Open Access. Powered by Scholars. Published by Universities.®
Adult and Continuing Education and Teaching Commons™
Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Health and Physical Education (40)
- Medicine and Health Sciences (39)
- Optometry (39)
- Other Education (38)
- Other Medicine and Health Sciences (38)
-
- Other Teacher Education and Professional Development (37)
- Diseases (4)
- Eye Diseases (4)
- Medical Specialties (3)
- Ophthalmology (2)
- Adult and Continuing Education (1)
- Analytical, Diagnostic and Therapeutic Techniques and Equipment (1)
- Anatomy (1)
- Bioinformatics (1)
- Business (1)
- Educational Leadership (1)
- Emergency Medicine (1)
- Health Information Technology (1)
- Health and Medical Administration (1)
- Higher Education (1)
- Higher Education and Teaching (1)
- Life Sciences (1)
- Medical Pharmacology (1)
- Medical Sciences (1)
- Neoplasms (1)
- Nervous System Diseases (1)
- Online and Distance Education (1)
- Keyword
-
- Editorial (9)
- Covid-19 (5)
- Optometrists (4)
- COVID-19 (3)
- Pandemics (3)
-
- Strabismus (3)
- Basal cell carcinoma (2)
- Biopsy (2)
- Book Review (2)
- Evidence-based (2)
- Humans (2)
- Male (2)
- Neuroimaging (2)
- Optometry (2)
- Pandemic (2)
- Prism (2)
- Public Health (2)
- Public health (2)
- SARS-CoV-2 (2)
- Telemedicine (2)
- Vision Disparity (2)
- Abducens Nerve Diseases--diagnostic imaging, Cranial Nerve Diseases--diagnostic imaging (1)
- Aberrant Regeneration (1)
- Absence of Septum Pellucidum (1)
- Acquired diplopia (1)
- Acute (1)
- Acute syphilitic chorioretinopathy (1)
- Adenocarcinoma (1)
- Adenocarcinoma of unknown primary (1)
- Adolescent (1)
- Publication Type
Articles 1 - 30 of 41
Full-Text Articles in Adult and Continuing Education and Teaching
Sagging Eye Syndrome--An Overlooked Diagnosis, Zachary Tlumak Od, Theresa Zerilli-Zavgorodni Od, Nancy Shenouda-Awad Od
Sagging Eye Syndrome--An Overlooked Diagnosis, Zachary Tlumak Od, Theresa Zerilli-Zavgorodni Od, Nancy Shenouda-Awad Od
Optometric Clinical Practice
Abstract
Background: Sagging Eye Syndrome (SES) is a relatively unknown cause for binocular distance diplopia. SES presents with an acquired comitant or non-comitant small angle esotropia and/or hypotropia commonly occurring in the elderly population. Inferior displacement of the lateral rectus secondary to age-related degeneration of orbital connective tissue and extraocular muscles appears to be responsible for the ocular misalignment. SES patients often present with new onset or progressively worsening distance diplopia, typically warranting neuroimaging. However, through understanding SES, eye care practitioners may identify these cases, avoiding unnecessary imaging studies. Case Report: A 90-year-old male presented with complaints of intermittent horizontal …
Pupil Involving Oculomotor Palsy- Examination, Cause And Outcome, Robert Binkley Od, Karen Neal Od
Pupil Involving Oculomotor Palsy- Examination, Cause And Outcome, Robert Binkley Od, Karen Neal Od
Optometric Clinical Practice
BACKGROUND: A patient with a third cranial nerve (CN III) palsy can be a stress inducing event for an optometrist due to the potentially life-threatening etiologies and infrequency of their presentation. The pathogenesis of a CN III palsy can vary from innocuous to life threatening. Palsy of the third cranial nerve results in an impairment of eye movement and / or pupillary response to light depending on the extent of the palsy. CASE REPORT: This case reviews a recent onset of a complete right oculomotor palsy. Literature of similar cases detail the likelihood of variable causes, and while a diagnostic …
The Art Of Prescribing Low Amounts Of Prism: Basic Clinical Applications, Leonard J. Press Od
The Art Of Prescribing Low Amounts Of Prism: Basic Clinical Applications, Leonard J. Press Od
Optometric Clinical Practice
Expanding the Box
It's How You Ask The Question....., Paul Freeman Od
It's How You Ask The Question....., Paul Freeman Od
Optometric Clinical Practice
Letter from the Editor
Book Review: The Paradox Of The Immune System: Protection, Chronic Inflammation, Autoimmune Disease, Cancer, And Pandemics, Lourdes A. Fortepiani, Md, Phd
Book Review: The Paradox Of The Immune System: Protection, Chronic Inflammation, Autoimmune Disease, Cancer, And Pandemics, Lourdes A. Fortepiani, Md, Phd
Optometric Clinical Practice
Book Review:
Pandemics, Artificial Intelligence, Optometrists, COVID-19, Immune System Diseases, inflammation
Limitations Of Telemedicine Vs. Face-To-Face Eye Examination In A Patient With New Headaches, Joseph Hallak, Od, Danielle Kalberer, Od
Limitations Of Telemedicine Vs. Face-To-Face Eye Examination In A Patient With New Headaches, Joseph Hallak, Od, Danielle Kalberer, Od
Optometric Clinical Practice
Background: During the emergence and rise of COVID-19, precaution directives and limitations on in-person eye examinations re-routed a significant portion of care to telemedicine and virtual modalities. While these technologies allowed for healthcare communications that otherwise could not occur during such trying times, there are major limitations to these sanctioned applications. This report will present a seemingly benign case that could have easily been re-routed from an in-person examination to a telemedicine version due to the patient’s seemingly “routine” vision complaints.
