A Ophthalmic Case Report Examining Diagnostic Errors

UNCP Author/Contributor (non-UNCP co-authors, if there are any, appear on document)
Travis Walters (Creator)
The University of North Carolina at Pembroke (UNCP )
Web Site: http://www.uncp.edu/academics/library
Conner Sandefur

Abstract: Purpose: To report on a case of ocular syphilis in which the patient's eye drops were determined to be partially responsible for symptoms of keratic precipitates and cystoid macular edema. Methods: An 88-year-old female patient was found to have keratic precipitates, cystoid macular edema, and her erythrocyte sedimentation was elevated. The patient was diagnosed and treated for ocular syphilis. After treatment, the keratic precipitates and cystoid macular edema were still present. It was determine that the patients's glaucoma medication, Alphagan, was the cause of these symptoms.Results: The patient received penicillin and was taken off her glaucoma medication and her symptoms were resolved. Conclusion: It is important to consider all possible sources of symptoms when treating eye diseases. Symptoms could be the result of multiple underlying issues and not directly related to the primary diagnosis.

Additional Information

Honors Project
Language: English
Date: 2018
Ocular Syphilis, Keratic Precipitates, Cystoid Macular Edema, Erythrocyte Sedimentation, Alphagan, Glaucoma,

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