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University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

Ophthalmology Cases


Below are selected cases and tutorials or links to other EyeRounds areas that portray the Ophthalmology Competencies expected of our residents. Click on the heading for more information

See also:

Cataracts

Cataract Surgery: from One Medical Student to Another by Paul Boeke and Thomas Oetting, MD

Conversion to Extra-capsular Cataract Extraction (ECCE) by Thomas Oetting, MD

Intraocular lenses for presbyopia by Tim Johnson, MD, PhD

Phacoemulsification Surgical Instrument Tray completely updatedand revised April 2013 by Elizabeth Gauger, MD, (original tutorial by Robert Dinn, MD)

Comprehensive Ophthalmology

The Two-Minute Eye Exam by John Sutphin, MD

Intravitreal Tap and Inject for Endophthalmitis [Google Video].

General Ophthalmology Surgical Instrument Tray photos by Robert Dinn, MD

Cornea & Anterior Segment

Basic Cornea Surgical Instrument Tray by Robert Dinn, MD

Corneal Transplant Surgical Transplant Tray by Robert Dinn, MD

DSEK Instrument Tray by Robert Dinn, MD

LASEK/PRK Instrument Tray by Robert Dinn, MD

LASIK Instrument Tray by Robert Dinn, MD

Thygeson's Superficial Punctate Keratitis by John Sutphin, MD

Treatment of Epithelial Basement Membrane Dystrophy With Manual Superficial Keratectomy by Leslie T. L. Pham, MD; Kenneth M. Goins; MD; John E. Sutphin, MD; Michael D. Wagoner, MD, PhD

External Disease

Blepharitis and Doxycycline by Ayad A. Farjo, MD

Glaucoma

Glaucoma Curriculum - a video treasure by Dr. W.L.M. Alward. This is a teaching site for residents and others interested in learning about glaucoma. It breaks glaucoma into fifty bite-sized lectures that average 14 minutes in length (range 4 to 37 minutes). In total the curriculum is just under 12 hours long. It is highly visual with more than 900 images and more than 90 movie clips.

Glaucoma Surgery Instrument Tray photos by Robert Dinn, MD

Gonioscopy.org Video Atlas of Gonioscopy. Lectures and photographs by W.L.M. Alward, MD and the Glaucoma Service of The University of Iowa Department of Ophthalmology & Visual Sciences.

Neuro-ophthalmology

Anterior Ischemic Optic Neuropathy by Sohan Singh Hayreh, MD, MS, PhD, DSc, FRCS, FRCOphth

Giant Cell Arteritis (Temporal Arteritis) by Sohan Singh Hayreh, MD, MS, PhD, DSc, FRCS, FRCOphth

Idiopathic Intracranial Hypertension (Pseudotumor Cerebri) by Michael Wall, MD

Positive Tensilon Tests in the Diagnosis of Myasthenia Gravis [4 min (5MB) video, launches in Windows Media Player] by Richard J. Olson, MD and H. Stanley Thompson, MD

Temporal Artery Biopsy, [video] by Sean P. Donohue, Jane B. Mizener, Randall E. Verdick, Randy H. Kardon.

Oculoplastics

Thyroid Eye Disease

Oculoplastics Instrument Tray, Basic by Robert Dinn, MD

Oculoplastics Bone Tray by Robert Dinn, MD

Ophthalmic Pathology

see the NEI's Cogan Ophthalmic Pathology Collection

Optics & Refraction

Optics Review, 3rd ed.

Pediatric Ophthalmology & Strabismus

Binocular Vision by Rahul Bhola, MD (also available as a pdf file)

Intermittent Exotropia: A Major Review by Rahul Bhola, MD (also available as a pdf file)

Strabismus Surgical Tray by Robert Dinn, MD

Retina

Age-Related Macular Degeneration/Age-Related Maculopathy: A Histopathologic Analysis by Elizabeth A. Faidley, Jessica M. Skeie, and Robert F. Mullins, PhD

Intravitreal Injection Technique: A Primer

Low Vision Rehabilitation: An Overview

Resident Surgeon Competency: Learning to use the PASCAL laser system; a part of on-going professional development by Alex W. Cohen, MD, PhD, Gina M. Rogers, MD, and Jordan M. Graff, MD

Retina Surgical Instrument Tray by Robert Dinn, MD

Trauma & Surgery

Assessment & Management of Ocular Trauma by Sudeep Pramanik, MBA, MD

Retrobulbar and Common Nerve Blocks in Ophthalmology by Sudeep Pramanik, MBA, MD, and Andrew Doan, M.D., Ph.D.

