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Louisiana

Cases are numbered in this format: X-YY-1234, where X is M for medical problem and S for surgical problem, YY is the state, and 1234 is the number of the case.

1. Patient Allowed To Go Blind From Glaucoma more

Case M-LA-1001

This 43-year old man had been followed by an optometrist at a large retail store. He was given 2 eye drops for glaucoma. He self-referred himself to an ophthalmologist in 2014 as he was now blind in his right eye and 20/25 in his left eye. Intraocular pressures were 57 and 45. He will be undergoing glaucoma surgery in the near future by a glaucoma surgical specialist, not an optometrist.

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2. Undiagnosed Brain Tumor more

Case M-LA-1002

This 56 year old man presented to an optometrist with a complaint of double vision. The optometrist told him the double vision was caused by cataracts and gave him steroid drops to use (the wrong diagnosis and the wrong treatment for it, anyway). He self-referred himself to an ophthalmologist in 2014 who found a VI nerve palsy. A history of nasopharyngeal cancer was obtained. An MRI showed a metastasis into the brain, causing the nerve palsy. The patient's diagnosis was delayed 2 months due to the optometric misdiagnosis. The patient is currently undergoing an oncology workup and may need surgical intervention.

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3. Surgical Misadventure Leads to Scar more

Case M-LA-1003

This 56 year old man presented to an optometrist with a complaint of double vision. The optometrist told him the double vision was caused by cataracts and gave him steroid drops to use (the wrong diagnosis and the wrong treatment for it, anyway). He self-referred himself to an ophthalmologist in 2014 who found a VI nerve palsy. A history of nasopharyngeal cancer was obtained. An MRI showed a metastasis into the brain, causing the nerve palsy. The patient's diagnosis was delayed 2 months due to the optometric misdiagnosis. The patient is currently undergoing an oncology workup and may need surgical intervention.

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4. Undiagnosed Neurosyphilis more

Case M-LA-1004

A 58-year-old lady went to an optometrist complaining of floaters. She was diagnosed with a vitreous detachment. She then presented to an ophthalmologist, who found panuveitis in the right eye. Subsequent lab work found active syphilis. She was referred to an infectious disease specialist for definitive treatment.

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5. An optometrist missed Von Hippel Lindau disease with retinal detachment resulting in poor vision. (Fairchild v. Brian) 

6. Optometrists missed the diagnosis of glaucoma, resulting in poor vision. (Broussard v. Sears Roebuck)