Saturday, February 23, 2008

Review on clinic on the 23 Feb 08 for Fenni and Michelle

1st Patient

Very friendly and chatty man

A patient everyone will like since he has no complains.

Great team work guys!

Near add

  • Be careful when prescribing near adds. Look at his age and start the estimation from there.
  • Age between 50 - 60 years old estimation of add is between + 2.50 DS- +3.00DS

Silt lamp

  • Lens yellowing also term nuclear sclerosis
  • Vogt Limbal girdle is just a age related changes. Not sight threatening
  • Missed out Arcus

Great job on Ophthalmoscopy and patient rapport.

Can improve on timing

Patient 2

Very sweet old lady

How we start each examination is dependent on patient complaints and also the previous history of patient. Hence it is important to read patient's previous history.

Great job on writing referral letter.

Subjective refraction

  • In cases whereby patient is not very sensitive, do not be afraid to use big steps such as +/-1.00DS. It will make your life much easier

Silt Lamp
  • It is very IMPORTANT to label what you draw and where you see the defect. Be it on the iris or lens or cornea. Do not ASSUME the next examiner will understand your work of art.

Ophthalmoscopy
  • Missed out on pigment changes at the macular region

Management
  • Please remember to address all complaints

Task

Please comment on how you will grade yourself on each patient and why.

I will add another short post on vogt limbal girdle and athritis so as to keep you updated on such terms. Please keep a look out for the post as it will benefit you in 3rd year

Please also state one area in which you are not too comfortable with. So as to allow us to better help you.

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