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Clinical Pearls Optometry 8570

J. Crane, OD September, 2008. Clinical Pearls Optometry 8570. Patient 1. 45-yo WF wants to continue CL wear. 2-day history of temporal Redness OS, denies ANY symptoms. No back-up specs… . How not to store trial lenses…. Trauma Pearls.

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Clinical Pearls Optometry 8570

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  1. J. Crane, OD September, 2008 Clinical PearlsOptometry 8570

  2. Patient 1 45-yo WF wants to continue CL wear. 2-day history of temporal Redness OS, denies ANY symptoms. No back-up specs…

  3. How not to store trial lenses…

  4. Trauma Pearls • ALWAYS investigate the exact mechanism of injury- cannot understand true ocular risk without it! • Beware management of acute IOP rise (traumatic glaucoma) in black patients with CAIs (especially oral)… why? • ANY h/o ocular trauma (not head trauma) carries a risk of unilateral glaucoma (leading cause)

  5. Trauma Pearls • Don’t screw around if there’s a risk of an open globe! • ODs can manage the non-surgical stuff, but should be sure of ophthalmoscopy skills • R/o vitreous cells with blunt trauma! • Understand the physics of how blunt trauma damages ocular structures… • Understand angle anatomy… recession vs. narrow angle vs. other anomalous findings

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