|
|
|
|
|
|||
|
DIGITAL GRAND ROUNDS
Patient with Poor Vision Edited by Walt Mayo, O.D.
A 48-year-old white female presented with a diagnosis of orbital lymphoma affecting the right orbit. She was referred for a baseline exam since she was to receive treatment soon. She reported that her vision had been poor in the
right eye for nine years, that a previous doctor told her of a problem with the peripheral vision in the left eye, and that it might be retinitis pigmentosa.
How would you approach this case? Read on for further details about the visit. Then test your clinical skills by calling the Digital Grand Rounds phone line or by
accessing our web page at www.optcom.com and clicking on "Digital Grand
Rounds." It is Case No. 86. The patient's visual acuities were 20/400 O.D. and 20/20 O.S. The dilated fundus exam O.D. is shown in the accompanying photo. The peripheral retina O.D. was
normal except for a small area of RPE hypertrophy at the ora serrata. The periphery O.S. revealed 360 degrees of RPE changes that included linear atrophic lesions
shown in the photo at right. This patient has a problem that precedes her orbital lymphoma. What is your diagnosis? How would you manage this patient? Are there any additional tests that you would like to perform?
For answers, follow the instructions in the box below. This case was provided by Thomas J.W. Stokkermans, O.D., Ph.D., staff optometrist with
University Ophthalmologists Inc. and a faculty member at Case Western Reserve University School of Medicine in Cleveland.
Dr. Mayo, a private practitioner in Georgetown, S.C., is technology director for the Southern Council of Optometrists. You may contact him at |
|||
TWO WAYS TO GET YOUR ANSWER Check your diagnosis on our web site: Check your diagnosis by phone: Cost of the call depends on long-distance rates from your area. |
|||
|
|||
| | | | | | | |
