Ophthalmology CME & MOC Cases from JAMA Network

CME 1.0

Unilateral Yellowish Eye in a Woman With an Intraocular Mass
A 65-year-old woman was referred with a 6-week history of blurry vision, ocular pain, and subconjunctival yellow discoloration in the left eye. Suspicious retinal detachment and intraocular mass were identified, which raised concerns for choroidal melanoma.
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CME 1.0

Bilateral Panuveitis and Myeloradiculopathy in a 12-Year-Old Girl
A 12-year-old girl presented for assessment of abnormal gait. A year prior, she was found to have bilateral panuveitis with occlusive retinal periphlebitis involving all quadrants of the central and peripheral retina with capillary nonperfusion.
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CME 1.0

A Boy With Anterior Uveitis and Optic Disc Swelling
A 14-year-old boy was referred to us because of ocular and periocular pain with photophobia in his right eye for the last 5 days.
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CME 1.0

A Child With Severe Autism Spectrum Disorder With Bilateral Corneal Ulcers
A 6-year-old boy with severe autism spectrum disorder (ASD) was brought to the hospital by his mother for whitening in the right eye.
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CME 1.0

Intermittent Temporal Visual Field Loss in a Middle-aged Man
A 45-year-old man presented with floaters in his left eye and headaches for 2 months. He experienced left temporal field loss when lifting heavy objects.
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CME 1.0

Pigmented Macular Lesion in a Child
A 5-year-old boy with a history of an Escherichia coli infection complicated by hemolytic uremic syndrome presented with a visual acuity of 20/125 OD and 20/20 OS (HOTV letters).
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CME 1.0

Worsening Angle Closure After Successful Laser Peripheral Iridotomy
A White woman in her 40s was referred to an outside ophthalmologist after developing nausea and a headache following a dilated eye examination. She was found to have narrow angles in both eyes and a laser peripheral iridotomy (LPI) was performed in her left eye. Two weeks later she developed flickering photopsias and a temporal scotoma progressing to a “brown tint” of her vision in her left eye.
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CME 1.0

Unilateral Intraocular Lens Implant Subluxation in an Adult
A middle-aged patient with a remote history of bilateral juvenile cataracts after posterior chamber intraocular lens (PCIOL) placement presented with decreased vision in the right eye for several months. There was no recent ocular trauma or intraocular surgery. At the time of the initial examination, visual acuity was 20/50 in the right eye and 20/20 in the left eye, with a refraction of −1.50 diopters (D) sphere in both eyes.
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CME 1.0

Diagnostic Dilemmas With a Great Ocular Masquerader
A white man in his early 80s with history of autoimmune pancreatitis, recurrent colon polyps, and benign prostatic hyperplasia developed rapid, painless vision loss of both eyes over a 2-week period 6 months after cataract surgery. Vision was 20/250 OD and 20/60 OS.
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CME 1.0

Macular Fluid in a Patient With a Reported History of Normal-Tension Glaucoma
A patient with a history of normal-tension glaucoma presented with a blurred spot in the central vision of the right eye. Examination showed best-corrected visual acuity of 20/50 OD, 20/30 OS, and intraocular pressure of 13 mm Hg OU.
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