Free Essay

Case Study

In: Science

Submitted By kileighkeller
Words 884
Pages 4
Kileigh Keller

Case Report 4 Eyes and Face

Rhegmatogenous Retinal Detachment

Objective: The objective of this case is to treat the complications of Rhegmatogenous Retinal Detachment in the right eye.

Background: A 62-year-old female with no history of eye complications that was diagnosed with Rhegmatogenous Retinal Detachment in the right eye after a traumatic fall.

Differential Diagnosis: Retinal Tear, Tractional retinal detachment, In exudative detachment

Treatment: Scleral buckling surgery to fix the detachment.

Uniqueness: No history of eye problems. The detachment happened after a traumatic fall. The individual also suffered from a humerus fracture and a serve concussion.

Conclusion: Most Rhegmatogenous Retinal Detachment’s do not happen from traumatic events. The patient did not have symptoms of the detachment until a month after the fall. The concussion was diagnosed but no other tests were done for the individuals’ eyes. Those should have been checked to prevent the medical emergency.

Body:
A rhegmatogenous retinal detachment occurs due to a break in the retina that allows fluid to pass from the vitreous space into the subretinal space between the sensory retina and the retinal pigment epithelium.3 A minority of retinal detachments result from trauma, including blunt blows to the orbit, penetrating trauma, and concussions to the head. A retrospective Indian study of more than 500 cases of rhegmatogenous detachments found that 11% were due to trauma, and that gradual onset was the norm, with over 50% presenting more than one month after the inciting injury3. All types of retinal detachments are medical emergencies. When experiencing these symptoms the patient will see a “black curtain” as if half of their eyesight has disappeared. When this happens this must be taken care of immediately. Retinal detachments are fixed by surgery. Specifically rhegmatogenous retinal detachments are fixed by a surgery called Scleral buckling. For many years Scleral buckling has been the go to treatment for retinal detachments. The surgery is performed in a hospital with general anesthesia usually as an outpatient 1. The procedure is done by sealing the detachment with either diathermy or a cyroprobe. This then creates scar tissue that the seals the whole so the retina stays in place and fluid can no longer pass behind the retina1. The buckle part of the procedure compresses the eye so that the hole or tear in the retina is pushed against the outer scleral wall of the eye, which has been indented by the buckle. The buckle may be left in place permanently. It usually is not visible because the buckle is located posteriorly and is covered by the conjunctiva, which is carefully sewn over it. Compressing the eye with the buckle also reduces any possible later pulling by the vitreous on the retina1. The success rate of these procedures are 90% 4. The patient may experience some infection or bleeding under the retina 4. Protective eyewear is suggested as well as rest and slow movement.

The individual was diagnosed with Rhegmatogenous Retinal Detachment a month after a traumatic fall. The fall happened in the spring of 2010 when her and her husband were out mushroom hunting in the woods. The individual was admiring the beautiful blooming trees when she slipped and fell onto her left side and became instantly unconscious. She visited the doctor the next day and was diagnosed with a broken left humerus and a serve concussion. The individual who was a newly retired worker was not used to sitting around and being impaired. She struggled with the down time so she kept busy in her garden. One day while tending to the garden she looked down and all of a sudden her right eye formed a “black curtain” which inhibited half of her eyesight in that eye. She was then rushed to the hospital and diagnosed with Rhegmatogenous Retinal Detachment. The surgery was then performed the next day. It was successful with no complications. The individual wore an eye patch for the next 4 weeks and had regular check ups. Now 4 years later the individual has had no complications and has perfect vision.

The reason the case is unique is because as stated previously Rhegmatogenous Retinal Detachment’s are very rare to occur by a trauma related accident. Due to the individuals traumatic fall it was easy to overlook the eyes due to the broken humerus and concussion.

In conclusion with concussions and other traumatic events to the body, evaluations should be performed on other parts of the body, not just the obvious ones affected due to some symptoms not being as propionate as others to prevent other secondary injuries to occur or become worse.

Works Cited

1. "Retinal Detachment Symptoms, Causes, Treatment - What Are Retinal Detachment Symptoms and Signs? - MedicineNet. MedicineNet. Medicine Net, n.d. Web. 07 Apr. 2014.
<http://www.medicinenet.com/retinal_detachment/page2.htm#what_is_a_retinal_detachment>.

2. "Retinal Detachment." Types, Causes & Symptoms. Health Line, n.d. Web. 07 Apr. 2014. <http://www.healthline.com/health/retinal-detachment#Overview>.

3. "Retinal Detachment." Wikipedia. Wikimedia Foundation, n.d. Web. 07 Apr. 2014. <http://en.wikipedia.org/wiki/Retinal_detachment#cite_note-14>.

