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. Ana Bonaldi earned her optometry degree from MCPHS, where she graduated salutatorian, and completed an ocular disease residency at…
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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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Emily Humphreys is an Assistant Professor of Clinical Optometry at the New England College of Optometry (NECO). In addition to…
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John Conto, OD, Dipl. AAO completed his optometric training at the Pennsylvania College of Optometry and finished a residency in…
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Jamie Hogan, OD, Dipl AAO, graduated from the Illinois College of Optometry and completed her Primary Care Optometry residency at…
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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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Dr. Wittendorf is a 2020 graduate of the Michigan College of Optometry. Upon graduation, she completed an ocular disease residency…
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Dr. Liette graduated from The Ohio State University College of Optometry and completed his ocular disease residency at the Chalmers…
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Dr. Cummings graduated from the University of Missouri St. Louis College of Optometry in 2019 and went on to complete…
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Dr. Kim is the residency coordinator at the Captain James A. Lovell Federal Health Care Center. She is also adjunct…
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Dr. Panchal graduated from Pennsylvania College of Optometry in 2019 and completed an ocular disease, low vision and specialty contact…
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Dr. Njeru is a staff optometrist at the Chillicothe VA Medical Center. He graduated from The Ohio State University: College…
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Dr. Le received her optometry degree from Pennsylvania College of Optometry at Salus University in 2005. After graduation, she served…
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Dr Shust got her undergraduate degree in microbiology at Penn State University and then went on to study at the…