March 10, 2010

Interesting Optho Cases

Here's some of the cases that I had on my Optho service.  Really, that should be "Ophthal" cases, but no one seems to pronounce the "ph" anyhow.  I'm not sure if this is of interest to anyone else, but reviewing this list helps me remember what I've seen. 


Most interesting/unexpected

  • Ruptured globe -> repair -> enucleation to prevent sympathetic ophthalmia
  • Herpes zoster opthalmicus
  • Narrow angle glaucoma s/p laser peripheral iridotomy (visible via retroillumination!)
  • Congenital cataracts, amblyopia
  • Anterior uveitis, HLA B27(+), tx w/ MTX
  • Anterior uveitis, secondary to psoriatic arthritis (striking case of dactylitis!)
  • Exposure keratopathy secondary to CN VII palsy s/p parotid tumor resection
  • Pterygium vs pinguecula
  • Grave's ophthalmopathy
  • CN IV palsy secondary to meningioma
  • Metallic foreign body removal (rust from car) w/ 18 gauge needle, wet Q-tip and Algr brush

Routine but important!

  • Corneal abrasions vs ulcers
  • Floaters and flashes: vitreous detachment vs retinal detachment vs ocular migraine
  • Conjunctival stye vs chalazion
  • Background vs proliferative diabetic retinopathy
  • Open angle glaucoma
  • Age-related Macular Degeneration
  • YAG laser
  • Cataract surgery

Glad that Ophthalmologists Know What the Heck they are Looking at

  • Pseudophakic bullous keratopathy
  • Choroidal melanoma s/p proton beam radiation
  • Pigmented basal cell carcinoma
  • Irvine-Gass cystoid macular edema secondary to atopy and cataract surgery

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