4. "What to Expect After Your Retinal Detachment Surgery." FCI Ophthalmics. FCI Ophthalmics, n.d. Web. 07 Apr. 2014. <http://www.fci-ophthalmics.com/blog/what-to-expect-after-your-retinal-detachment-surgery/>.

Similar Documents

Free Essay

Case Study Case Study Case Study

...This case study is an excellent example of how different types of parties can be brought together in a large scale transaction and how the original energy of those early meetings can be lost over time. I imagine that when Anthony Athanas was purchasing those old piers back in the 1960s many, if not all, of his colleagues, friends, and family members told him that he was off his rocker. I’m sure Athanas was looking at this land as his family’s ticket to financial prosperity and somewhat of a legacy that he could leave to his descendants for years and years to come. One of the items I wish the case would have divulged is the amount of money that Athanas had invested in the properties. For me this information would have given an insight to his net worth and how much he had riding on this investment. I assume it was substantial given his actions later in the process. Twenty years later Athanas’ dreams came true and all those naysayers were more than likely green with envy. The amount of pride Athanas’ had in his investment at that moment had to have been insurmountable. Being approached by a big time real estate development company and their extremely wealthy client, Hyatt Corporation, must have made Athanas feel larger than life and made him feel like something he isn’t, which is a developer himself. The case doesn’t give much insight into whether Athanas had any representation or anyone consulting him throughout the process. From the beginning, I saw this as matchup...

Words: 1190 - Pages: 5

Premium Essay

Case Study

...Yin (2005) suggested that researchers should decide whether to do single-case or multiple-case studies and chose to keep the case holistic or have embedded sub-cases. This two-by-two combination can produce four basic designs for case studies. When selecting a case for a case study, researchers often use information-oriented sampling , as opposed to random sampling [3]. This is because an average case is often not the richest in information. Extreme or atypical cases reveal more information because they activate more basic mechanisms and more actors in the situation studied. In addition, from both an understanding-oriented and an action-oriented perspective, it is often more important to clarify the deeper causes behind a given problem and its consequences than to describe the symptoms of the problem and how frequently they occur. Random samples emphasizing representativeness will seldom be able to produce this kind of insight; it is more appropriate to select some few cases chosen for their validity. But this isnt always the case. Three types of information-oriented cases may be distinguished: Extreme or deviant cases Critical cases Paradigmatic cases. [edit]Critical case A critical case can be defined as having strategic importance in relation to the general problem. For example, an occupational medicine clinic wanted to investigate whether people working with organic solvents suffered brain damage. Instead of choosing a representative sample among all those......

Words: 1244 - Pages: 5

Premium Essay

Case Study

...1. ------------------------------------------------- Determine the main objective of the case study. You may be writing a case study to fulfill an academic requirement or to help solve problems in real-life situations. An academic assignment typically will come with a specific objective and instructions, whereas a professional assignment might require you to define the objective. ------------------------------------------------- Ad 2. ------------------------------------------------- 2 ------------------------------------------------- Select the best approach. * Choose an analytical approach to increase awareness. In the preliminary stages of solving management problems, an analytical case study might best meet the goal of alerting upper management to core facts and issues. An analytical case study primarily focuses on what has occurred and why. * Select a problem-solving approach to pinpoint and solve major issues. If the goal is to make solution recommendations, write a problem-solving case study that clearly outlines problems and solutions. 1. ------------------------------------------------- 3 ------------------------------------------------- Conduct research for your case study. Examine the facts, dynamics, communications and all relevant aspects of the particular situation. Research might involve interviewing people in an organization, reviewing written documents or looking up relevant statistics. Method 2 of 5: Set the Scope for Readers ...

Words: 487 - Pages: 2

Premium Essay

Case Study

...Select a case study from the University of Phoenix Material: Young and Middle Adulthood Case Studies located on the student website. Write a 700- to 1,050-word paper describing the influence the experiences have made on the person’s development. Address the following in your paper: Discuss the family, social, and intimate relationships of the person in the case study. Identify any role changes that have occurred. Explain the immediate and future effect of healthy or unhealthy habits practiced by this person. Include at least two peer-reviewed resources. Format your paper consistent with APA guidelines. University of Phoenix Material Young and Middle Adulthood Case Studies Read the following case studies in order to complete the Week Three Individual Assignment. Case Study 1: Jackson Jackson is a 25-year old male who has recently been admitted to a substance abuse program in Chicago, Illinois. He has been arrested several times for possession of a controlled substance but has not served any time in jail. He grew up in a single-parent household with his mother, Tina. Tina, 45, is employed as a high school teacher; his biological father is not involved in his life. Tina’s boyfriend, Michael, often attempts to serve as a father figure to Jackson. Jackson went to college immediately after high school, focused on a degree in chemistry. In high school, he was a good student who earned A’s and B’s in most courses. After a car accident, a slight head......

