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Academy Grand Rounds

Academy Grand Rounds provides a review of clinical interpretation in the diagnosis and treatment of eye disorders. The Academy has developed these cases based on real-life scenarios submitted by members. The purpose of each online exercise is to enhance your abilities as a caregiver by applying knowledge in a simulated clinical setting.
  All Academy Grand Rounds cases bear AMA PRA Category 1 Credits TM.
Call for Submissions!
Have an interesting case or baffling patient experience that you'd like to share with other members? Send us your best clinical scenarios for publication on the O.N.E. Network.

Submit to casestudy@aao.org.
Read the Author Guidelines.
Download the author template.

Man with Bilateral Lagophthalmos & Bell’s Palsy

A 43-year-old man with a 1-month history of Bell's palsy develops progressive weakness of both sides of his face and is unable to close his eyes.
ID: OE-SAN509
Date: September 2009
CME: 1 credit
Subspecialty:

Intoxicated Man with Smoky Vision

A 53-year-old man presents to the ER complaining of nausea, vomiting, and "smoky" vision after consuming "3 shots of Haitian rum." Over the next 24 hours, he loses vision in both eyes.
ID: OE-SAN409
Date: September 2009
CME: 1 credit
Subspecialty:

Hypertensive Woman with Sudden Painless Vision Loss

A senior woman is washing dishes in her kitchen when she suddenly realizes that she is unable to see out of her left eye. In this interactive online case study, users will test their skills at diagnosing her condition and recommending an appropriate management strategy.
ID: OE-SAR3
Date: June 2009
CME: 1 credit
Subspecialty:

Toddler with Ecchymosis and Eyelid Edema

This case describes an 18-month-old boy with a 6-week history of bilateral upper eyelid edema. Users will diagnose the condition from the symptoms and signs and recommend an appropriate treatment strategy.
ID: OE-SAP6
Date: May 2009
CME: 1 credit
Subspecialty:

Blurry Vision Following Cat Scratch

This case describes a young man with 5 days of blurry vision following 2 days of flu-like symptoms. Users will navigate through multiple rounds of diagnosis and treatment options before arriving at the final management strategy.
ID: OE-SAR2
Date: January 2009
CME: 1 credit
Subspecialty:

Unilateral Proptosis in a 3-Year-Old Boy

This interactive case describes a toddler brought to a tertiary care center for evaluation of acute left-eye proptosis. Users will attempt to correctly diagnose the condition from the symptoms and signs and recommend an appropriate treatment strategy.
ID: OE-SAP5
Date: December 2008
CME: 1 credit
Subspecialty:

Healthy Infant with Swollen Eyelid Due to Proptosis

This case describes a 4-month-old boy who has developed a swollen left upper and lower eyelid from progressive proptosis but who is otherwise healthy.
ID: OE-SAP2
Date: January 2008
CME: 1 credit
Subspecialty:

56-Year-Old Man with Sudden Loss of Vision

This case describes the circumstances surrounding the sudden loss of vision in a 56-year-old, left-handed man.
ID: OE-SAN2
Date: January 2008
CME: 1 credit
Subspecialty:

Lethargic Toddler with Abnormal Findings in ER Retinal Exam

This case describes decreased visual attention in a lethargic, 13-month-old boy with no prior medical history who presented with abnormal findings in an emergency room retinal exam.
ID: OE-SAP4
Date: January 2008
CME: 1 credit
Subspecialty:

32-Year-Old Woman with 4 Days of Blindness

This case describes a patient who presented with acute visual loss, ophthalmoplegia, and proptosis.
ID: OE-SAN1.2
Date: January 2008
CME: 1 credit
Subspecialty:

Diabetic Hypothyroid Man with Recurrent Diplopia

This case describes a diabetic, hypothyroid male who has developed recurrent diplopia.
ID: OE-SAOR1
Date: January 2008
CME: 1 credit
Subspecialty:

Healthy Girl with Horizontal and Vertical Nystagmus and Esotropia

This case describes a previously healthy 2-year-old girl who has abruptly developed mixed horizontal and vertical nystagmus and esotropia.
ID: OE-SAP3
Date: January 2008
CME: 1 credit
Subspecialty:

Functional Treatment of 42-Year-Old with Stargardt Disease

This case illustrates the functional treatment of a 42-year-old with Stargardt disease. Attempts at visual rehabilitation should include optical and nonoptical methods, as appropriate, to facilitate patient function.
ID: OE-SAO031
Date: June 2007
CME: 1 credit
Subspecialty:

Failed School Vision Test: 9-Year-Old “Nearly Blind” in Left Eye

This case describes a 9-year-old patient who has failed a school vision screening test and is declared “nearly blind” in the left eye.
ID: OE-SAP1
Date: June 2007
CME: 1 credit
Subspecialty:

Patient Experiencing Blurred Vision with Current Contact Lens

This case describes a healthy 35-year-old man who experiences blurred vision OD with his current contact lens. Examination findings, refraction information, and contact lens evaluation results will be presented.
ID: OE-SAO032
Date: June 2007
CME: 1 credit
Subspecialty:

30-Year-Old Man Experiencing Headaches Past 4 Months

This case describes a 30-year-old male patient who has experienced headaches over the last 4 months. Users will attempt to correctly diagnose the condition from the symptoms and recommend an appropriate treatment.
ID: OE-SAN307
Date: March 2007
CME: 1 credit
Subspecialty:

Patient Experiencing Decreased Vision and Pain Following LASIK

This case describes a patient who is experiencing decreased vision and pain in the left eye following laser in situ keratomileusis (LASIK) surgery.
ID: OE-SAED1
Date: December 2005
CME: 1 credit
Subspecialty:

Shallow Anterior Chamber Following Glaucoma Filtering Surgery

This case describes a patient with a shallow anterior chamber on postoperative day 1 following uncomplicated glaucoma filtering surgery. A differential diagnosis is presented and the participant is asked to choose his/her diagnosis following the clinical examination slides.
ID: OE-SAG1-05
Date: September 2005
CME: 1 credit
Subspecialty:

Patient with Bilateral Eye Pain, Photophobia, and Redness

This case describes a patient with bilateral eye pain, photophobia and redness. A simulated clinical examination of the patient is provided as well as a differential diagnosis and diagnostic test results.
ID: OE-SAR1-05
Date: September 2005
CME: 1 credit
Subspecialty:

Former RK Patient Struck by Tree Branch

A 56-year-old former RK patient struck in the right eye and suffering a progressive decrease in vision over several hours.
ID: OE-SAC1-05
Date: September 2005
CME: 1 credit
Subspecialty: