Great refraction and history taken.
Near Add
- Important to ask patient what her occupation is and if she requires near add for it. For this particular patient she complained of having problems with reading the newspaper and sewing but no problems at work. Remember to prompt patient or else they will NEVER tell you
Silt lamp
- Missed out on arcus and mild staining
- Could also make an addtional comment regarding her loose lids
- Crystalline lens: Nuclear Sclerosis in both eye instead of cloudiness of lens
Ophthalmoscope
- Missed out on drusen and pigmentary changes at the macula region
- Good estimation of C/D ratio
Management
- Did you teach patient how to do lid scrubbing and warm compresses?
- Can improve on hand writing.
- Important to give summary of the test done and link the results back to her daily routine.
- EG: Patient has poor unaided distant V/A. Important to remind her to wear her glasses when she goes out or advise on a new pair of glasses. If you do not do that and she falls YOU WILL BE HELD RESPONSIBLE.
2nd Patient
Great timing on the 2nd patient
Late 50s man
Similar points as before.To relate what you have done to patient's daily routine.
EG: Patient's distance V/A does not meet driving requirements
Flashes of light important to tell patient's the symptoms of retinal detachment just in case.
Other than that, great job overall.
TASK
Please comment on how much you will grade yourself for each patient and why.
Please note down the areas on where you think you are not so comfortable with eg: refraction or taking a fundus camera etc to enable us to better help you and prepare you for your coming 3rd year.
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