Words: 414 - Pages: 2

Premium Essay

Case Study

...A Case Study by any Other Name Cathy Foster Liberty University   A Case Study by any other Name Researchers have different methods of observing their subjects. Among the most popular is the case study. Case studies are used a lot in psychology and one of the most famous psychologists that used case studies to detail the private lives of his patients was Sigmund Freud. What is a Case Study? “A case study is an observational method that provides a description of an individual” (Cozby & Bates, 2012). During a case study the individual is usually a person however that’s not always the situation. The case study can also be a setting, which can include a school, business, or neighborhood. A naturalistic observational study can sometimes be called a case study and these two studies can overlap (Cozby & Bates, 2012). Researchers report information from the individual or other situation, which is from a “real-life context and is in a truthful and unbiased manner” (Amerson, 2011). What are some Reasons for Using a Case Study Approach? There are different types of case studies. One reason to use a case study is when a researcher needs to explain the life of an individual. When an important historical figure’s life needs explaining this is called psychobiography (Cozby & Bates, 2012). The case study approach help answer the “how”, “what”, and “why” questions (Crowe, 2011). What are Some Advantages and Disadvantages to the Case Study Approach? Some......

Words: 548 - Pages: 3

Premium Essay

Case Study

...The Case Study Approach Linda P. Williams Liberty University Online Author Note Linda P. Williams, Department of Psychology, Liberty University Online Correspondence concerning this article should be addressed to Linda P. Williams, Department of Psychology, Liberty University Online, 1971 University Blvd, Lynchburg, VA 24515, E-mail: lwilliams91@liberty.edu The Case Study Approach Introduction At some point during the pursuit of a degree psychology, the time comes when a student must learn various research techniques. One of the many approaches is case study, which this paper will focus on. Areas of discussion include reasons for using a case study, advantages/disadvantages to the approach, and ways acquire information to perform a case study. The essence of a case study A case study is used to offer a mental accounting of a person, school, neighborhood, business, or group of individuals over the course of time, way of research. It is sometimes referred to as naturalistic observation, but does not always follow the same protocol. Mental accounting is done by means of observation of various behavior or mind sets operating in their natural environment. This is noteworthy, especially when participants have a distinct disorder worthy of being studied to further the cause of research and development. Depending on the purpose of the investigation, the case study may present the individual’s history, symptoms, characteristic behaviors, reactions to......

Words: 671 - Pages: 3

Premium Essay

Case Study

...Tanglewood Case Study 2 Ratings: (0)|Views: 6|Likes: 0 Published by Megan Purdy Tanglewood Case Study 2 See more Tanglewood Case Study 2 Page 1 Tanglewood Case Study 2Megan PurdyHRM 594Keller Graduate School of Managementr! CardenMay 2"# 2$%4 Tanglewood Case Study 2 Page 2 Recru&tment Gu&dePos&t&on' Store Associate Re(orts To' Shift Leader and Department Manager )ual&f&cat&ons' Prefer to have some ac!ground in customer service or retail" no specific list of minimal educational ac!ground re#uired Rele*ant +a,or Mar-et' Pacific $orthwest% ®on and 'ashington T&mel&ne' This is a continuous recruiting effort with no set timeline% however the ideal process from initial contact with the applicant to the final hiring decision would ideally e within a month(s time) .ct&*&t&es to underta-e to source well /ual&f&ed cand&dates' *se of media" such as regional newspaper advertisements" online +o postings on oth pulic wesites as well as the company wesite" !ios!s in the stores" +o services groups and staffing agencies" Staff Mem,ers 0n*ol*ed' ,- -ecruiting Manager" Assistant Store Manager" Department Manager 1udget' .etween /1000 and /000 Tanglewood Case Study 2 Page  n loo!ing to the est targets or applicants for the position of store associate" it would e ideal to recruit individuals with some prior ac!ground" !nowledge or e3perience in the customer service or retail fields) &ne of the ig complaints from our......

Words: 550 - Pages: 3

Free Essay

Case Study

...Case Study Guidelines A case study gives you the opportunity to review Modern Management concepts and apply them to a specific scenario. The analysis should be in summary form and in proper APA format. • With a minimum of 3 full pages and at least 3 academic sources, prepare a summary analysis of the assigned case study. • The first paragraph should identify and summarize the key point(s) or problem(s) presented in the case. • Then type and answer each question posed at the end of the case. • Describe specific principles from the chapter that can be applied to the case study. • Try to relate a personal experience that is pertinent to the case study issues. • You must use at least two additional resources (your text and two others for a total of three) to support your thoughts. Be sure to properly cite your references. • All papers must be submitted as a document through the Assignment Dropbox. Assignments must be prepared in .doc, .docx, or .rtf format. APA Guidelines For the purpose of written case study assignments – all papers must be in proper APA format which includes at least the following: • A properly formatted header on the upper right corner that includes your name and page number. • All papers must be double-spaced, with a Times New Roman, Courier New, or Arial size 12 font. • All paragraphs must be indented 5 spaces. • References must be properly formatted, double-spaced, with the first line of the entry left justified, and following lines of the......

Words: 886 - Pages: 4

Free Essay

Case Study

...Case Study The case study of a 6 year old boy, who brought a gun to school and shot a first grade classmate, then was later found hiding in a corner, has brought multiple psychological issues to the forefront. According to the law a child under the age of 7 is not criminally responsible. The prefrontal cortex of the brain is the area where high-order cognition, planning, goal-directed behavior, impulse control and attention are centered. This portion of the brain is not considered mature until much later in life. The Limbic system of the brain controls and regulates emotion and contains three parts: the amygdala, the hippocampus, and the hypothalamus. According to researchers, the amygdala is the portion of the limbic system that registers emotions, especially fear (LoBiondo-Wood & Haber, 2010, p. 214). According to this fact, high levels of fear and stress negatively affect other areas of the limbic system including the hypothalamus, which is responsible for activating hormones that produce responses from other brain and body parts as well. An overproduction of hormones can cause permanent damage to learning and memory. Perseveration is a tendency to stick to one-thought or action. This, along with impulsiveness is believed to occur in children with still immature prefrontal cortex as well. This is evidenced by temper tantrums, and immature emotional responses to name a few. From a cognitive developmental standpoint, according to Jean Piaget, a 6 year-old is on the...

Words: 632 - Pages: 3

Premium Essay

Case Study

...for the achievement of sustained competitive advantage. Your discussion is to be based on three suitable published case studies. This means case studies published in the academic literature – for example, the series of case studies in the textbook or in equivalent textbooks. You may not use Yahoo! as one of the case studies and short articles in newspapers, magazines, website opinion pages and the like are definitely not acceptable, although such materials may be used to supplement the published case study and your analysis. All sources must be properly referenced. If in any doubt about the suitability of a case study, seek an early ruling from your tutor. This is a substantial piece of scholarly work and will require extensive engagement with both unit theory and at least three detailed case studies. Process: 1. Choose your three cases. They all need to be published cases in academic sources (e.g. textbooks, journal articles). It is obviously important that each case represents an instance of a company achieving sustained competitive advantage (check your materials to be clear about what that means). 2. Analyse and locate evidence. Begin to analyse each case in terms of the two questions – particularly question one. It is vital that you respond to both questions, but the evidence for sustained competitive advantage is more likely to be in the case material itself. It is in this part of the process that you might bring in supplemental material from company......

Words: 1725 - Pages: 7

Premium Essay

Case Study

...Running Head: Case Study 1 Case Study #1 Clinical Psychology: Severe Depression Princess Coles ABS 200 Introductions to Applied Behavioral Sciences Instructor Weniger 08/4/2015 Severe depression is one of the many mental illnesses that affect one out of ten Americans. Severe depression involves, extreme or constant feeling of sadness, loss of interest in activities and even relationships. Those suffering from depression might even struggle with the feeling of worthlessness and repeated thoughts of suicide. Therefore the effects are not only psychological but physical as well. According to Kessler author of Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States International Journal Of Methods In Psychiatric Research, (3), 169. About 17% of people are likely to experience some kind of depression at some point in their lives. I have chosen this topic of interest because it is important to help those suffering from depression understand that there is help and that with treatment they can lead a more positive way of thinking. Some mental health problems are caused by dysfunctional ‘ways of thinking’-either about self or the world (e.g. in major depression) and many anxiety disorders are characterized by a bias towards processing threatening or anxiety relevant information. Cognitive behavioral therapy is generally perceived as an evidence based and cost effective form of treatment that can...

Words: 517 - Pages: 3

Free Essay

Case Study

...Case Study Complete Case History The patient in this case study reports being ‘sick with flu’ for 8 days. She has been vomiting, and cannot keep any liquids or food down. She also reports that she has been using antacids to help calm the nausea. After fainting at home, she was taken to the local hospital, severely dehydrated. Upon looking at her arterial blood gas result, it would appear that this patient would be suffering from metabolic alkalosis. This patient’s pH is greater than 7.45 (normal: 7.35-7.45) and her bicarbonate (HCO3) is greater than 26 (normal 22-26). Blood gases indicate that case study patient is suffering from hypochloremic metabolic alkalosis. Focused Assessment The case study patient reports being “sick with flu” for eight days. She reports vomiting several times a day and taking more the recommended dose of antacids. She reports that she fainted today at home and came to the hospital. The case study patient reports that this all started approximately eight days ago. The case study patient also reported taking excess amounts of antacids. Ingesting large amounts of this medication can cause metabolic alkalosis. When antacids are taken in large doses, the ions are unable to bind, and therefor the bicarbonate is reabsorbed and causes alkalosis (Lehne, 2013). Renal and Respiratory systems response Hypochloremic Metabolic alkalosis occurs when there is an acid loss due to prolonged vomiting which causes a decrease in the extracellular...

Words: 289 - Pages: 2

Free Essay

Case Studies

...Case studies Name: Tutor: Course: Institution: Date: Flying to the Auto Bailout on a Private Jet Basic problems In this case study, there is wastage of resources. The CEOs of the nation's three largest automobiles uses private jets to attend the corporate public relations congress. This is wastage of resources since they are using private jets to travel when their companies are struggling to stay afloat. Ignorance is another basic problem evident in this case study. These CEOs are very ignorant. They attend the corporate public relation congress in Washington unprepared and thus appear to know nothing about their problems. The three companies, GM, Ford and Chrysler, lack the concepts of public relations. The main issues American economy is melting down. Most of the workers are losing their jobs since the companies cannot handle many workers anymore. The companies have got inadequate cash. Bankruptcy is another main issue experienced in this case study. The General Motors Company and the Chrysler can no longer pay their debts. Key decisions * According to the case study, the leaders have to come up with a new public relations strategy. * The CEOs should correct any mistakes they have made before such as using private jets to travel. * Introduce innovation in products * The auto industry of the US should promote its products. * Ensure transparency in business operations. SWOT analysis Strengths * Availability of resources for the......

Words: 657 - Pages: 3

Premium Essay

Case Study

...[pic] OPERATIONS MANAGEMENT MGCR 472 CASE STUDY ASSIGNMENT Due on November 23 in class INSTRUCTIONS: 1. Make sure to write down the name, student # and section # for each student in the group on the cover page of the case study report. 2. This assignment counts for 14% of your final grade. 3. Late submissions and submissions by e-mail will not be accepted. 4. You have to work in this assignment in groups. The number of students that can be in a group is 5. Group members can be from different sections taught by other OM professors. Each group should submit only one case study report. Reports can be submitted to any instructor. 5. Good luck! CASE STUDY REPORT In the Delays at Logan Airport case, there are different proposals for reducing congestion. One of the methods proposed to tackle the impact of delays was peak-period pricing, PPP. The other one was to build a new runway. In this case study, your objective is to evaluate these alternatives using waiting line models and to provide a recommendation to FAA to solve the delay problem at Logan Airport. Make sure you demonstrate that you have thought through your recommendations and the effects on other related activities. Also demonstrate that you understand the concepts and tools from the class that apply. Prepare an action-oriented advisory report, which presents concisely your analysis and recommendations for solution of the primary management problems. In order to assist you in......

Words: 1960 - Pages: 8

Premium Essay

Case Study

...ASSIGNMENT GUIDANCE – NRSG258 ASSESSMENT 1: CASE STUDY Dear students here are some guidelines to assist you in writing Assessment 1: Case Study. If, after reading through these, you still have questions please post on the relevant forum. If you are still unsure then please contact your campus specific lecturer to arrange to discuss your assignment. We ask that you bring these guidelines to any meeting and highlight the areas about which you are still unsure. In this case study you do not need an introduction or conclusion for this case study of 1500 WORDS ± 10% due by midnight 8th April Turnitin. Just answer the questions. Turnitin is located in your campus specific block. Although we suggest you do your background reading in the current textbooks for basic information, the case study also requires you to find current literature/research/articles to support your discussion throughout the case study. Do NOT use Better Health Channel, WedMed, dictionaries, encyclopaedias etc. These are NOT suitable academic sources. If you use these you will not meet the criteria for this question and you will lose marks. You must follow the APA referencing format as directed by ACU in your case study and in your reference list. The Library website has examples of how to do this referencing and you can find the correct format at the end of your lectures and tutorials as well as in the free Student Study Guide. This essay should have approximately 10 relevant sources.......

Words: 1111 - Pages: 5