Check Study Program

#Diabetic_Retinopathy

Fadil, aged 38 years, is a software engineer who has recently been diagnosed with type 2 diabetes. Prior to this recent diagnosis, he had not seen a medical practitioner or another health professional for many years. He reports intermittent difficulty with his vision. 1. How would you assess Fadil? What are important points to elicit in the history, and what signs would you look for on examination? 2. How is diabetic retinopathy graded? 3. What are the sight-threatening complications of diabetic retinopathy? 4. What further ocular investigations may be required? 5. What are the likely diagnoses for the right and left eyes? 6. What treatment might be administered by the ophthalmologist? 7. As a general practitioner (GP), how can you help Fadil manage his diabetic retinopathy? #Week23_Case7

#Keratitis_Mx

Patricia, aged 73 years, is undertaking topical treatment for glaucoma. Patricia attends your clinic with her husband, David, aged 80 years. Patricia works part time as a lecturer and lives at home with David. She comes to see you as her right eye has been red for the past two days, and this morning she woke with right eye pain. Patricia is afebrile and has no other complaints today. Her general health is good aside from hypertension; she does not smoke and only drinks a glass of wine on occasion. 1. What questions would you ask Patricia about her current condition? 2. What would you ask Patricia about her past ocular history to assist you in the diagnosis? 3. What examination would you next perform? 4. How would you assess the eye? 5. How would you manage Patricia? #Week23_Case6

#Uveitis

#Red_Eye_Exam

#Red_Eye_Unilateral_Hx

#Uveitis_Screening_JIA

#Uveitis_Referral

Jason, aged 40 years, is a man who presents with red eyes that developed one week ago. You see him wearing sunglasses in the waiting room. When he walks in, he asks if you can turn down the lights in the consulting room. He also describes a deep ache around his eyes. You ask Jason about any discharge or watery eyes. He replies that there is minimal discharge. His eyes were not stuck together in the morning. His eyes are not itchy, and he does not have hay fever. **1. How would you differentiate typical conjunctivitis from uveitis-related red eyes in taking a history from Jason? 2. How would you differentiate typical conjunctivitis from an atypical presentation on examination? 3. When the presentation does not fit with conjunctivitis, is there any harm in prescribing chloramphenicol drops? 4. Under what circumstances would you refer Jason to an optometrist or ophthalmologist on the same day? 5. How would you respond? 6. What would you do? 7. Are there any circumstances in which you can prescribe topical steroid drops? **#Week23_Case5

Hi Colleagues, My Mac was not working for the last 2 days,I share the next 3 cases of Ophthalmology today and tomorrow and we start the Infectious check from Monday.

#Esotropia

#Pseudostrabismus

Ethan, aged two months, is a well child brought to your clinic by his mother, Kerryn. Kerryn thinks that Ethan’s eyes do not appear to move together at times, which has been the case since birth. While the condition occurs intermittently, it is a major concern for Kerryn, who is a first-time mother. Kerryn is also concerned that Ethan is light sensitive at times, although she thinks this is getting better. Ethan was delivered at term after an uneventful pregnancy. He has normal developmental milestones to date and is on the 75th centile for both height and weight. His head circumference has always been just under the 100th centile. Kerryn has noticed that the amount of time that Ethan’s eyes appear crossed has improved since he was a newborn, but she still feels that Ethan’s eye alignment is not correct. 1.What would be your initial approach to this consultation? 2.What is your differential diagnosis? 3.Has Ethan’s diagnosis now changed? 4.Is the family history relevant? 5.Is there any urgency in the timing of a referral to an ophthalmologist? #Week23_Case4