A “domino-effect” case of multiple ocular pathologies ascribed to various complex causes

Ricarda M. Konder, Erin M. Demmings
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Abstract

This is a learning case targeted at medical students and other healthcare professionals who wish to improve their understanding of ophthalmic conditions and their anatomical underpinnings.This report will introduce a patient with a complex history of ocular pathologies who presented to a small urban community ophthalmology clinic.A brief summary of past medical history will be presented, followed by a detailed explanation of the symptoms, etiologies, and chosen treatments for the patient’s various conditions (iris and chorioretinal colobomas, uveitis, cataracts, retinal detachments, corneal edema, and glaucoma). In this case, the various medical interventions for our patient’s initial problems often led to complications and exacerbations of pre-existing conditions; therefore, special attention will be paid to highlighting both the pathophysiological and mechanical influences that may lead to, and exacerbate, eye disease.
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多眼病理归因于各种复杂原因的“多米诺骨牌效应”病例
这是一个针对医学生和其他医疗保健专业人员的学习案例,他们希望提高他们对眼科疾病及其解剖学基础的理解。本报告将介绍一位患有复杂眼部病理史的患者,他在一家小型城市社区眼科诊所就诊。简要总结过去的病史,然后详细解释患者的症状、病因和各种情况(虹膜和绒毛膜视网膜结肠瘤、葡萄膜炎、白内障、视网膜脱离、角膜水肿和青光眼)的治疗方法。在这种情况下,针对病人最初问题的各种医疗干预常常导致并发症和原有疾病的恶化;因此,将特别注意强调可能导致和加剧眼病的病理生理和机械影响。
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