Progressive nyctalopia and tunnel vision in a young man
History of present illness We present a case of a 17-year-old male patient with an unremarkable past medical history referred for progressive nyctalopia and tunnel vision first noted at age…
OPHTHALMOLOGY
Rapid progression of vision loss in a child with pigmentary retinopathy
History of present illness A 9-year-old girl was referred for progressively decreasing central vision with additional impairment of both night and peripheral vision. Examination findings Best-corrected visual acuity was 20/150…
Bilateral peripheral retinal and macular schisis in a young boy
History of present illness A 13-year-old boy presents to the retina clinic for blurry vision in both eyes. The patient’s mother states that the patient has been on topical dorzolamide…
Bilateral progressive severe loss of vision and obesity
History of present illness A 26-year-old man with severe obesity and mild intellectual impairment presents with gradually progressive, severe vision loss of both eyes. He denies floaters, ocular pain, flashes,…
Congenital blindness and retinopathy in a young girl
History of present illness We present a case of a 5-year-old girl with an unremarkable past medical history referred for congenital blindness and retinopathy. There was no reported history of…
Long-standing photophobia, reduced visual acuity, myopia, and dyschromatopsia in a young adult male patient
History of present illness We present a case of a 34-year-old male patient with a chief report of long-standing photophobia associated with reduced visual acuity, myopia, and dyschromatopsia. His vision…
Yellow macular spots in a child
History of present illness A 12-year-old White female child presented around age 7 years with blurred vision, which could not be corrected with glasses, and mild visual distortion (metamorphopsia) of…
Diagnostic Instruments
Introduction The purpose of this chapter is to review a number of the clinical instruments that are of utility in the preliminary examination and ongoing care of contact lens patients….
Post-surgery
Introduction After corneal surgery, contact lenses may be indicated to provide improved optical correction or therapeutic ocular surface protection. Optical indications include the correction of irregular or high regular astigmatism,…
