Medical Malpractice Insights: Endophthalmitis – Dorothy, this isn’t conjunctivitis any more!
Chuck Pilcher brings you a tough case of endophthalmitis for this month’s medical malpractice insights.
ophthalmology
Diplopia Evaluation and Management
Diplopia can be confusing… How do you define monocular versus binocular? What’s the appropriate evaluation and management?
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EM Boards Survival Guide: Ophthalmology 1
This week’s EM Board Survival Guide covers the must-knows for ophthalmology.
EM Boards Survival Guide: Ophthalmology 1 Read More »
EM@3AM: Idiopathic Intracranial Hypertension
A 31-year-old female presents with headache. She has a history of migraines, but states that this headache is different. The headache came on over the past two days, but she has been having intermittent double vision when she changes positions, which is new. Exam reveals an obese female in no acute distress. Visual acuity is normal, but she has mild left sixth nerve palsy. Fundoscopic exam reveals bilateral papilledema. The rest of her neurologic exam is unremarkable. What are the next steps in management?
EM@3AM: Idiopathic Intracranial Hypertension Read More »
The EM Educator Series: Hey Doc, I can’t see
This week’s EM Educator Series looks at acute, traumatic vision loss!
The EM Educator Series: Hey Doc, I can’t see Read More »
EM@3AM: Open Globe Injury
A 26-year-old male groundskeeper is sharpening a rusty lawnmower blade without eye protection when he feels a sudden pain and loss of vision in his right eye. What is the diagnosis, and what are your next steps?
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Acute Angle Closure Glaucoma: ED-Relevant Management
Acute angle closure glaucoma is a vision-threatening condition. This post is filled with pearls in managing this disease.
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Acute Visual Loss in the Emergency Department: Pearls and Pitfalls
Acute vision loss has a wide differential, and some of these conditions can cause permanent visual deficit. Many of these are time-sensitive, and the emergency physician may improve patient outcome through the consideration of several acute conditions. This post seeks to provide an overview of the evaluation of vision loss in the ED and a summary of several common conditions.
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Central Retinal Artery Occlusion
An 82 year-old man with a history of dyslipidemia, hypertension, and CAD s/p stenting was driving home from the grocery store when he experienced sudden vision loss in his right eye around 2:30 pm. He has no previous history of vision problems and is puzzled but eventually concerned. By the time he presents to the ED he has light perception only in his right eye. He cannot not recognize motion. Central retinal artery occlusion (CRAO) is first in the differential.
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Endophthalmitis Highlights
Endophthalmitis is a rare, but clinically significant infection. It is often misdiagnosed due to the multitude of other ocular diseases that share similar presenting symptoms. It results from an infectious or non-infectious inflammatory process of the vitreous and aqueous humors. Missed or late diagnoses can have severe consequences, including permanent vision loss. The natural history of the disease thus necessitates a high degree of clinical suspicion in all patients, especially those at increased risk.
Endophthalmitis Highlights Read More »