Elevating Eye Care, Enhancing Lives!
According to the World Health Organization, over 2.2 billion people suffer from some form of visual impairment, and over half of these cases could have been prevented and or addressed.* The development of visual impairments is guaranteed with age, and the most common and most easily treated of these are uncorrected refractive errors and visually significant cataracts. The annual global productivity loss due to visual impairments is estimated to cost over $408 billion US Dollars.*
Unaddressed visual impairments disproportionately affect developing regions, rural areas, and marginalized communities worldwide. Barriers to access to care in these communities include:
Abstract: Epidemic keratoconjunctivitis (EKC) is a severe, yet self-limiting conjunctival infection and inflammation associated with adenovirus types 8, 19, and 37. This case report follows the clinical course of a pediatric patient with EKC, outlines the importance of history and clinical observations in making the right diagnosis, and discusses treatment and management options for the disease.
Abstract: Commotio retinae is a common manifestation of blunt trauma to the eye. This case report follows the clinical course of a patient presenting with commotio retinae after being struck with a kicked soccer ball. It highlights the clinical value of ocular coherence tomography in documenting and identifying various morphologic changes from blunt trauma over time.
Abstract: Patients with a migraine headache may show visual field defects during and shortly after the migraine. These defects may be the result of transient ischemia and re-perfusion resulting in oxidative stress to the optic nerve much like the proposed pathogenesis for normal tension glaucoma, which has been linked to migraine sufferers. It is therefore prudent to inquire about migraine history during routine eye exams and to run visual fields and RNFL OCTs on migraine patients to monitor for and address any progressive nerve damage.
Abstract: Multiple sclerosis (MS) is the most common cause of neurological disability among young adults. In some individuals, MS first manifests as an acute attack on the optic nerve. This case report follows the initial clinical diagnosis of optic neuritis suspicious of a clinically isolated syndrome (CIS), followed by final diagnosis of multiple sclerosis via neural imaging studies. This case highlights the importance of understanding the disease process, manifestations, prognosis, and treatment options of MS as an eye care provider.
Abstract: Dark without pressure presents as an island or a patch of darker but otherwise normal retina in fundus examination with a condensing lens and a light source. On optical coherence tomography, these lesions show an abrupt attenuation of reflectivity in the ellipsoid zone and the outer segment layer. There have been few case reports since 1975 discussing these findings. To date, little is known about the structural and functional significance of this retinal presentation. Interestingly, these dark without pressure retina have been found in eyes with Oguchi’s disease. The relationship of dark without pressure to Oguchi’s disease remains unknown.
Dr. Ting Zhang is the proud founder of Peak Vision Care in Boulder, Colorado, and takes pride in providing the highest level of care to every patient she sees. Ting received her Doctorate in Optometry from the New England College of Optometry in Boston, Massachusetts. She had extensive training in ocular disease, primary eye care, and low vision rehabilitation at Veteran Affairs Hospitals in Buffalo, Batavia, and West Roxbury, as well as at community health centers in Dimmock and East Boston. She has authored and defended five clinical case reports, and was awarded Fellow of the American Academy of Optometry, an honor held by fewer than 10% of optometrists in the U.S.
Dr. Ting Zhang is a proud Air Force officer. She has participated in the NATO Junior Medical Reserve Officer Workshop in Helsinki, Finland, volunteered for deployment to Qatar, delivered COPE-Approved continuing education lectures, and led an Innovative Readiness Training mission as the Officer in Charge of the Optometry mission in the U.S. Virgin Islands. She continues to live by the Air Force Core Values: Integrity First, Service Before Self, and Excellence in All We Do!