Case Report: A 50-year-old male patient contacted the eye clinic with a complaint of a minor, new, unexplained headache …
Ocular Manifestations Of Septo-Optic Dysplasia, Rena Cappelli, Od, Tiffany Tucker Christiansen, Od, Danielle Vance Taylor, Od
Ocular Manifestations Of Septo-Optic Dysplasia, Rena Cappelli, Od, Tiffany Tucker Christiansen, Od, Danielle Vance Taylor, Od
Optometric Clinical Practice
Background: Septo-optic dysplasia (SOD) is a congenital deformity of the brain which can result in neurologic, systemic, and physical malformation.Due to the proximity of these deformities to the optic chiasm and optic nerves, ocular manifestations are common.
Case Report: A 28-year-old male with a long-standing history of reduced vision presented for a routine eye examination. Upon examination he was found to have an afferent pupillary defect, bilateral optic nerve pallor with corresponding nerve fiber layer thinning by optical coherence tomography. Humphrey visual field testing revealed a bi-temporal visual field defect. Neurological imaging was obtained with a subsequent diagnosis …
Acute Syphilitic Posterior Placoid Chorioretinitis; A Case Report And Review, Kristin Wilson, Od, Amy Garbo Maxey, Od
Acute Syphilitic Posterior Placoid Chorioretinitis; A Case Report And Review, Kristin Wilson, Od, Amy Garbo Maxey, Od
Optometric Clinical Practice
Background: Acute syphilitic posterior placoid chorioretinopathy (ASPPC) is a rare but defining characteristic of ocular syphilis. Clinical findings are subtle, geographic, yellowish, macular lesions, affecting the outer-retina and inner choroid, and often associated with subretinal fluid in the early phase. This case report will review the clinical signs of ASPPC to aid the practitioner in identification and recognition of its clinical importance as it relates to early diagnosis, treatment and prognosis.
Case Report: A 79-year-old African American male presented to clinic with a chief complaint of blur in the right eye for the past two days. Spectral Domain Optical Coherence …
Optic Disc Drusen Resulting In Disqualifying Field Loss, Robert C. Binkley, Od
Optic Disc Drusen Resulting In Disqualifying Field Loss, Robert C. Binkley, Od
Optometric Clinical Practice
Background: Optic nerve (or disc) drusen is the presence of hyaline bodies at the optic nerve head. The drusen may be visible upon funduscopic examination or may present as buried. Timely diagnosis and responsible imaging may help inform the patient of the potential for future concerns. The long-term prognosis is good for most patients, however, they may experience progressive peripheral vision loss that may reduce the patient’s quality of life. Neuroprotective options have previously been discussed with minimal clinical effectiveness, however, new medications may aid in future treatment.
