Leo Semes

What's Your Diagnosis?

Editor Leo P. Semes, OD, solicits authors with actual cases challenging readers to make the diagnosis based on clinical findings.

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August 27, 2019
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Woman presents with unilateral blurred vision

Woman presents with unilateral blurred vision

A 71-year-old Native American female presented with a chief complaint of constant blurred vision at distance and near in the right eye, which began 2 weeks ago.

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April 16, 2019
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Annual exam reveals hyphema secondary to iris neovascularization

Annual exam reveals hyphema secondary to iris neovascularization

A 48-year old white female presented for her annual eye exam through our primary care service. She was severely disabled (both mentally and physically), which left her confined to a wheelchair and completely nonverbal. She lived in a group home where a caretaker could tend to her needs around the clock.

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March 14, 2019
7 min read
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Routine visit leads to asymptomatic diagnosis

Routine visit leads to asymptomatic diagnosis

A 71-year-old white female presented to the clinic in May 2018 for her periodic examination with no complaints. Systemic history included sinusitis and seasonal allergies. She reported taking no medications.

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February 18, 2019
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Teenager has unilateral severe eye pain

Teenager has unilateral severe eye pain

A 19-year-old male presented to the eye clinic with a chief concern of pain in the left brow that began 2 weeks ago. It had since spread to the left eye and was progressively getting worse. The pain was described initially as a dull throbbing sensation but had intensified and become excruciating over the last 3 days.

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January 16, 2019
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Elderly man experiences transient blurred vision

Elderly man experiences transient blurred vision

A 79-year-old Caucasian man presented with a chief complaint of transient blurred vision in the right eye for the past several years.

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December 14, 2018
5 min read
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Long-term blurred vision in one eye

Long-term blurred vision in one eye

A 48-year-old African American man presented to the clinic with complaints of blurry, distorted vision that had been present in the left eye for 6 months. The patient had no pertinent ocular history. His medical history was positive for seasonal allergies, for which he was taking Claritin (loratadine, Bayer) daily.

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November 21, 2018
6 min read
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Contact lens exam reveals white corneal deposits

Contact lens exam reveals white corneal deposits

A 62-year-old Hispanic man presented complaining of progressive deterioration in vision in both eyes with associated photophobia over the last 15 years. He expressed an interest in contact lenses as a form of vision correction because his glasses did not provide him with the required visual acuity necessary for driving a motor vehicle.

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October 16, 2018
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Young woman presents with nonresponding conjunctivitis

Young woman presents with nonresponding conjunctivitis

A 20-year-old African American woman presented with a chief complaint of a moderately red, watery right eye with mucopurulent debris that started 4 days earlier. The patient denied recent fever, upper respiratory infection or sore throat. She reported being postpartum for approximately 6 weeks at this visit. She had a full-term vaginal birth without complications and was currently breastfeeding.

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September 14, 2018
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Woman suddenly loses central vision

Woman suddenly loses central vision

A 39-year-old Caucasian woman presented complaining of a dark spot in the central vision of her right eye that began 3 days prior. The dark spot was accompanied by a heavy, pressure-like sensation in the right eye. She had never experienced these symptoms before and had no previous history of trauma. She denied having any flashes or floaters.

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August 16, 2018
8 min read
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Young woman presents with near vision blur

Young woman presents with near vision blur

A 26-year-old Caucasian female presented to our clinic for evaluation with one of our colleagues. Her chief complaint at that exam was a recent onset of near vision blur only, which she felt was slightly worse in the right eye for several weeks. She described the blur as being constant with no fluctuations. In addition, she also stated she was not experiencing any headaches or double vision.