Asymptomatic Occipital Stroke Uncovered During Work-up For Optic Neuropathy
Save as PDFShock-induced ischemic optic neuropathy is often associated with prior gastrointestinal bleeds, and patients with optic disc pallor should be…
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Editor’s Column #1
Save as PDFWelcome to the first edition of the Journal of Medical Optometry! JoMO is the official journal of the American Board of Certification in Medical Optometry and we are so proud to bring this publication to you. The genesis of this journal is the attempted solution to a problem: the dearth of journals designed for clinical optometrists.
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Neovascular Glaucoma: A Case Report and Literature Review
Save as PDFNeovascular glaucoma is a unique, severe form of glaucoma arising from retinal ischemia. It is often a product of ocular ischemic disorders, such as diabetic retinopathy, ocular ischemic syndrome, and central retinal vein occlusion, all of which may be caused by serious systemic disorders. Neovascular glaucoma must be addressed urgently at onset due to its guarded visual prognosis, the accompanying pain due to the rise in intraocular pressure, and to address the significant underlying systemic etiology.
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A Multidisciplinary Approach in the Management of Hemifacial Spasm
Save as PDFPatients with hemifacial spasm are often misdiagnosed. This is a case report of a patient with eyelid myokymia who presents with worsening symptoms. Proper diagnosis of hemifacial spasm warrants an MRI revealing: microvascular compression displacing the right 7th cranial nerve at the root exit zone. The role of optometrists and different management options are discussed.
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Photo Essay and A Brief Report on New Rhegmatogenous Retinal Detachment Management
Save as PDFThis brief report contrasts the differences between pneumatic retinopexy (PnR), pars plana vitrectomy (PPV), and minimal gas vitrectomy (MGV) in rhegmatogenous retinal detachment (RRD) intervention.
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Conjunctivochalasis: A Report of Two Cases
Save as PDFConjunctivochalasis regularly shares symptomatology with multiple other common ocular surface ailments. Additionally, conjunctivochalasis can exist concomitantly with and exacerbate other ocular surface etiologies of discomfort, complicating timely and proper diagnosis and treatment.
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Subjective Dyschromatopsia as presenting symptom of Neovascular Age-Related Macular Degeneration
Save as PDFSubretinal fluid (SRF) is a possible finding associated with neovascular Age-related Macular Degeneration (AMD). SRF has been implicated as a cause of dyschromatopsia in other retinal conditions, such as Central Serous Chorioretinopathy (CSC), but not commonly in AMD. We report a case of sudden onset subjective dyschromatopsia associated with newly noted subretinal fluid secondary to neovascular AMD.
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Clinical Decision Making is Difficult
Save as PDFHow do we make good decisions for our patients? How do we decide which diagnosis is most appropriate? How do we decide which treatment plan provides the best possible outcome? More fundamentally, how do we decide while uncertain?
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Peripapillary Retinoschisis in a Patient with Severe Primary Open Angle Glaucoma
Save as PDFPeripapillary retinoschisis is a rare finding that may be associated with the progression of primary open angle glaucoma (POAG). Potential pathophysiological mechanisms have been proposed to explain this association, such as acute and chronic increase in intraocular pressure, vitreopapillary traction, and Müller cell dysfunction from optic nerve head deformation. OCT imaging has revealed hyper-reflective strut-like pillars within the schisis cavity described as “bridging structures.” While peripapillary retinoschisis may spontaneously resolve, other strategies may include lowering intraocular pressure, intraocular injections, or pars plana vitrectomy.present a patient with peripapillary retinoschisis incidentally found during a workup for primary open angle glaucoma.
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Principles of Diabetic Care
Save as PDFEvidence shows that lifestyle modifications (LSM), well-timed systemic treatment, and ongoing counseling can prevent diabetes onset and lower the risk of disease complications in diabetic patients.
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