Showing posts with label Clinical Cases in Ophthalmology. Show all posts
Showing posts with label Clinical Cases in Ophthalmology. Show all posts
History: 34 years old male, not known to have any medical illness, presented to ER, complaining of painless ,slowly progressive proptosis in RT eye for 1 year which is associated with gradual decrease of vision..On examination:
• VA: ...................OD: HM................................ .OS:20/40
• IOP: ................ OD: 14 mmHg .................... OS:16 mmHg
.Ocular examination revealed rAPD and Hertel Exophth(Base 100) measure 23 OD and 19 OS in addition to swollen optic disc OD which leak on FFA.
.Go over the initial slides down to see the patient's MRI , FFA, and Histopath.
.Q1 : what are the findings shown in the patient's photos, MRI and Histopath. ?
Q2 : What are your differential diagnosis and how are you going to manage such a case?
..Try to answer the previous questions then go and download your powerpoint presentation of the case including differential diagnosis, management and discussion from the following link:
History: 18 years old male, not known to have any medical illness, working at a mechanic shop, sustained a trauma to the Left Eye, in the form of high speed Oxygen cylinder pipe release, striking the Left Eye. He presented to ER, complaining of eye pain, blurry VA and nasal conjunctival redness..On examination:
• VA: ...................OD:20/20................................ .OS:20/100
• IOP: ................ OD: 16 mmHg ....................... OS:14 mmHg
.Examination of the left eye showed small conjunctival laceration with scleral show but negative sidle test with normal A/C depth.
Fundus exam as above.
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Q1 : what are the findings shown in the fundus photo ?
Q2 : What are your differential diagnosis and how are you going to manage such a case?
..Try to answer the previous questions then go and download your powerpoint presentation of the case including differential diagnosis, management and discussion from the following link:
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Q2 : What are your differential diagnosis and how are you going to manage such a case?
..Try to answer the previous questions then go and download your powerpoint presentation of the case including differential diagnosis, management and discussion from the following link:
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This case was presented to you by Dr. N. Al-Sulimani
History: A 12 Y.O male patient brought by his parent who noted a gradual protrusion of his left eye after a non-significant history of trauma one week back. Systemic review and family history are negative for any infectious or neoplastic disorders.
.On examination:
• VA: ......................... .OD:20/20............................... .OS:20/25
• IOP: .............. OD: 14 mmHg ............. OS:14 mmHg
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A/S exam was WNL apart from dilated episcleral vessels OS.
Fundus exam was WNL.
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To get access to the patient's figures including CT scan images press on the title of this post.
Q1 : what are the findings shown in the figures?
Q2 : What are your differential diagnosis and how are you going to manage such a case?
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Try to answer the previous questions then go and download your powerpoint presentation of the case including diagnosis, management and discussion from the link:
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This case was presented to you by Dr. A Al-Salem . (Thanks Dr. A Al-Salem )
History: A 26 Y.O female patient c/o central scotoma OS for 16 days. Systemic review and family history are negative for any infectious or neoplastic disorders..
On examination:
• VA: ....................OD:20/20................................OS:CF 8 ft
• IOP: .................. OD: 13 mmHg..................... OS: 12 mmHg
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A/S exam : WNL
Fundus exam showed the above picture..
To get access to the patient's figures including fundus and FFA and ICG and OCT images press on the title of this post.
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Q1: what are the findings shown in the figures?
Q2: What is your diagnosis and how are you going to manage such a case?
. Try to answer the previous questions then go and download your powerpoint presentation of the case including diagnosis, management and discussion from the link:
.
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Q1: what are the findings shown in the figures?
Q2: What is your diagnosis and how are you going to manage such a case?
. Try to answer the previous questions then go and download your powerpoint presentation of the case including diagnosis, management and discussion from the link:
.
History: A 20 Y.O male patient reported to ER with a complaint feeling generally unwell, painful orbital swelling and dropping of RT upper eye lid. Past history revealed recurrent attack of URTI, multiple oral episode of dental abscess and multiple bone fracture. He was diagnosed previously as having osteopetrosis (OP) since childhood. Family history was negative for OP.
