Most recent by Matthew J. Swanic, MD
Girl has bilaterally increased IOP, abnormal pupils
A 9-year-old girl presented to the glaucoma service at the New England Eye Center at Tufts Medical Center for evaluation of elevated IOP that had been managed by her pediatric ophthalmologist since age 5 years. Her initial IOPs when evaluated by her pediatric ophthalmologist were 32 mm Hg in the right eye and 27 mm Hg in the left eye. She was placed on dorzolamide and timolol, and her IOP was successfully lowered to 18 mm Hg in both eyes.
Girl evaluated for long-standing strabismus, ptosis
Woman referred for gradually progressive esotropia
Man complains of shadowy vision in left eye
Jeffrey Chang Vivek Chaturvedi A 34-year-old man presented to the New England Eye Center Retina Service complaining of decreased vision in his left eye. The problem began approximately 1 year prior and had worsened over the last 6 months. He described his vision superiorly as though he was seeing objects as shadows. The patient had a history of intravenous drug abuse and said that he was treated for an eye infection in his currently affected eye at another facility approximately 5 years ago that he believed was related to intravenous drug abuse. He denied a history of any other eye problems. The patient was a prisoner at a correctional facility, and medical history, family history and review of systems were unremarkable.
Woman presents with 3-week history of redness in left eye
A 62-year-old woman presented to the New England Eye Center for evaluation of left eye redness present for the past 3 weeks. She denied any significant discomfort but felt that her vision was mildly decreased from baseline. Isabel M. Balderas Tom Hsu She had been seen by an optometrist 10 days before presentation and was instructed to use Tobradex (tobramycin-dexamethasone, Alcon) every 3 hours in the affected eye. The redness subsided with Tobradex, but it quickly returned once the medication was discontinued.
Patient presents with blurred, decreased vision
A 45-year-old woman presented for emergency evaluation of decreased vision and redness of her right eye. The patient said that the blurred vision had begun 2 days before presentation. She denied any associated symptoms, including photophobia, headache, nausea or vomiting. She admitted a similar episode occurred 20 years ago that was treated with eye drops for a prolonged period of time. She was unsure of the diagnosis or treatment from that episode. She had no further episodes in the last 20 years. She was not currently using any eye medications.