Lymphomas are rare tumors, which can be unilateral or bilateral. Lymphomas may affect the conjunctiva, the eyelid, and the orbit; and they may be diagnosed systemically. Ophthalmic nurses are the perfect health care professionals to educate and provide the care for these patients. An interesting patient who was diagnosed with a lymphoma is presented.

Aged↗

PubMed1996

Coats' disease.

A 3-year-old boy had leukocoria in his right eye that could have been confused for retinoblastoma because leukocoria is the most common presenting sign of retinoblastoma. Educating parents, nurse practitioners, pediatricians, and fellow health care professionals about such presenting ocular signs will help expedite ophthalmic examinations and accurate diagnosis for these children.

Child, Preschool↗

PubMed1996

Choroidal osteoma: acoustic shadowing and reduplication echoes.

A 27-year-old woman had a curious choroidal mass of 12 years duration in her right eye. Interesting ultrasonic findings of a choroidal osteoma, including acoustic shadowing and reduplication echoes on A-scan and B-scan are presented. Ophthalmic nurses can assist in performing ophthalmic examinations and in reinforcing regular follow-up examinations for these patients.

Adult↗

PubMed1996

Genetic teaching for the retinoblastoma patient.

Retinoblastoma is the most common primary intraocular tumor in children. Retinoblastoma can be hereditary (familial) or nonhereditary (nonfamilial). Nurses who have an understanding of the genetic patterns for retinoblastoma can participate in the counseling of these patients. A chart is provided as a tool for teaching patients about family patterns of retinoblastoma.

Adult↗

PubMed1996

Writer's tips.

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Humans↗

PubMed1996

Ocular melanoma and human immunodeficiency virus infection.

The number of reports of malignant complications of human immunodeficiency virus infection is increasing. Cutaneous melanoma has been previously reported in five patients with human immunodeficiency virus infection, but no cases of ocular melanoma have been documented. We describe the first case of ocular melanoma reported in a patient with human immunodeficiency virus infection.

Choroid Neoplasms↗

PubMed1996

Neurofibroma.

Although neurofibroma is a rare orbital tumor, ophthalmic nurses may have the first opportunity to observe patients with this tumor. These patients may first be seen with normal visual acuity, proptosis, or affected ocular motility. An interesting patient who was diagnosed with an orbital neurofibroma is presented.

Adult↗

PubMed1996

A medication error.

A patient had inadvertently mistaken her son's diflorasone diacetate ointment for gentamicin sulfate ophthalmic ointment and applied it to her eye in error. Although no serious consequences resulted from the instillation of the topical corticosteroid, this incident provides another example of mistaken medication tubes.

Betamethasone↗

PubMed1996

Writer's tips.

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Humans↗

PubMed1996

Automated perimetry in patients with choroidal metastases.

AIMS/BACKGROUND: Recent work using computerised perimetry has documented predictable visual field defects in patients with choroidal melanoma. Despite the higher frequency of occurrence of choroidal metastases, relatively little is known about their exact effects on visual performance, specifically with respect to visual field. This study is a pilot retrospective analysis of the results of automated perimetry testing in patients with choroidal metastatic disease. METHODS: The Humphrey field analyser was used to perform visual field tests on 15 eyes in 11 patients diagnosed with choroidal metastases. All 11 primary tumours were carcinomas originating in the breast (seven), lung (one), kidney (one), stomach (one), and prostate (one). All patients had either central 30 and/or peripheral 30-60 threshold strategies. RESULTS: Each of the 15 eyes tested had a demonstrable visual field defect. Eight eyes (53%) had absolute scotomas and seven (43%) had relative scotomas; the defects did not consistently correspond in size or location to the tumour as depicted by ophthalmoscopy or ultrasonography. This is in contradistinction to automated perimetry results in patients with choroidal melanoma. Three of the four eyes (75%) which were retested after treatment of the metastases showed improvement of the visual field. Seven of nine eyes (77%) that initially had reduced visual acuity had improvement after treatment. This clinical improvement corresponded well to tumour shrinkage and resolution of subretinal fluid. CONCLUSION: These findings may be useful in the decision to initiate treatment for symptomatic choroidal metastatic disease and in explaining to patients and their referring physicians what improvement could be expected from such treatment. A prospective evaluation of patients with choroidal metastases seems appropriate based on this pilot experience and may elucidate if the differences noted between visual field performance of these patients and those with choroidal melanoma may be useful in some diagnostically difficult cases.

Adult↗

PubMed1995

Nursing care of the choroidal melanoma patient.

A patient diagnosed with choroidal melanoma presents the ophthalmic nurse with a unique opportunity to practice one of the most challenging aspects of clinical and psychosocial nursing care. Although choroidal melanoma is a treatable cancer, this tumor has the ability to increase in size, to metastasize, and to cause death.

Choroid Neoplasms↗

PubMed1995

Dislocated intraocular lens simulating a choroidal melanoma.

The interpretation of intraocular masses on magnetic resonance imaging (MRI) scan is not always straightforward. A case presentation of a 92 year old woman who was thought to have a neoplasm is presented.

Aged↗

PubMed1995

Steroid and asparaginase-induced hyperlipidemia in leukemia.

A case presentation of a ten year old girl diagnosed with acute lymphoblastic leukemia is described. Following her combination chemotherapy regimen with steroids and asparaginase, a most interesting development of hyperlipidemia of the blood plasma and lipemia retinalis was noted.

Asparaginase↗

PubMed1995

Writing an abstract and outline.

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Abstracting and Indexing↗