On examination:
• VA:....................OD:20/20................................OS:20/20
• IOP:.................. OD: 17 mmHg..................... OS: 16 mmHg.The clinical examination showed (OD) :
1- Painful erythematous diffuse periorbital swelling.
2- Ptosis .
3- Proptosis .
4- Restriction of and pain with ocular motility.Color vision OD was 2/15 no rAPD but disc margin is blury with tortous blood vessels.
- Patient admitted and treated then discharge and given appointment but he did not show up. After 8 months he came with NLP OD and positve rAPD..To get access to the patient's figures including fundus and CT scan images press on the title of this post..
Q1: what are the findings shown in figures and what is the cause of NLP ?
Q2: What is your diagnosis and how are you going to manage such a case?.
Try to answer previous questions then go and download your powerpoint presentation of the case including diagnosis, management and discussion from the link:.
On examination:
• VA:....................OD:20/20................................OS:20/20
• IOP:.................. OD: 17 mmHg..................... OS: 16 mmHg.The clinical examination showed (OD) :
1- Painful erythematous diffuse periorbital swelling.
2- Ptosis .
3- Proptosis .
4- Restriction of and pain with ocular motility.Color vision OD was 2/15 no rAPD but disc margin is blury with tortous blood vessels.
- Patient admitted and treated then discharge and given appointment but he did not show up. After 8 months he came with NLP OD and positve rAPD..To get access to the patient's figures including fundus and CT scan images press on the title of this post..
Q1: what are the findings shown in figures and what is the cause of NLP ?
Q2: What is your diagnosis and how are you going to manage such a case?.
Try to answer previous questions then go and download your powerpoint presentation of the case including diagnosis, management and discussion from the link:.
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This case was presented to you by Dr. R. Al-Huthail . (Thanks Dr. R. Al-Huthail)
History: 24 years old female not known to have any medical illness presented to ER complaining of pain, redness, photophobia, tearing and decreased vision in the left eye for three weeks. She is a cosmetic contact lens wearer. No history of truma or surgery.
.On examination:
•VA:................OD:20/20......................OS:20/40
.On examination:
•VA:................OD:20/20......................OS:20/40
• IOP:............ OD: 15 mmHg................. OS: 13 mmHg
. .Slit lamp examination of anterior segment of right eye was normal. But cornea of the left eye showed the sign in the following figure.
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. .Slit lamp examination of anterior segment of right eye was normal. But cornea of the left eye showed the sign in the following figure.
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.Q1: what are the findings shown in figure?Q2: What is your diagnosis and how are you going to manage such a case?
. Try to answer previous questions then go and download your powerpoint presentation of the case including diagnosis, management as well as differential diagnosis and discussion from the following link:
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This case was presented to you by Dr. A. Al-Harthi . (Thanks Dr. A. Al-Harthi)
History: 20 years old male, referred to ophthalmology clinic for ophthalmic evaluation .The patient is known case of tuberous sclerosis.
On examination:
• VA: ..................... • IOP: ..... ... ..........OD: 20/28.5... ...... OD: 10 mmHg
On examination:
• VA: ..................... • IOP: ..... ... ..........OD: 20/28.5... ...... OD: 10 mmHg
OS: 20/60.............. OS: 10 mmHg
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Slit lamp examination of anterior segment of both eyes was within normal. Dilated fundus exam showed manifestations that shown in the following photos. (press on the title of this post)
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Q1: what are the findings shown in photos and MRI ?
Q2: What is your diagnosis and how are you going to manage such a case?
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Try to answer previous questions then go and download your powerpoint presentation of the case including diagnosis, management as well as differential diagnosis and discussion from the following link:
.
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Slit lamp examination of anterior segment of both eyes was within normal. Dilated fundus exam showed manifestations that shown in the following photos. (press on the title of this post)
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Q1: what are the findings shown in photos and MRI ?
Q2: What is your diagnosis and how are you going to manage such a case?
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Try to answer previous questions then go and download your powerpoint presentation of the case including diagnosis, management as well as differential diagnosis and discussion from the following link:
.
