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