Grand Rounds
Although every case we see is unique and different, certain cases offer us an opportunity to educate our students and the general public. Such cases will be posted in this section.
CASE #1
A 46 year old male presents to the clinic with complaints of decreased vision in his left eye for the past 3 days. He claims he can still see from the eye, just a little "fuzzy." He reports that his blood pressure and diabetes are both under control with medication.
His best corrected visual acuities were measured as 20/20 in the right eye and 20/40 in his left eye.
A dilated fundus examination and subsequent digital retinal imaging provided the picture found below. What is your diagnosis and what is the treatment plan?
CASE #2
A 27 year old female came into the office for the first time for her yearly eye examination. She wears contact lenses all day and reports no problems. Our usual, thorough examination did uncover a problem.
The picture below is a magnified view of her cornea. What is your diagnosis and treatment plan? (image quality reduced for server issues)
CASE #3
A 78 year old woman presented to see me reporting that she was seeing perfectly the day before, and when she woke up that morning, could not see well from her right eye.
Examination showed that her visual acuities were decreased from the ideal 20/20 to 20/100. Below is the digital image that was taken of her right retina. What is your diagnosis, and what would be the appropriate treatment?