Case Report: A patient presenting with mild and slowly progressing vision loss …
You Can Lead A Horse To Water, Paul B. Freeman, Od
You Can Lead A Horse To Water, Paul B. Freeman, Od
Optometric Clinical Practice
Letter from the Editor
An Autoethnograpy Of A Baby Boomer In Higher Education: Challenges And Catalysts For Change, Deborra Finlan
An Autoethnograpy Of A Baby Boomer In Higher Education: Challenges And Catalysts For Change, Deborra Finlan
Theses & Dissertations
Higher education as a baby boomer brings mental, physical, and economic adjustments, concerns, and insecurities. Additionally, life delivers unexpected challenges and barriers which can cause hardships requiring various types of motivation. Fortunately, there are also catalysts which can contribute toward successes. Literature from four major elements were the focus in this study: motivation, adult learning, challenges, barriers, and catalysts. Theorists and theories included Vroom’s expectancy theory of motivation with the added factor of cost, and Ryan and Deci’s theory on self-determination; Mezirow’s transformative learning and Knowles’s self-directed learning; Cross’s theory on educational barriers—situational, dispositional, and institutional; and Cobb’s social support …
Thank You To Our 2021-2022 Reviewers, Paul B. Freeman Od
Thank You To Our 2021-2022 Reviewers, Paul B. Freeman Od
Optometric Clinical Practice
Thank you 2021-2022 Reviewers!
Book Review: Applied Concepts In Vision Therapy 2.0, Paul B. Freeman Od
Book Review: Applied Concepts In Vision Therapy 2.0, Paul B. Freeman Od
Optometric Clinical Practice
Press LJ, Taub MB, Schnell PH. Applied Concepts in Vision Therapy 2.0. Santa Ana: Optometric Extension Program; 2022, $159.00, 543 pages, Paperback, ISBN: 9780929780542
Ischemic Cranial Nerve Iii Palsy: Diagnosis, Management, And Follow-Up, Brittney M. Brady Od
Ischemic Cranial Nerve Iii Palsy: Diagnosis, Management, And Follow-Up, Brittney M. Brady Od
Optometric Clinical Practice
Background: Acquired cranial nerve III palsies (CN3P) can be ischemic in nature due to underlying vasculopathy, trauma, or by compressive damage due to aneurysm or tumor. In most cases, neuroimaging is completed to rule out a life-threatening etiology. This case outlines an acute oculomotor palsy due to ischemic microvascular disease with the appropriate diagnostic testing, treatment, and follow-up course.
Case Report: A 67-year-old African American female presented with complaints of a drooping left eyelid and intermittent diagonal diplopia. She had a known diagnosis of type 2 diabetes and hypertension. Entering visual acuity was 20/25-1 in the right eye (OD) and …
Occult Adenocarcinoma Presenting As Presumed Periorbital Cellulitis, Kirk Halvorson Od, Jonathon Thomas Od, Jennifer Prunty Od, Omaya H. Youssef Md, Mba
Occult Adenocarcinoma Presenting As Presumed Periorbital Cellulitis, Kirk Halvorson Od, Jonathon Thomas Od, Jennifer Prunty Od, Omaya H. Youssef Md, Mba
Optometric Clinical Practice
Background: Orbital tumors are uncommon entities seen by optometrists. They may initially present as common, benign conditions, but if not appropriately diagnosed can lead to devastating results.
Case Report: This case report demonstrates an atypical presentation of adenocarcinoma that was initially diagnosed as preseptal cellulitis. The patient in this case was ultimately referred for imaging and biopsy to reveal the correct diagnosis. Despite treatment, this patient died about 1 year after his clinical presentation.
Conclusion: The detection of orbital tumors and the subsequent management of patients with orbital tumors can be challenging. When considering orbital tumors as a possible diagnosis, …
Diagnosis And Excision Of A Solitary Trichoepithelioma, Leonid Skorin Jr., Do, Od, Ms
Diagnosis And Excision Of A Solitary Trichoepithelioma, Leonid Skorin Jr., Do, Od, Ms
Optometric Clinical Practice
Abstract
Background: Solitary trichoepithelioma is a rare benign tumor of hair follicle origin. Although trichoepithelioma has a predilection for the face and neck, it is not usually found on the eyelids. It has similar clinicopathological features to basal cell carcinoma. Surgical excision and histopathologic analysis is helpful for correct diagnosis.
