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Congratulations to University of Iowa Department of Ophthalmology and Visual Sciences residents, Salma Dawoud, MD, David Ramirez, MD, and Maggie Strampe, MD, who were recently selected to serve on the EyeRounds Editorial Board! We know you will carry on the great tradition of residents on the board, expanding the reach and quality of our EyeRounds content.
New tutorial discussing COVID-19 and implications for the eye. https://bit.ly/2XgI1sG
This tutorial covers:
• General Clinical Presentation
• Ophthalmologic Implications
• Best Practice
• Patient Scheduling
• Seeing Patients
Please join Drs. Lori Provencher, Ivo Ferreira and Tom Oetting for a Zoom event on Friday, April 17 at 3 pm central time USA. We will cover tips for those learning and teaching cataract surgery and hope to take any questions you may have.
Register through link below and the Zoom link will be emailed to you by Oftalmo Cast. Thank you.
https://zoom.us/webinar/register/WN_RjKLJxdlREmRMhip-s6fdA
Thomas Oetting, MD and Lori Provencher, MD
NEW ATLAS ENTRY: Icterus/jaundice
Q: A patient has a bilirubin level of 19 mg/dL. Where is one of the first locations you’d see jaundice? More specifically, in what layer?
https://bit.ly/3dr34jL
NEW VIDEO: Know the clinical signs of lateral canthal tendon disinsertion. http://bit.ly/2SGJWGa
NEW CASE | Fourth (Trochlear) Nerve Schwannoma
A 72-year-old man presented to the pediatric ophthalmology and strabismus clinic with double vision for the past 1.5 years. He described the double vision as binocular and vertical in nature.
http://bit.ly/2tN3tL6
A 67-year-old patient with history of glaucoma presented to the Oculoplastics service with evaluation of right-sided tearing and inferior displacement of the lower eyelid. The patient was diagnosed with periocular dermatitis and cicatricial ectropion secondary to Cosopt (dorzolamide-timolol) drops. http://bit.ly/35FFHhH
New atlas entry on iris melanoma: http://bit.ly/2rfb7wa
A 93-year-old woman presented with progression of longstanding iris nevus.
New atlas entry! What's the diagnosis?
It’s not the flu, what would you do?
Review the diagnostic criteria, work-up, and management of VKH: http://bit.ly/2LuxczY
Petalloid lesions, paracentral scotomas, and perplexing pathophysiology….
Brush up on your acute macular neuroretinopathy knowledge: http://bit.ly/32srPGC
Bug bites and sickening saccades...
A Midwestern case of opsoclonus-myoclonus syndrome due to the West Nile virus: http://bit.ly/2SogRx8
A 52-year-old man with a history of degenerative joint disease, migraines, and viral encephalitis 15 years prior presented to the Emergency Department with two weeks of progressive back pain, maculopapular rash, fever, night sweats, headache, and photophobia following a trip to Indiana. A CT brain w...
New Atlas Entry | Have you ever seen this in your clinic? Not your typical hypopyon. https://bit.ly/2Hhor8X
Ed Stone in our University of Iowa Department of Ophthalmology and Visual Sciences developed an amazing web site. This site is designed to teach inherited eye disease in a fun interactive fashion. The site is full of amazing cases and tips on how to diagnose these complex cases.
https://stonerounds.org/
New atlas entry | Infectious Crystalline Keratopathy
73-year-old male patient presented to the Cornea service with a one-week history of right eye redness and pain.
https://bit.ly/2HP4hnk
What's the diagnosis?
This guide is intended to provide education about eye removal to patients and families who are considering or undergoing eye removal surgery. For many, the idea of removing an eye can be understandably very daunting. However, it is important to know that eye removal is a relatively common surgery that can treat certain eye diseases, alleviate eye pain, and greatly improve the patient's quality of life.
It is our hope that this guide will help patients and their families better understand the different procedures used to remove the eye, how to best prepare for the surgery, and what to expect during the healing process. http://bit.ly/2AqeN0t
This guide is intended to provide education about eye removal to patients and families who are considering or undergoing eye removal surgery.
New atlas entry showing phacomorphic angle closure and anterior lens dislocation due to repeated blunt trauma http://bit.ly/2QeFEBH
New atlas entry! What is the diagnosis?
New case | Bilateral sequential aqueous misdirection: an overview of medical and surgical management
A 50-year-old Caucasian woman was referred to the University of Iowa Glaucoma Service for evaluation of ocular hypertension and anatomically narrow angles in both eyes.
View full case: http://bit.ly/2wccavI
New video from Dr. Daniel Bettis demonstrating and discussing the use of fenestrations to allow early flow when using a non-valved seton to treat glaucoma.
http://bit.ly/2vqAavK
Here we show a technique for establishing early flow in a non-valved seton. In these devices, the tube must be occluded for several weeks to allow a capsule to form around the plate (thereby avoiding hypotony). Fenestrations may be placed anterior to the ligature suture to allow early flow until the...
