{"id":14967,"date":"2020-01-31T16:18:35","date_gmt":"2020-01-31T15:18:35","guid":{"rendered":"http:\/\/www.zeitzfrankozeitz.de\/?page_id=14967"},"modified":"2021-01-22T15:25:36","modified_gmt":"2021-01-22T14:25:36","slug":"case-2-presentation","status":"publish","type":"page","link":"https:\/\/www.zeitzfrankozeitz.de\/nl\/e-learning\/case-2-presentation\/","title":{"rendered":"Case 2 presentation"},"content":{"rendered":"\n

contributed by<\/em><\/p>\n\n\n\n

Dr. Detlef Engineer and Dr. Katja Kirchhoff, Augenklinik Tausendfensterhaus, Duisburg, Germany<\/em><\/p>\n\n\n\n

Categories: Vitreoretinal, vascular changes<\/em><\/p>\n\n\n\n

Key problem: Finding of unknown etiology with necessity of urgent treatment
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In contrast to other case reports, we present expert-level cases without an unambiguous solution: A case report with a solution will only add more encyclopedic knowledge to Your repertoire, while an open-ended case report will train Your methods. Therefore each case highlights a specific problem expressed in the introduction.We won\u2019t offer the satisfying feeling of solving a puzzle correctly, but something more valuable: You will train Your skills by developing proper methods for \u201chow to proceed\u201d and You will help others to train their skills by giving them your perspective.Don\u00b4t be afraid to send Your opinion even if You do not feel safe. It\u2019s meant to be tough and You may stay anonymous, if You wish so.<\/p>\n\n\n\n

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Female, 46 years old, Asian<\/p>\n\n\n\n

History of sudden vision loss left eye 6 weeks prior to consultation in our clinic. Patient states that vision was full on both eyes prior to incident. Examinations have been made at home (in China) directly after event. Patient brings print-outs of fundus photography, angiography, OCT and sonography.<\/p>\n\n\n\n

Best-corrected visual acuity:<\/strong> OD 20\/20, OS hand motion<\/p>\n\n\n\n

IOD:<\/strong> 15\/12 mmHg<\/p>\n\n\n\n

Anterior segment:<\/strong> OD within normal limits, OS severe vitreous hemorrhage, otherwise within normal limits<\/p>\n\n\n\n

Fundus:<\/strong> OD no abnormalities detected, OS not visible because of vitreous hemorrhage<\/p>\n\n\n\n

Plan:<\/strong> OS vitrectomy performed<\/p>\n\n\n\n

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Fundus (print-outs brought by patient)<\/h2>\n\n\n\n
\"\"<\/a><\/figure>\n\n\n\n
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Angiography (print-outs brought by patient)<\/h2>\n\n\n\n