Case Challenge 15 – March 2021

Left ptosis and miosis Neck incision following parathyroid surgery A 73-year-old woman presented urgently with a sudden left ptosis. She noticed it immediately after undergoing parathyroid surgery to remove 3 adenomas the day before. At first, she and her family...

Case Challenge 14 – February 2020

An 82 year old man presented complaining of a moderately painful left eye of approximately 2-week duration. He was both diabetic and hypertensive.  He was 20/25 OD and bare light perception OS. His intraocular pressure (IOP) was 23 mm Hg OD and 62 mm Hg OS. His left...

Case Challenge 13 – November 2019

A case of very high pressure A 21-year-old woman was referred for assessment of elevated intraocular pressure (IOP). She did not recall the IOP level, nor did she bring any referral form from her previous doctor. She presented in no acute distress and had no ocular...

Case Challenge 12 – September 2019

A 37-year-old woman presented for a glaucoma evaluation and ongoing care. She had previously been diagnosed with glaucoma approximately 3 years earlier and was using bimatoprost 0.01% OU QHS. She had not had any care for the past year. Her visual acuity was 20/20 in...

Case Challenge 11 – July 2019

A 57 year old asymptomatic woman was referred for a glaucoma evaluation due to elevated intraocular pressure (IOP). Her visual acuity was 20/20 in each eye and pupils were normal without afferent defect. Her IOP was 25 mm Hg OD and 24 mm Hg OS. Her optic nerves were...

Case Challenge 10 – May 2019

A 46-year-old woman presented for a scheduled IOP check and visual field as a glaucoma suspect. She had a history of breast cancer 5 years earlier and was using tamoxifen. She reported that she got some cleaning fluid in her right eye 4 weeks earlier. She said that...