64 year old African American male Chief Complaint “My vision went completely black all the sudden in the right eye about two weeks ago, but it started coming back slowly. My vision is still blurry though.” Medical History Type II Diabetes Hypertension Chronic kidney disease Bell’s palsy Ocular History Hx of cataract surgery OU …
Vitreous Hemorrhage: “My vision went completely black” Read More »
Age/Sex/Race 2 year old Caucasian female Chief Complaint “My granddaughter’s pediatrician thinks her eyes aren’t working together and wants her checked for a lazy eye. It only happens sometimes in the left eye.” Medical History / Ocular History / Family History Unremarkable Medications None NKDA Diagnosis and initial plan of action I thought it might …
Age/Sex/Race 38 yo Caucasian Female Chief Complaint “I can’t see very well since I got off the ventilator. On my first day off of the ventilator, I saw complete black. Now, I’m able to make out outlines of big signs.” Duration – since February Location – OU (OD > OS) Context – constant Wears glasses …
I’ve had Blurry Vision Since I Got Off the Ventilator Read More »
David Cartwright’s case has been selected for our Clinical Case of the Month! David is a 4th year optometry student at State University of New York College of Optometry. Here’s the case: Age/Sex/Race 78 yo white male Chief Complaint He complained of complete vision loss OD following a “stroke” that occurred 6 weeks prior. His …
Clinical Case Review: Complete Vision Loss OD Following a “Stroke” Read More »
Age/Sex/Race 60 year old Caucasian female Chief Complaint “Just here for an eye exam. It’s been almost a year. I see fine with current glasses.” Medical History Diabetes – last Hg A1c was 6.3 Hypertension Ocular History Retinitis pigmentosa OU Wears glasses for distance and near Medications Insulin, Lisinopril Allergic to Neomycin Family History Retinitis …
Age/Sex/Race 35 year old Caucasian male Chief Complaint “Just here for an eye exam. I also got a Welder’s burn yesterday in both eyes.” He described having foreign body sensation in both eyes and pain of 8 out of 10. He reported that he is a welder so this occurs very often. He stated that …
Introduction: Diabetes is one of the leading causes of blindness. We see many patients with diabetes so it’s important to know how to treat diabetic retinopathy. We need to understand and know when to refer the patient to an ophthalmologist for further treatment. Diabetes Control and Complications Trial (DCCT) -> Objectives To determine whether intensive …
Age/Sex/Race 53 years old Hispanic male Chief Complaint “My vision started getting blurry in right eye about five days ago. I see this red spot in my vision that is moving.” Medical History Last exam was about 1 and 1.5 years ago. Patient said he was diagnosed with insulin-dependent diabetes in 1992. He said that …