Case Report: A 59-year-old Caucasian female presented with a raised, reddish oval mass on the right lower eyelid. The mass had telangiectatic blood vessels on its surface, was non-pigmented and slightly umbilicated. It was in close approximation of the eyelid margin causing distortion and poor apposition of the lid to …
A Reactivation Of Ocular Toxoplasmosis During Pregnancy, Brett Garee Od, Ms, Sarah Dieter Od, Pete Liette Od
A Reactivation Of Ocular Toxoplasmosis During Pregnancy, Brett Garee Od, Ms, Sarah Dieter Od, Pete Liette Od
Optometric Clinical Practice
Background: Toxoplasma gondii is a parasite estimated to affect over 500 million people worldwide. The feline is the definitive host for the parasite and infection may be acquired or congenital via maternal transmission. Humans may acquire the infection by ingestion of raw or undercooked meats and vegetables, contaminated water, or exposure to infected cat feces. The infection is often benign, self-limiting, and asymptomatic for humans, but potentially life threatening to infants or the immunocompromised patient.
Case Report: A 22 year-old Caucasian female, pregnant at 12 weeks gestation, presented to the optometry service with acute symptoms of hazy vision …
Just When You Thought It Was Safe To Go Back In The Water, Paul B. Freeman Od
Just When You Thought It Was Safe To Go Back In The Water, Paul B. Freeman Od
Optometric Clinical Practice
Letter from the Editor
Book Review: The Ophthalmic Laser Handbook, William L. Miller Od, Ms, Phd
Book Review: The Ophthalmic Laser Handbook, William L. Miller Od, Ms, Phd
Optometric Clinical Practice
Book Review: Freisberg L, Lighthizer N, Skorin, Jr. L, Stonecipher K, and Zimmerman A. The Ophthalmic Laser Handbook. First Edition. Wolters Kluwer Health; 2021. $102.00, 350 pages, Paperback ISBN: 978-1975170172, e-book ISBN: 978-1975170219
Case Report: Bartonella Quintana-Associated Neuroretinitis, Kelly Seidler Od, Kelly A. Malloy Od
Case Report: Bartonella Quintana-Associated Neuroretinitis, Kelly Seidler Od, Kelly A. Malloy Od
Optometric Clinical Practice
Background: Neuroretinitis is a self-limiting condition which typically causes monocular vision loss with good potential for visual recovery. It may be idiopathic or associated with infectious or inflammatory conditions which can carry systemic implications. Neuroretinitis classically presents with disc edema followed by development of a macular star pattern of exudates. It is most commonly attributed to Cat Scratch Disease, or Bartonella henselae infection. However, there have been few published reports of Bartonella quintana associated neuroretinitis.
Case Report: A 60-year-old patient presented with unilateral vision loss preceded by flu-like illness. The patient had exposure to a recently adopted cat. …
Bilateral, Full-Thickness Macular Holes While Undergoing Chemotherapy, Sarah Dieter Od, Brett Garee Od Ms, Susan Zacatelco Od, Julie Henry Od
Bilateral, Full-Thickness Macular Holes While Undergoing Chemotherapy, Sarah Dieter Od, Brett Garee Od Ms, Susan Zacatelco Od, Julie Henry Od
Optometric Clinical Practice
Background: Bilateral, full-thickness macular holes are a rare condition that can substantially affect quality of life. Macular hole diagnosis and treatment is key for these patients.
Case Report: A 71 year old Caucasian male presented with a chief complaint of distance blur in both eyes, worsening over the past 1-2 weeks. He had no diagnosis of diabetes. He added that his prostate cancer had spread and that his last treatment ended 9 days ago. He was ultimately diagnosed with bilateral, full-thickness macular holes. Referral to a retinal specialist for surgical management yielded good results.
Conclusion: This is …
Cefuroxime-Induced Toxic Maculopathy: A Cataract Co-Management Conundrum, Leonid Skorin Jr., Do, Od, Ms
Cefuroxime-Induced Toxic Maculopathy: A Cataract Co-Management Conundrum, Leonid Skorin Jr., Do, Od, Ms
Optometric Clinical Practice
Background: Cefuroxime-induced toxic maculopathy can occur when an incorrect dilution is injected intracamerally after cataract surgery. This results in a guarded visual prognosis. Cefuroxime-induced toxic maculopathy can also occur sporadically even when the medication dilution is the standard correct dosage. These patients usually recover their vision by the first postoperative week.