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This case was presented to you by Dr. M.Al-Gefary. (Thanks Dr. M.Al-Gefary)
History: 50-year-old female pateint presented to emergency room with three weeks history of protrusion of right eye and decreased vision which markedly drop in the last five days . She is diabetic on oral hypoglycemic agent and she has no significant past ocular history.
On examination:
On examination:
-VA: ............- IOP:........ - Hertel Exophthalmometer:
OD: 3/300 ... ... OD: 18 mmHg.............OD = 22 mm
OS: 20/50........ OS: 16 mmHg..............OS = 18 mm
Slit lamp examination of anterior segment of both eyes was within normal apart from immature cataract in both eyes . Dilated fundus exam of the left eye was normal but exam of the right eye showed slighly elevated optic disc. Radiological studies were done and can be accesed by pressing on the title of this post.
Q1: what are D/D that you should look for?
Q2: How are you going to manage such a case?
Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis, management as well as differential diagnosis and discussion- from the following link:
Slit lamp examination of anterior segment of both eyes was within normal apart from immature cataract in both eyes . Dilated fundus exam of the left eye was normal but exam of the right eye showed slighly elevated optic disc. Radiological studies were done and can be accesed by pressing on the title of this post.
Q1: what are D/D that you should look for?
Q2: How are you going to manage such a case?
Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis, management as well as differential diagnosis and discussion- from the following link:
.
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This case was presented to you by Dr. S.Al-Rashidi . (Thanks Dr. S. Al-Rashidi )
History: 57-year-old male pateint presented to emergency room with one day history of sudden decrease of vision in his right Eye. No past medical history or ocular history.
On examination:
..............................• VA: ..................... • IOP: ..... ... .......... .......................OD: 20/300 ... ...... OD: 16 mmHg....... ......
.......................OS: 20/50........... OS: 17 mmHg ...............
Slit lamp examination of anterior segment of both eyes was within normal. Dilated fundus exam of the left eye was normal but exam of the right eye showed manifestations that shown in the following photos. (press on the title of this post)
.Q1: what are the findings shown in photos and FFA?
Q2: What is your diagnosis and how are you going to manage such a case?
.Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis, management as well as differential diagnosis and discussion- from the following link:
.
On examination:
..............................• VA: ..................... • IOP: ..... ... .......... .......................OD: 20/300 ... ...... OD: 16 mmHg....... ......
.......................OS: 20/50........... OS: 17 mmHg ...............
Slit lamp examination of anterior segment of both eyes was within normal. Dilated fundus exam of the left eye was normal but exam of the right eye showed manifestations that shown in the following photos. (press on the title of this post)
.Q1: what are the findings shown in photos and FFA?
Q2: What is your diagnosis and how are you going to manage such a case?
.Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis, management as well as differential diagnosis and discussion- from the following link:
.
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This case was presented to you by Dr.K Al-Rubaie . (Thanks Dr.K Al-Rubaie)
History: 25-year-old Yemani male pateint presented to emergency room with five days history of blurring of temporal field of vision and seeing moving thread in front of the right Eye. No past medical history or ocular history.
On examination:
• VA: ..................... • IOP: ..... ... .......... • Color Vision:
OD: 20/20... . . ....... OD: 13 mmHg....... ...... OD: 15/15
OD: 20/20... . . ....... OD: 13 mmHg....... ...... OD: 15/15
OS: 20/20...... ........ OS: 15 mmHg ...............OS: 15/15
Slit lamp examination of anterior segment of right eye show 1+ cell in A/C and 1+ haze in the vitreous as well as 2+ rAPD. Slit lamp examination of anterior segment of left eye was normal. Dilated fundus exam of left eye was normal but exam of right eye showed manifestations that shown in the following photos. (press on the title of this post)
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Q1: what are the findings shown in photos and FFA?
Q2: What is your diagnosis and how are you going to manage such a case?
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Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis management as well as differential diagnosis and discussion- from the following link:.
.
Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis management as well as differential diagnosis and discussion- from the following link:.
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This case was presented to you by Dr. M. bunajma. (Thanks Dr. M.bunajma)
History: A 23 years old female presented to the retina clinic complaining of poor vision and nyctalopia since birth in both eyes. No systemic illness. Threre is positive family history of the same condition in three other sisters.
