Out of Sight
As we're coming to the end of an absolutely eyeful Ophthalmology August here at LitFL it's time to bring together all the different ways the 'lights can go out'. Are you ready for the visual loss challenge?
Claude Pouteau
Claude Pouteau (1724–1775) was a French surgeon. First to describe distal radius fracture with 'dorsal tipping of the distal fragment' (Pouteau-Colles)
A Woman of Singular Vision
56 year-old female presents with sudden onset loss of vision in her right eye. PMH hypertension, hyperlipidema. Central retinal vein occlusion, CRVO
A Man of Singular Vision
A 52 year-old man presents with sudden onset loss of vision in his right eye. PMH is notable for hypertension, hyperlipidemia and angina.
Dominic Corrigan
Sir Dominic John Corrigan, 1st Baronet (1802-1880) was an Irish physician. Eponym: Corrigan pulse (1832), Corrigan disease (1832), Corrigan cirrhosis (1836), Corrigan button (1846), and Corrgian sign (1854)
More Befuddling Pupillary Asymmetry
A man presents with a persistent cough... but you notice something wrong with his eyes. Horner syndrome, ptosis, miosis with differentials
I can see clearly now
A man presents with transient monocular loss of vision. Can you make the diagnosis and manage this patient in the emergency department?
Jean-Louis Petit
Jean-Louis Petit (1674-1750) French surgeon. Inventor of the Petit-type tourniquet. First postulated that 'carpal dislocations' were distal radius fractures
The Goggle-eyed Fisherman
A fisherman presents with headache, fevers, left eye pain and swelling and visual disturbance. What is your diagnosis and how will you manage the case?
You’re blind and your hair is a mess
A man presents has sudden onset painless loss of vision and his hair is mess because it was too painful to comb. Can you diagnose and manage this condition?
Stressed and branching out
A med student is stressed out by exams and has a painful red and photophobic eye. At least her cold sores have cleared up... Herpes simplex keratitis
A Gritty Sticky Red Eye
A patient presents with sticky, gritty, red eyes. A common and easy emergency department problem, right? Conjunctivitis?