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Masquerade Syndrome (slit lamp only)


This 60-year-old patient was diagnosed with glaucoma 12 years prior to being seen. He had a history of chronic uveitis in the right eye. In 2012 he was diagnosed with sarcoid based on a positive lung biopsy. In July 2012 he was seen in our glaucoma clinic with an intraocular pressure of 40 mmHg, 360° of peripheral anterior synechia and a cataract.   He underwent cataract extraction with intraocular lens and Ahmed seton. Twelve weeks after his surgery he had a hypopyon with an atypical appearance. A tap and inject was performed and no growth was found. Parallel to this he developed epididymitis which worsened on oral steroids. He was also losing weight on oral steroids. A paracentesis demonstrated a high grade B-cell lymphoma and a PET scan showed lymphoma in the retroperitoneal abdominal wall and testes. He had a right orchiectomy which was positive for B-cell lymphoma.

Last modified on Monday, 05 November 2018 08:36

Iowa Glaucoma Curriculum

IowaGlaucomaCurriculumsThe Iowa Glaucoma Curriculum is aimed at residents who want an image-heavy introduction to glaucoma. The curriculum consists of 50 lectures that It break glaucoma into fifty bite-sized pieces averaging 14 minutes in length (range 4 to 37 minutes). In total the curriculum is just under 12 hours long.

It is highly visual with >900 images and >90 movie clips.

The address is: http://curriculum.iowaglaucoma.org/

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You can also download this as an iBook from the iBook app for the Mac, iPad or iPhone. Search for "Iowa Glaucoma Curriculum" or “Alward.”

 

I hope that you find it useful.

Wallace L.M. Alward, MD.

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