— VA 20/300 OU with no improvement with pinhole.
— VA 20/300 OU with no improvement with pinhole.
— Normal IOP ( 14 mm hg OU ).
— Normal Anterior segment examination OU.
— Fundus photos and OCT of this case and her sisters can be accessed by clicking on the title of this post.
Q1: what are the findings shown in photos ?
Q2: What is your diagnosis ?
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Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis management as well as differential diagnosis and discussion- from the following link:
— Normal Anterior segment examination OU.
— Fundus photos and OCT of this case and her sisters can be accessed by clicking on the title of this post.
Q1: what are the findings shown in photos ?
Q2: What is your diagnosis ?
.
Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis management as well as differential diagnosis and discussion- from the following link:
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This case was presented to you by Dr. A. Abu Baker. (Thanks Dr. A. Abu Baker)
Thirty Y/O male American patient presented to ER with a history of one week right eye gradual decrease of vision and pain especially when looking upward. No history of contact with cat, recent URTI, STD, drink of unpasteurized milk or uncooked meat as well as no history of trauma. No ocular illness before. No DM, HTN and negative drug history. His grandfather had a history of TB in his eye & was managed medically.
On examination:
• VA: ..................... • IOP:..... ... .......... • Color Vision:OD: 20/200... . . .... OD: 15mmHg....... ....... OD: 14/15
OS: 20/20...... ........ OS: 14 mmHg ...............OS: 15/15
Slit lamp examination of anterior segment of both eyes was normal except 2+ rAPD OD. Dilated fundus exam of left eye was normal but exam of right eye showed manifestations that shown in the following photos. (press on the title of this post)
Q1: what are the findings shown in fundus photos and FFA?
Q2: What is your diagnosis and how are you going to manage such a case?
• VA: ..................... • IOP:..... ... .......... • Color Vision:OD: 20/200... . . .... OD: 15mmHg....... ....... OD: 14/15
OS: 20/20...... ........ OS: 14 mmHg ...............OS: 15/15
Slit lamp examination of anterior segment of both eyes was normal except 2+ rAPD OD. Dilated fundus exam of left eye was normal but exam of right eye showed manifestations that shown in the following photos. (press on the title of this post)
Q1: what are the findings shown in fundus photos and FFA?
Q2: What is your diagnosis and how are you going to manage such a case?
.
Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis management as well as differential diagnosis and discussion- from the following link:
.
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This case was presented to you by Dr. D. Al-Harkan (Thanks Dr. D. Al-Harkan)
اليوم سوف نبدأ بطرح بعض الحالات الإكلينيكية والتي أعتقد أنه من المناسب الاطلاع عليها سواء كونها نادرة أو نظرا لأهميتها. تجدر الإشارة إلى أنه سوف يطرح تاريخ الحالة المرضي بالإضافة إلى صور الفحص ما أمكن بالإضافة لنتائج التحاليل ذات الأهمية ثم أترك التشخيص والعلاج للقراء الكرام حتى يشاركوا بكتابتها في المدونة ومن ثم سوف أطرح ملف كامل قابل للتحميل به جميع تفاصيل الحالة شاملة التشخيص والعلاج
Today, I will post the first case under the category labeled as "Clinical Cases in Ophthalmology" which was planned to include some important cases that I think they are good to be reviewed either because they are rare or important to know. The way that these cases will be presented is as follow: first I will post history and clinical findings with photos as well as some important investigation results then I am going to wait for your comments regarding possible diagnosis and treatment and later on I will post the answer as well as treatment with some discussion about the case.
Today, I will post the first case under the category labeled as "Clinical Cases in Ophthalmology" which was planned to include some important cases that I think they are good to be reviewed either because they are rare or important to know. The way that these cases will be presented is as follow: first I will post history and clinical findings with photos as well as some important investigation results then I am going to wait for your comments regarding possible diagnosis and treatment and later on I will post the answer as well as treatment with some discussion about the case.
Today, I added this feature to the blog style and soon it will be activated. In this feature we will discuss different interesting cases that we faced in our practice. Every time we will discuss a different case and still you can review the previous cases but in (clinical cases archive) folder.
Sincerely,
Saad Alharbi
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