About this Book

This first edition is a compilation of 50 case and tutorial articles featured on our website, EyeRounds.org. These articles have the most online “hits” as of February 2018 and were hand-selected for their popularity and impact. They are among some of our most recent and high-yield content. Popularity will, of course, change over time and new cases and tutorials are added over time, so future editions will contain a different mixture of articles.
The content is arranged first by type (case or tutorial) and then subspecialty (Cornea and External Disease, Cataract, Glaucoma, Neuro-Ophthalmology, Oculoplastics, Pediatrics and Strabismus, Retina and Vitreous, and On-Call and Trauma.)

About EyeRounds.org

Ophthalmology Grand Rounds and EyeRounds.org is a website of the University of Iowa Department of Ophthalmology and Visual Sciences in Iowa City, Iowa. On EyeRounds.org, you will find case reports from our daily morning rounds, high-quality atlas images, videos, and online tutorials. EyeRounds.org is an ever-growing resource for students, residents, physicians, and patients. Over time, EyeRounds has gained momentum, now impacting learners all over the globe. Daily, the website receives thousands of hits from over 40 countries.

What is not in this book?

EyeRounds.org atlas images and videos, though very popular with our users, have been excluded from this compilation due to their nature. We invite you to explore the EyeRounds atlas at EyeRounds.org/atlas where you will find hundreds of pages of interesting and educational short items with images of interest. EyeRounds videos can be found at EyeRounds.org/video. Videos have been collected from a variety of sources created over the years by residents, faculty, and fellows of the University of Iowa Department of Ophthalmology & Visual Sciences.

Think before you act…

Disclaimer

• The content on EyeRounds.org is produced by our physicians and is intended for medical students, residents, and physicians.
• Content is made available for review purposes only.
• Much of the material from EyeRounds.org is gathered from Grand Rounds presentations.
• The intent of Grand Rounds is to initiate discussion and stimulate thought, as a result, EyeRounds articles may contain information that is not medically proven fact and should not be used to guide treatment.
• Opinions expressed are not necessarily those of the University of Iowa, the Carver College of Medicine, nor the Department of Ophthalmology and Visual Sciences.
• For more details, see our terms of use at EyeRounds.org/TOS.htm

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Funding Support

EyeRounds.org is partially supported by unrestricted funds from The University of Iowa Department of Ophthalmology and Visual Sciences and from The Iowa Eye Association, neither of whom have influence on the content of this site.

Dedication of this Work

Patricia (Trish) Duffel has a B.S. in Pharmacy from the University of Texas, Austin (1976) and an M.A. in Library and Information Science from the University of Iowa (1991). Having earned her pharmacy degree in the days before the Pharm D degree became generally accepted, Trish is a registered pharmacist (RPh). Since 1991, she has been the solo librarian for the Department of Ophthalmology and Visual Sciences at the University of Iowa and the Executive Director and Editor of EyeRounds.org since 2007. In her almost 27 years in the department, she has held many roles including library manager, literature searcher, information chaser, newsletter writer/editor, copy editor, webmaster, and educator.

Trish goes above and beyond, working tirelessly to support and see to the success of residents, fellows, scientists and physicians in the department. Her powerful work ethic, contagious energy, can-do attitude, and unwavering devotion to those around her has made her a favorite among faculty and trainees. She is a treasure trove of knowledge, a forever learner, and a truly incredible human being. For all that she has done for education at the University of Iowa Department of Ophthalmology and Vision Sciences and EyeRounds.org, we dedicate this work to Trish.

EyeRounds Board 2017-2018

Lorraine A. Provencher, MD

Chief Medical Editor, June 2017 - present
Editorial Board Member, July 2016 - present
University of Iowa
Department of Ophthalmology and Visual Sciences Ophthalmology
Ophthalmology Resident

Lindsay M. DeAndrade, MD

Editorial Board Member, July 2016 - present
University of Iowa
Department of Ophthalmology and Visual Sciences Ophthalmology
Ophthalmology Resident

Benjamin J. Janson, MD

Editorial Board Member January 2018 - present
University of Iowa
Department of Ophthalmology and Visual Sciences Ophthalmology
Ophthalmology Resident

Brittni Scruggs, MD, PhD

Editorial Board Member, July 2017 - present
University of Iowa
Department of Ophthalmology and Visual Sciences Ophthalmology
Ophthalmology Resident

Heather A. Stiff, MD

Editorial Board Member January 2018 - present
University of Iowa
Department of Ophthalmology and Visual Sciences Ophthalmology
Ophthalmology Resident

Daniel Terveen, MD

Editorial Board Member, July 2017 - present
University of Iowa
Department of Ophthalmology and Visual Sciences Ophthalmology
Ophthalmology Resident

Thomas A. Oetting, MD

Editor and Co-Founder, EyeRounds.org
University of Iowa
Department of Ophthalmology and Visual Sciences
Professor of Clinical Ophthalmology

