Category: Systemic Disease

Charles Bonnet Syndrome Precipitated by Brimonidine Tartrate

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Charles Bonnet Syndrome (CBS) induced by brimonidine tartrate ophthalmic solution has rarely been reported. CBS is a condition characterized by visual hallucinations in patients with vision loss and clear cognition. This condition is more prevalent in the elderly population, between the ages of 75 and 84 years old.

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Sarcoid-Induced Uveitis: A Tattooed Journey

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When a patient presents with an anterior uveitis that is suspicious for a systemic etiology, it is important to explore all areas of clinical care to determine the cause. Traditionally, the initial approach is to perform an appropriate lab work-up. Beyond this, areas of specialty that are typically considered include rheumatology, radiology, and infectious disease. However, this case report will present a patient that required intervention from dermatology to confirm the source of ocular inflammation.

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Complications of a Giant Cavernous Carotid Artery Aneurysm

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Cavernous carotid aneurysms (CCAs) differ from other intracranial aneurysms in that most are asymptomatic and are generally considered benign as there is a low risk of rupture. More common than complications from rupture are complications from the mass effect of the aneurysm itself on nearby structures.1,2 This report describes a case of a giant right CCA that progressed in size despite multiple surgical repairs that resulted in near- complete ophthalmoplegia and neurotrophic keratitis which led to a perforated corneal ulcer and subsequent enucleation.

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Atypical optic neuritis resulting in a diagnosis of MOGAD

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The most common systemic cause of optic neuritis continues to be multiple sclerosis.1 However, within the past decade other less common causes have been identified, such as neuromyelitis optica spectrum disorder and myelin oligodendrocyte antibody-associated disease. Previously, patients presenting with these conditions were likely grouped into having multiple sclerosis. Today, thankfully, advancements in laboratory testing and increased knowledge of the central nervous system have allowed them to be identified as distinct nosological entities. Identifying the cause of optic neuritis has many important implications, namely the ability to give an accurate prognosis, both visually and systemically.

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Dr. Provost graduated from New England College of Optometry in 2022 and then completed an ocular disease residency at VA…
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Dr. Kelly graduated from the University of Houston College of Optometry. She completed an ocular disease/primary care residency at The…
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Dr. Crist graduated from The Ohio State University College of Optometry and completed an ocular disease residency at VA Central…
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Dr. Doubt graduated from the Ohio State University with a dual degree of Doctorate of Optometry and Masters of Vision…
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Dr. Rebecca Czerwinski earned her Doctor of Optometry degree from Pacific University in 2002 and went on to complete a…
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Dr. Kalec graduated from the University of Houston College of Optometry in 2022. The next year he completed a residency…
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Dr. Rett is the Editor-in-Chief of the Journal of Medical Optometry and the secretary for the American Board of Certification…
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Dr. Carr is a 2016 PCO graduate and completed residency in 2017 at the Wilmington VA Medical Center in Wilmington,…
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Emily Carell graduated from the New England College of Optometry in 2011. She is currently an attending optometrist at VA…
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Dr. Azieva graduated with her Doctor of Optometry degree from SUNY College of Optometry, where she also completed a Master…
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Dr. Koskey graduated from the Illinois College of Optometry and completed her ocular disease residency at the Captain James A.…
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Dr. Gottehrer completed her Ocular Disease residency in 2017 and her fellowship from American Academy of Optometry in 2018. She…
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Dr. Kane graduated from New England College of Optometry in 2015 and went on to complete an ocular disease/primary care…
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Dr. Klute owns and practices at Good Life Eyecare, a multi-location practice in Eastern Nebraska and Western Iowa. He is…
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The author received his MS and PhD at the University of Iowa. He and his wife traveled to Tbilisi (Georgia)…
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Dr. Marlin John received his Optometric degree from SUNY College of Optometry and completed residency training in ocular disease and…
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Dr. Natarajan graduated from the University of Missouri St. Louis College of Optometry in 2018. She then completed an ocular…
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Dr. Rogers attended Illinois College of Optometry, and completed her residency there in Primary Care & Ocular Disease. She currently…