The patient was a 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. His visual acuity had been no light perception OD and 20/20 OS since the procedure.
39 y/o female presented for evaluation of blurry vision in the right eye and difficulties with glare at night. She denied any history of ocular trauma, diabetes, or steroid use. Her uncorrected visual acuity OD was 20/1250 with improvement to 20/200 with pinhole. Uncorrected OS was 20/20-1. Her subjective refraction was -15.50 +1.00 x 137 OD (20/150) and -0.50 +0.50 x 090 OS (20/20). Her exam was notable for a 3+ oil-droplet cataract OD. Lens-calculations were performed and showed axial eye-lengths of 23.05 mm OD and 22.94 mm OS. She was offered cataract extraction with intraocular lens implantation.
A 67-year-old woman presents for evaluation of gradually progressive blurred vision, both at near and distance, as well as bothersome nighttime glare. She has no history of trauma, diabetes, or steroid use, and no ocular history besides refractive error and corneal astigmatism. Visual acuity in the presented eye is 20/200 with correction, 20/70-2 with pinhole, and >20/400 with glare. Her exam was notable for 2+ oil droplet cataract. She received corneal topography and IOL calculations and was ultimately offered cataract extraction with toric intraocular lens implantation.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
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