Vascular Disorders

Anterior Ischemic Optic Neuropathy by Sohan Singh Hayreh, MD, MS, PhD, DSc, FRCS, FRCOphth

Central Retinal Vein Occlusion (CRVO) by Sohan Singh Hayreh, MD, MS, PhD, DSc, FRCS, FRCOphth

Giant Cell Arteritis (Temporal Arteritis) by Sohan Singh Hayreh, MD, MS, PhD, DSc, FRCS, FRCOphth

Related Topics

The Bedside Ocular Exam by Jesse Vislisel, MD and Nasreen Syed, MD

Ophthalmology Surgery Instrument Trays

Communication Issues Following a Post Operative Surprise: Blurry Vision Following Cataract Surgery

Communicating with patients about alternative therapies:  A case of optic nerve hypoplasia in a 14-year-old male with "poor vision since birth"

How to Perform a Basic Cover Test in Ocular Misalignment or Strabismus [video]

Management of Amblyopia: Discussing Options for Treatment in the Age of the Internet

Patient Communication During Cataract Surgery: An EyeRounds Tutorial

Patient Non-Compliance: Physician responsibility. 50-year-old male with penetrating globe injury

Communication Issues Following a Post Operative Surprise: Blurry Vision Following Cataract Surgery

Communicating with patients about alternative therapies:  A case of optic nerve hypoplasia in a 14-year-old male with "poor vision since birth"

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

Opportunities in International Ophthalmology

Patient Non-Compliance: Physician responsibility. 50-year-old male with penetrating globe injury

Resident Surgeon Competency: Learning to use the PASCAL laser system; a part of on-going professional development

2-month-old with bilateral optic nerve hypoplasia: Highlighting the importance of a multi-disciplinary approach

Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. Patient presenting with decreased vision after BB gun injury to right orbit

Comprehensive Approach for Application to an Ophthalmology Residency. A tutorial for medical students)

Competition Leads to Healthcare Savings: A systems based case from the VA

Exposure Keratopathy in the Critically Ill: A Case Report, Discussion, and Systems-Based Intervention

Holoprosencephaly and Strabismus. Female child presenting to the eye clinic at age 15 months for eye crossing. She had a history of severe hydrocephalus with seizures and alobar holoprosencephaly at birth.

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.

Intraocular Lens "Time Out"

Non-accidental Trauma: An unresponsive infant with bilateral retinal hemorrhages

Ocular Sarcoidosis

Perioperative Corneal Abrasions
64-year-old male patient noted severe pain in his right eye while in the post-anesthesia care unit shortly after laparoscopic surgery. A bedside ocular examination was remarkable for a linear, horizontal corneal epithelial defect.

Toxic Anterior Segment Syndrome (TASS): A System's Based View of a Day in the Life of a Canula

Iowa Eye Association
We thank the Iowa Eye Association: Friends and Alumni of the Univeristy of Iowa Department of Ophthalmology and Visual Sciences

Author. Title. EyeRounds.org. date posted; Available from: http://www.eyerounds.org/cases/filename.htm.

example: Mullaney S, Vislisel J, Maltry A, Boldt HC. Choroidal Malignant Melanoma: 58-year-old female with pigmented retinal lesion and exudative retinal detachment. EyeRounds.org. July 8, 2014; available from http://EyeRounds.org/cases/190-choroidal-malignant-Melanoma.htm

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last updated: 1/9/2018

Featured Photo: What is the diagnosis?


SPOTLIGHT

New Case

Homocystinuria: 18-year-old male presented to clinic for regular monitoring of ocular manifestations of methionine synthase deficiency type homocystinuria, specifically cobalamin deficiency of the Cb1G subtype.

Neovascular glaucoma: 80-year-old man presented to the University of Iowa Department of Ophthalmology for three weeks of painless, acute vision loss in his right eye (OD).

Nutritional Optic Neuropathy: 28-year-old man who first noticed visual changes one year prior to presentation.

Persistent Fetal Vasculature: 19-year-old female with a history of amblyopia in the right eye (OD) due to persistent fetal vasculature (PFV) presented to the University of Iowa Hospitals and Clinics (UIHC), Department of Ophthalmology to re-establish care.

Retinal Dialysis: 31-year-old man was referred to the University of Iowa from an outside emergency department after suffering blunt trauma to his right eye.

New Atlas

Bow-tie (band) atrophy secondary to compressive optic neuropathy: 57-year-old man with vision loss in the right eye (OD) greater than left eye (OS) in the setting of a craniopharyngioma, which was resected 16 years prior.

Caruncular Edema: 74-year-old man with history of active thyroid eye disease (TED) presented with bilateral upper and lower eyelid retraction with fullness and erythema of periocular tissues.

Neurotoxin Tarsorrhaphy: 69-year-old man with history of facial malignancy presented with mechanical and cicatricial left lower eyelid retraction and ectropion after surgical resection and radiation.

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