Found 22 Results Sorted by Case Date
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Wisconsin – Emergency Medicine – Proper Exams For Headache, Pain And Discharge Of The Eye, Blurred Vision, And Photophobia



On 9/23/2002, a patient presented to the emergency department with complaints of a long standing migraine headache, which reportedly began after rubbing his eye.  Pain and discharge of the right eye also existed, together with blurred vision and photophobia.  The patient reported a history of prior migraine headaches.

The ED physician completed an eye exam, a neurological exam, and a CT scan.  The patient was reluctant to allow further examination of the right eye.  Based upon his physical examination of the patient, the ED physician determined that an immediate pressure evaluation was not necessary.  The ED physician diagnosed the patient with migraine headache and right eye conjunctivitis.  He treated the patient with pain medication and discharged the patient with eye drops and instructions to follow up with his ophthalmologist if he had not improved in 1-2 days.

The patient saw an ophthalmologist two days later and was diagnosed with acute angle closure glaucoma.  He lost a portion of his vision in his right eye.  The ED physician recognized that a specific pressure test, if employed, may have revealed the closure on 9/23/2002.

The Board ordered that the ED physician pay the costs of the proceeding and complete 12 hours of continuing education in Ocular Vision, to include Tonometry.

State: Wisconsin


Date: October 2005


Specialty: Emergency Medicine, Ophthalmology


Symptom: Headache, Vision Problems


Diagnosis: Ocular Disease


Medical Error: Failure to order appropriate diagnostic test


Significant Outcome: Permanent Loss Of Functional Status Or Organ


Case Rating: 3


Link to Original Case File: Download PDF



Wisconsin – Emergency Medicine – Waiting Until The Next Day To Evaluate Patient With Bleeding And A Possible Retinal Tear



On 5/15/2002, a patient arrived at the emergency department after experiencing bleeding and a possible retinal tear in her left eye.  An ophthalmologist was the on call doctor for the eye clinic.  As soon as the ophthalmologist was contacted by telephone, he spoke with the patient and instructed her that she should be seen the next morning by a retina specialist at the eye clinic.  At no time did the ophthalmologist examine the patient.

Upon examination the next morning by a doctor in the eye clinic, the patient was found to have an acute retinal tear and she was sent immediately to see a subsequent treater who performed laser surgery that same day.  The ophthalmologist’s failure to examine the patient on 5/15/2002 placed her at increased risk for further damage to her eye.

The Board ordered that the ophthalmologist pay the costs of the proceeding, be reprimanded, and complete 20 hours of continuing education in ocular emergencies or 20 hours in retinal disease.

State: Wisconsin


Date: July 2005


Specialty: Emergency Medicine, Ophthalmology


Symptom: Vision Problems


Diagnosis: Ocular Disease


Medical Error: Failure to examine or evaluate patient properly


Significant Outcome: N/A


Case Rating: 3


Link to Original Case File: Download PDF



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