New case on Branch Retinal Vein Occlusion: http://bit.ly/2ObD7rJ
A 59-year-old woman who presented with persistently decreased vision in the left eye (OS). Her vision acutely decreased upon wakening one morning five weeks prior to presentation. She reported occasional floaters but no headache, eye pain, or eye redness.
The patient is a 59-year-old woman who presented with persistently decreased vision in the left eye (OS). Her vision acutely decreased upon wakening one morning five weeks prior to presentation. She reported occasional floaters but no headache, eye pain, or eye redness. In the prior two weeks, the p...
Due to circumstances beyond our control, EyeRounds.org will be unavailable until Thursday, July 12 at the latest. We apologize for the inconvenience and thank you for your patience.
What is the diagnosis?
We have a NEW case on Neovascular Glaucoma: An 80-year-old man with recurrent vitreous hemorrhages, hyphema, and elevated intraocular pressure after a central retinal vein occlusion in the right eye.
View full case: http://bit.ly/2JEGFnA
NEW ATLAS ENTRY | What is the diagnosis?
NEW CASE | Phacolytic glaucoma
A 65-year-old male presented with acute onset of pain and redness in his right eye (OD), which had long-standing light perception vision after an explosive injury resulted in a penetrating shrapnel wound and large macular scar. His intraocular pressure (IOP) had previously been elevated over 50 mmHg without any pain or ocular injection. http://bit.ly/2KxT75A
A 65-year-old male presented with acute onset of pain and redness in his right eye (OD), which had long-standing light perception vision after an explosive injury resulted in a penetrating shrapnel wound and large macular scar. His intraocular pressure (IOP) had previously been elevated over 50 mmHg...
Another great video from Dr. Dan Bettis sharing techniques and pearls from surgical drainage of choroidal effusions http://bit.ly/2F1uM42
While we never wish for the opportunity to use this surgery, we know that it will rarely present itself for the glaucoma surgeon. As such, knowing how to safely drain choroidal effusions is a useful tool to have in one's toolbox. Here we discuss our standard technique for draining choroidal effusion...
A 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. One year prior, he noticed progressive proptosis of the right eye (OD), gradual blurring of vision OD, and some occasional ache OD. He denied double vision, redness of the eye, or eyelid swelling. He had experienced repeated head/orbital/eye trauma during "street boxing" several years prior. He denied any previous eye or orbital surgery.
View full case: http://bit.ly/2ItmunS
Age-Related Macular Degeneration (AMD) is the most common cause of blindness in the Western world. Currently, it is estimated that about 2 million Americans are affected by AMD and by the year 2020 it is projected to be closer to 3 million as life expectancy increases and the aging population expands. View tutorial: https://buff.ly/2Eoo1Oc
Age-Related Macular Degeneration (AMD) is the most common cause of blindness in the Western world. Currently it is estimated that about 2 million Americans are affected by AMD and by the year 2020 it is projected to be closer to 3 million as life expectancy increases and the aging population expands...
A 74-year-old diabetic man initially presented with an atypical choroidal nevus in the left eye (OS) that had been followed for several decades; this lesion underwent malignant transformation and grew into a 9 x 7.5 x 2.7 mm choroidal malignant melanoma.
View full atlas entry: https://buff.ly/2st4F4Y
Ocular surface tumors are rare but potentially deadly diseases of the conjunctiva and/or cornea. It is important for ophthalmologists to recognize the characteristics of ocular surface tumors and to have an understanding of their management.
In this tutorial, we will review the diagnosis, pathology, and treatment of the most common ocular surface tumors: https://buff.ly/2DJfZMs
68-year-old female presented to the retina clinic with a history of recurrent hyphema in both eyes (OU). She had multiple instances of spontaneous, non-traumatic hyphema for which she had eventually sought medical attention.
A recent case submission from Medical Retina Fellow, Christy Cunningham, MD, discussing vascular tufts of the pupillary margin: https://buff.ly/2Deepkw
New atlas entry: Macular hole and choroidal rupture
This patient experienced blunt eye injury after bungee cord recoil. Color fundus montage photograph of the right eye shows a macular hole and peripapillary choroidal ruptures extending into the macula. There is subretinal hemorrhage and fluid inferior to the macular hole and in the peripapillary region. Optical coherence tomography (Heidelberg) demonstrates a partial-thickness macular hole with subretinal heme.
Submitted by resident Austin Fox, MD: https://buff.ly/2DKoN4J
What's the diagnosis?
A 43-year-old woman with poor contact lens hygiene presented with two weeks of redness, pain, photophobia, and decreased vision of the right eye (OD). Visual acuity was 20/60 OD, and her anterior segment examination is documented in Figures 1-3.
Atlas entry submitted by resident, Brittni Scruggs, MD, PhD.
UIHC Ophthalmology, 200 Hawkins Drive
Iowa City, IA
52242
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"Residents and Fellows: Mastering the inner game of your first years in practice." Featuring John Pinto
EDTA chelation for band keratopathy. (accompanies case: eyerounds.org/cases/214-band-keratopathy.htm)
The Daisy Project: Black Women's Experiences
Newton Road
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