Case Report: A 72-year-old Caucasian female developed cefuroxime-induced toxic maculopathy after uneventful cataract surgery. Investigation of the case confirmed that she had a sporadic response to the cefuroxime. It was verified that she received the standard correct dilution of cefuroxime intracamerally. The patient showed a significant improvement in her …
Medication-Induced Oculomotor Dysfunction: A Report Of Two Cases, Eric Lee Od
Medication-Induced Oculomotor Dysfunction: A Report Of Two Cases, Eric Lee Od
Optometric Clinical Practice
Background: Consideration of current medications and their interactions as a source of new onset oculomotor dysfunction is imperative for providing good eye care. Medication etiology should be particularly suspected when the symptoms begin with the initiation of a new medication and resolved with discontinuation of the same medication.
Case Reports: Presented are two cases demonstrating that it is prudent to be aware of medications capable of inducing oculomotor dysfunction. Each case reveals instances of acute oculomotor dysfunction after the initiation of a central nervous system affecting medication. Case 1 details a partial pupil sparing third nerve palsy after initiating the …
It’S As Easy As Learning To Fly A Plane, Paul B. Freeman Od
It’S As Easy As Learning To Fly A Plane, Paul B. Freeman Od
Optometric Clinical Practice
Letter from the Editor-in-Chief
Thank You Reviewers, Paul B. Freeman Od
Thank You Reviewers, Paul B. Freeman Od
Optometric Clinical Practice
Thank you to all the reviewers!
Conjunctival Intraepithelial Neoplasia: A Case Report, Christopher Bugajski Od
Conjunctival Intraepithelial Neoplasia: A Case Report, Christopher Bugajski Od
Optometric Clinical Practice
Background: Gelatinous, vascularized lesions of the conjunctiva are a subset of ocular surface tumors that are derived from various cell types. The more worrisome origins include diagnoses of conjunctival intraepithelial neoplasia (CIN) and squamous cell carcinoma (SCC). Topical treatments such as mitomycin-C, 5-fluorouracil, and interferon alfa-2b are now used as single therapy or in conjunction with surgical excision.
Case Report: This case features a 78-year-old Caucasian male with CIN treated with surgical removal and topical interferon alfa-2b. In addition to discussing the details of this case, this report highlights important caveats of the treatment and management of the …
Choroidal Melanoma: Screening For Metastasis And Frequency Of Incidental Second Primary Cancer Diagnosis., Ethan Leyda Od
Choroidal Melanoma: Screening For Metastasis And Frequency Of Incidental Second Primary Cancer Diagnosis., Ethan Leyda Od
Optometric Clinical Practice
Background: Choroidal melanoma is the most common primary intraocular malignancy in adults. This case report reviews clinical diagnostic features, imaging techniques, treatment, prognosis, and systemic work-up of choroidal melanomas. It also addresses choroidal melanoma metastasis and the incidental finding of second primary cancers through whole-body screening.
Case Report: A 71-year-old white male reported to the Cleveland VA Medical Center optometry retina clinic for a second opinion exam of an asymptomatic choroidal lesion in the right eye. The lesion was a 6 mm gray choroidal mass in the inferior peripheral fundus, with orange pigmentation, retinal pigmented epithelial hypertrophy along the superior …
Ocular Characteristics Of Non-Covid-19 Patients: A Retrospective Study Of Time-Sensitive Ophthalmic Care During The Pandemic, Yun-Ping Moore Od, Laura Ward Msph, Farah Gulaid Od, Susan A. Primo Od, Mph
Ocular Characteristics Of Non-Covid-19 Patients: A Retrospective Study Of Time-Sensitive Ophthalmic Care During The Pandemic, Yun-Ping Moore Od, Laura Ward Msph, Farah Gulaid Od, Susan A. Primo Od, Mph
Optometric Clinical Practice
Purpose: To analyze the cohort of clinical patients seen during the COVID-19 pandemic shutdown at Emory Eye Center in comparison with prior weeks.
Method: We conducted a retrospective chart review from three outpatient clinical sites over a period of eighteen weeks, which covered pre-COVID-19 dates as well as the dates of when our clinics were closed near the beginning of the COVID-19 pandemic. We utilized data from providers assigned to daily triage coverage for in-person exams. Primary diagnosis and visit type data were extracted to look for trends and commonalities among urgent or time-sensitive patients.
Results: For the nine weeks …
Dean's View, Timothy Wingert Od
Dean's View, Timothy Wingert Od
Optometric Clinical Practice
Dean of University of the Incarnate Word-Rosenberg School of Optometry shares insight.
Perfect Storm, Paul B. Freeman Od
Perfect Storm, Paul B. Freeman Od
Optometric Clinical Practice
Letter from the Editor-in-Chief