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Ophthalmology and Visual Sciences

Suggested Case Submission Template

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The following are suggested elements to include in a case submission. All of these elements may or may not apply to your specific case - include additional information about the case if needed and if points below are not applicable, do not include them. Abbreviations should be defined the first time they are used (e.g., Right Eye (OD), Both Eyes (OU), Prism Diopters (PD), etc.). Sentences within the text should be followed a single space following the punctuation before beginning the next sentence.


Title of Case

This is usually the general pathology that you are presenting

Subtitle (optional)

This is where you can be more descriptive or specific to your case

Category(ies):

List all applicable. This will ensure your case is indexed properly.

  • Cataract; Cornea/External Eye Disease; Genetic Eye Diseases; Glaucoma/Iris; Neuro-Ophthalmology; Neuro-Ophthalmology; Oculoplastic Surgery, Orbit, Eyelids, Lacrimal; Pediatric Ophthalmology & Strabismus; Retina & Vitreous; Systemic Disorders; Trauma; Tumor/Oncology; Uveitis; Vascular Disorders

Authors: Please included credentials; e.g., BS, MD, PhD

Date of submission: this will be replaced with the date of posting after all edits have been made

INITIAL PRESENTATION

Chief Complaint: What was the patient's main presenting problem?

History of Present Illness: Be succinct. Try to stick to only pertinent positives and negatives when detailing onset, duration, timing, course, quality/character, aggravating/alleviating factors, associated symptoms, etc.

Past Ocular History: List format is acceptable. Make this complete even if some of this information is mentioned in the HPI.

Past Medical History: List format is acceptable. Non-ocular surgeries may also be listed here if relevant.

Medications: Generic names are preferable. Ocular medications can be listed under Past Ocular History. If trade names of drugs are necessary (such as with combination drugs), the accompanying generic name must also be named in parentheses.

Allergies:

Family History: Limit to positives and negatives pertinent to the case. It is acceptable to write "Non-contributory" if applicable.

Social History: Limit to pertinent positives and negatives. It is acceptable to write "Non-contributory" if applicable.

Review of Systems: Limit to pertinent positives and negatives. It is acceptable to write "Negative except for what is detailed in the history of present illness" if applicable.

OCULAR EXAMINATION

The list below is not all inclusive nor all required. Please included portions of the ocular exam that are pertinent to your case

Visual Acuity with/without correction

(specify method – Snellen, Allen, HOTV, Teller, etc. if applicable):

  • Right eye (OD):
  • Left eye (OS):
Other Visual Acuity Tests

(specify pinhole, glare/brightness acuity, manifest/cycloplegic refraction, etc. if applicable):

  • OD:
  • OS:

Ocular Motility/Alignment: can be descriptive or list in standard motility table form if there is more complex pathology

Intraocular Pressure (IOP): specify method – applanation, Tonopen, Perkins, etc. – and units if applicable)

  • OD:
  • OS:

Pupils: typically list size in dark, then light, then presence/absence of RAPD

  • OD: mm in dark, mm in light, no relative afferent pupillary defect (RAPD)
  • OS: mm in dark, mm in light, no RAPD

Confrontation visual fields: specify method – count fingers, red targets, toys, etc. if applicable

External: de-identified pictures with captions should be included if available and relevant

Slit lamp exam: de-identified pictures with captions should be included if available and relevant

  • Lids/lashes: can provide individual bulleted lists for OD and OS if significantly different findings between the eyes, or combine into a single bulleted list
  • Conjunctiva/sclera:
  • Cornea:
  • Anterior chamber:
  • Iris:
  • Lens:

Dilated fundus examination (DFE): de-identified pictures with captions should be included if available and relevant

  • Vitreous: can provide individual bulleted lists for OD and OS if significantly different findings between the eyes, or combine into a single bulleted list. Can also format as a table if preferred.
  • Disc:
  • Cup-to-disc ratio:
  • Macula:
  • Vessels:
  • Periphery:

Additional testing: this is where you will display diagnostic study results such as OCT, B-scan, ERG, visual fields, etc.; de-identified images with captions can also be included

Differential Diagnosis

Provide links to other EyeRounds cases/atlas entries/videos of pathology in the differential diagnosis list

  • List

CLINICAL COURSE

This is where you will detail laboratory testing, imaging, consultations, decision-making thought processes, etc. that occurred after the initial presentation that lead you to the final diagnosis.  Discuss any treatments the patient underwent and their final outcome, if known.