Wallace L.M. Alward, MD

Editorial Board Member University of Iowa
University of Iowa
Department of Ophthalmology and Visual Sciences
Professor of Ophthalmology

Mark Greiner, MD

Editorial Board Member University of Iowa
University of Iowa
Department of Ophthalmology and Visual Sciences
Assistant Professor of Ophthalmology

Pavlina Kemp, MD

Editorial Board Member
University of Iowa
Department of Ophthalmology and Visual Sciences
Assistant Professor of Clinical Ophthalmology

Patricia G. (Trish) Duffel, RPh, MA

Executive Director and Editor, EyeRounds.org
University of Iowa
Department of Ophthalmology and Visual Sciences
Librarian

Kelsey Hunold, BFA

University of Iowa
Department of Ophthalmology and Visual Sciences
Assistant Director and Editor, EyeRounds.org

Board Advisory Members

Andrew Doan, MD, PhD

Co-Founder EyeRounds.org
Alumnus
Comprehensive Ophthalmology & Ocular Pathology, San Diego, California

Jordan M. Graff, MD

Editorial Board Member
Alumnus, Resident (2007), Vitreoretinal Fellow (2009)
Retina and Vitreous Specialist, Arizona

Matthew C. Weed, MD

Editorial Board Member
Alumnus, Resident (2014), Ophthalmic Genetics Fellow (2015), Pediatric Ophthalmology Fellow (2016) Pediatric Ophthalmologist
Spokane, WA

Thomas A. Weingeist, MD, PhD

Editor and Co-Founder, EyeRounds.org
University of Iowa
Department of Ophthalmology and Visual Sciences
Emeritus Head and Professor of Ophthalmology

Cornea and External Disease

• Salzmann’s Nodular Corneal Degeneration
• Treatment of Epithelial Basement Membrane Dystrophy with Manual Superficial Keratectomy
• Acute Corneal Hydrops

Cataract

• Marfan Syndrome
• Posterior Polar Cataract
• True Exfoliation Syndrome

Glaucoma

• Aphakic Glaucoma
• Uveitis Glaucoma Hyphema (UGH) Syndrome
• Aqueous Misdirection
• Hypotony: Late hypotony from trabeculectomy & Ahmed Seton
• Posner-Schlossman Syndrome (Glaucomatocyclitic Crisis)

Neuro-Ophthalmology

• Functional Visual Loss
• Ocular Tilt Reaction
• Ethambutol Toxicity and Optic Neuropathy
• Optic Neuritis

Oculoplastic Surgery

• “I Can’t Open My Eyes”: A Case of Blepharospasm and Apraxia of Eyelid Opening
• Carotid Cavernous Fistula
• Chalazion: acute presentation and recurrence in a 4-year-old female
• Bell’s Palsy Treated with Facial Nerve Decompression
• Vertical Oscillopsia: A Case of Superior Oblique Myokymia

Pediatric Ophthalmology & Strabismus

• Orbital Cellulitis in a Child
• Congenital dacryocystocele with spontaneous resolution
• Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis

Retina and Vitreous

• Intraocular Foreign Body: A Classic Case of Metal on Metal Eye Injury
• Idiopathic Juxtafoveal Telangiectasia Type II (Macular Telangiectasia type 2)
• Vitreous Syneresis: An Impending Posterior Vitreous Detachment (PVD)
• Fungal endophthalmitis

TUTORIALS

Cornea and External Disease

• Corneal Imaging: An Introduction
• Introduction to Corneal Transplantation
• Epithelial-Stromal and Stromal Corneal Dystrophies (case and tutorial)
• Ocular Surface Tumors

Cataract

• Patient Communication during Cataract Surgery
• Ten Tips to Prevent and Treat Iris Prolapse

Glaucoma

• Medical Management of Glaucoma
• MIGS: Minimally Invasive Glaucoma Surgery

Neuro-Ophthalmology

• Visual Field Testing
• Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)
• Nystagmus and Saccadic Oscillations

Oculoplastic Surgery

• Benign Lesions of the External Periocular Tissues
• Malignant Lesions of the External Periocular Tissues
• Thyroid Eye Disease
• Nasolacrimal Stents
• Retrobulbar Block, Peribulbar Block, and Common Nerve Blocks Used by Ophthalmologists

Pediatric Ophthalmology & Strabismus

• Pediatric Spectacle Prescription and Retinoscopy Made Simple
• Binocular Vision

Retina & Vitreous

• Intravitreal Injection Technique
• Full Thickness Macular Hole (case and tutorial)

On-Call and Trauma

• Bedside Ocular Exam
• Ocular Ultrasound: A quick reference guide for the on-call physician
• Emergent Evaluation of Eyelid Lacerations

Download a pdf of entire book (caution: 55Mb file!)

Compressed pdfs ( lower resolution images):

• Cases (~7Mb)
• Tutorials (~9Mb)

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