Optometry case study: Marion SA

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Spectrum brings you an optometry case study contributed by Sheriza Khan, Specsavers Marion, South Australia.

HISTORY
• Date March 2011
• Occupation-nurse RAH
• General Health –DM control poor, duration 5 years. Hypertension and high cholesterol.
• Meds- diamicron, metformin, lipitor, ? BP meds
• Last eye exam approx 5 years ago
• Presenting because of near difficulties

FINDINGS
• VA aided and unaided 6/6 right and left
• IOP 15 right and left R+0.25 L plano add +1.50
• Anterior segments unremarkable.
• Dilated 0.5%tropicamide

PHOTOS 2011

 

 

 

 

ACTION
• Refer RAH as she works there
• Referral given to Px
• Discussed importance of diabetic control

APRIL 2012
• Px returns in response to recall but mostly because her GP will not
sign her drivers licence.
• No visual problems
• VA 6/6 right and left unaided
• IOP 16 R/L
• Fields full to confrontation
• Px did not go to ophthalmologist

PHOTOS 2012

 

 

 

 

MANAGEMENT
• Referred to retinal specialist
• Referral sent to ophthal, copy given to cx. Referral specific in
mentioning Px not had made previous appt. Appt made by us for Px
with request to notify us if she did not turn up.

FOLLOW UP
• Ophthal diagnosis
• RE Severe Proliferative Diabetic Retinopathy
• LE Diabetic Retinopathy
• Treatment: bilateral pan retinal photocoagulation
• Px warned that despite this she may experience some visual loss

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