DIAGNOSIS

Include diagnosis

DISCUSSION

This section should contain more detailed information about the condition being presented. Below are some suggestions for subheadings, but these can be modified to fit the specific case and guide a more appropriate/thorough discussion on the topic.

Etiology/Epidemiology:
Pathophysiology:
Signs/Symptoms:
Testing/Laboratory work-up:
Imaging:
Treatment/Management/Guidelines:

This standard 2x2 table is meant to be a quick summary of the general condition, not necessarily your specific case. All information in this table should be mentioned in more detail in the discussion section above. The headings can be changed if needed to better fit an individual case. List format and brevity is appropriate here.

EPIDEMIOLOGY OR ETIOLOGY
  • List
SIGNS
  • List
SYMPTOMS
  • List
TREATMENT/MANAGEMENT
  • List

Social Media (Instragram/Facebook/X): Submit a short description or question for posting.

References

Within the text, the references should be numbered in parentheses (not superscripted). List references in this section in numerical order as they appear in the text (not alphabetically). Once a reference is cited, all subsequent citations should be to the original number. All references must be cited in the text or tables. Use the following format as a model for the bibliography. List all authors. If there is an extremely long list of authors (> 6), such as a list of all participants in a multi-center trial, it is acceptable to list the first three authors, followed by et al.) You may use the linked EndNote style (zipped for download) to format your references if you desire.

WEBSITE:

Kaiser Family Foundation. Mandatory Quality Reporting Requirement, 2006.  2006  [cited 2008 January 28]; Available from: http://www.statehealthfactsonline.org/comparetable.jsp?ind=406&cat=8

ARTICLE:

Brick DC. Risk management lessons from a review of 168 cataract surgery claims. Surv Ophthalmol 1999;43(4):356-360. [PMID 10022518]

BOOK CHAPTER

Foster JA, Carter KD, Durairaj VD, Kavanagh MC, Korn BS, Nelson CC, Hartstein ME. Periocular malpositions and involutional changes. In: Canton LB, Rapuano CJ, Cioffi GA, editors. Orbit, Eyelids, and Lacrimal System. Section 7. Basic and Clinical Science Course. 2015-2016 ed. San Francisco: American Academy of Ophthalmology; 2004; chapter 11; p. 197-247.

Suggested Citation Format: Name FM, Name FM. Article Title. EyeRounds.org. Month DD, YYYY. Available from https://eyerounds.org/cases/NNN-case-filename.htm


Submission specifications

Please submit the case or tutorial as a Microsoft Word document. You may include images in the document to show where they are to be placed, but the images to be used on the website must be sent as separate files (see below).

Images

Please submit images as jpeg, tiff, or png files. Make sure to rename the image file in relation to what is being shown in the image (eg. descriptive_name.png). We prefer the highest quality images that are at least 1024 pixels (px) wide. High-resolution images obtained by the ophthalmic photographers within the Department of Ophthalmology are strongly preferred. Images obtained in any other way must be accompanied by a written consent from the patient to use their images for this purpose. If the image has not been completely de-identified, you must obtain signed photo consent from the patient or guardian (download approved consent form here). A pdf copy of this consent form must be included with the submission. Images must be your own. Authors are responsible for getting permission to use copyrighted images and written permission must be submitted with the entry. Descriptive captions for all images and figures must be included.

Suggested Citation Format

Kirkpatrick CA, Duffel PG, Oetting TA. Contributing to EyeRounds: A guideline for authors. EyeRounds.org. Posted August 16, 2015; Available from: https://www.EyeRounds.org/tutorials/contributing-to-eyerounds/

last updated: 07/6/2023; updated 9/10/2015