Ophthalmology

Internuclear Ophthalmoplegia. Eyes Right Unannotated. JETem 2024

The Clue is in the Eyes. A Case Report of Internuclear Ophthalmoplegia

Cooper Nickels, DO*, Christy Keyes, MD*, Caroline Astemborski, MD, MEHP* and Haley Fulton, BS^

DOI: https://doi.org/10.21980/J8DP9M Issue 9:1[mrp_rating_result]
There was no appreciable esotropia or exotropia noted on straight gaze (yellow arrows). On extraocular muscle examination, patient was noted to have a complete left medial rectus palsy consistent with a left internuclear ophthalmoplegia (red arrow). This was evidence by both eyes easily gazing left (green arrows); however, with rightward gaze, her left eye failed to gaze past midline (red arrow).
Visual EMNeurologyOphthalmology
CRAO Exam. JETem 2023

Sonographic Retrobulbar Spot Sign in Diagnosis of Central Retinal Artery Occlusion: A Case Report

Emiliya Usheva, MD*, Dustin Williams, MD^, Haley Musgrave, MD† and Scott Zhou, MD**

DOI: https://doi.org/10.21980/J8735P Issue 8:4[mrp_rating_result]
The bedside ocular ultrasound (B-scan) was significant for small, hyperechoic signal (white arrow) in the distal aspect of the optic nerve, concerning for embolus in the central retinal artery. Subsequent direct fundoscopic exam was significant for a pale macula with cherry red spot (black arrow), consistent with central retinal artery occlusion (CRAO).
OphthalmologyUltrasoundVisual EM
Mucormycosis. Photograph 2. JETem 2023

A Case Report of Invasive Mucormycosis in a COVID-19 Positive and Newly-Diagnosed Diabetic Patient

Konnor Davis, BS*, Roy Almog, MD^, Yuval Peleg, MD, MBA^ and Lindsey Spiegelman, MD, MBA^

DOI: https://doi.org/10.21980/J81M1G Issue 8:3[mrp_rating_result]
On physical exam, when the patient was asked to try and look to her right, the right eye failed to move laterally/abduct (blue arrow). Additionally, when asked to look straight ahead, the eye was slightly adducted (red arrow). There was a lack of motion of the right eye in abduction when the patient was asked to look to her right (yellow arrow).
Infectious DiseaseOphthalmologyVisual EM
Creative Commons images

Case Report of Herpes Zoster Ophthalmicus with Concurrent Parotitis

Serena Tally, BS*, Michelle Brown, DO* and Edmund Hsu, MD*

DOI: https://doi.org/10.21980/J8R93N Issue 8:2[mrp_rating_result]
The presence of soft tissue stranding about the parotid gland suggested an underlying inflammatory or infectious process of the parotid gland. Cellulitis was considered as a possible diagnosis as well, given the presence of soft tissue stranding in the dermis that is adjacent to the parotid gland. Fortunately, no enhancement was seen in local muscles, fascia, or bones to suggest a myositis, fasciitis, or osteomyelitis. By using the anatomy of the patient and understanding the changes that occur on CT when inflammation is present, the appropriate depth and location of infection can be made, allowing for appropriate treatment regimens.
Visual EMInfectious DiseaseOphthalmology

Use of An Ophthalmology Tutorial to Improve Resident Comfort with the Emergency Eye Exam

Jessica Pelletier, DO*, John Facciani, MD^, Francesca Gines, COA^ and Damon Kuehl, MD*

DOI: https://doi.org/10.21980/J86H0M Issue 7:4[mrp_rating_result]
By the end of this small group didactic, learners will be able to: 1) demonstrate ability to focus on the various components of the slit lamp exam 2) demonstrate understanding of a systematic approach to the eye exam 3) demonstrate appropriate use of the Diaton, iCare, and Tonopen tonometers.
OphthalmologySmall Group Learning
Creative Commons images

Vitreous Hemorrhage Case Report

Mary Rometti, MD*, Laryssa Patti, MD* and Christopher Bryczkowski, MD*

DOI: https://doi.org/10.21980/J88D3B Issue 7:3[mrp_rating_result]
Point of care ultrasound (POCUS) revealed hyperechoic material in the vitreous consistent with a vitreous hemorrhage. On the ultrasound images, there is visible hyperechoic debris seen floating in the vitreous as the patient moves his eye. Since the vitreous is typically anechoic (black) in color on ultrasound, turning up the gain on the ultrasound machine makes these findings easier to see and often highlights abnormalities, such as this hemorrhage (see annotated still).
OphthalmologyUltrasoundVisual EM
Creative Commons images

Case Report of a Man with Right Eye Pain and Double Vision

Nicolas Kahl, MD* and Maria Pelucio, MD*

DOI: https://doi.org/10.21980/J8KW7G Issue 7:1[mrp_rating_result]
ABSTRACT: A 39-year-old previously healthy male presented with three days of right eye pressure and one day of binocular diplopia.  He denied history of trauma, headache, or other neurological complaints.  He had normal visual acuity, normal intraocular pressure, intact convergence, and no afferent pupillary defect. His neurologic examination was non-focal except for an inability to adduct the right eye past midline
OphthalmologyNeurologyVisual EM

Build Your Own Eye: A Method for Teaching Ocular Anatomy and Pathophysiology

Alaina Brinley Rajagopal, MD, PhD*, Mark Joseph Slader, BS* and Megan Boysen Osborn, MD, MHPE*

DOI: https://doi.org/10.21980/J8GS8W Issue 5:3[mrp_rating_result]
By the end of this session the participant will be able to: 1) Describe basic anatomy of the eye, 2) Build a basic model of the eye, 3) Identify which diseases are associated with which parts of the eye, 4) Identify the pathophysiology behind diseases of the eye, 5) Name correct treatment for each disease.
OphthalmologyTeam Based Learning (TBL)