Ophthalmology/Eye Institute

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 Department of Ophthalmology Case Studies

 

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Exam:

Visual Acuity (cc):
OD: 20/70
OS: 20/20

IOP:
OD: 62
OS: 11

Extraocular Movements: Intact

Pupils: Right pupil mildly dilated, sluggishly responsive to light. Left normal

Confrontational visual fields: Normal OU

Amsler Grid:
OD: Blurred throughout
OS: Normal

Slit Lamp:
Lids and Lashes: Normal OU
Conjunctiva/Sclera: Injected conjunctiva OD, Normal OS
Cornea: Normal OS, OD demonstrates corneal edema
Anterior Chamber – Shallow anterior chamber OD, normal depth OS,
Iris: Iris appears pushed forward OD, normal OS
Lens: Normal OU
Anterior Vitreous – Normal OU
Gonioscopy: Closed angle right eye, demonstrating iris bombe (bulging of the peripheral iris). Left eye demonstrates a narrow angle, but no apparent obstruction of the trabecular meshwork.

Dilated Fundus Examination:
OD: Hazy view through edematous cornea, CDR (cup to disc ratio) 0.3, no AV nicking, macula normal, periphery normal with no signs of retinal breaks or detachments.
OS: CDR0.3, no AV nicking, macula normal, periphery normal with no signs of retinal breaks or detachments.
 

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