Pediatric Optometry Assignment

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Thank you

Pediatric Optometry Case 8: 10yo/M/F

10yo/Malay/Female

Hx:      patient is generally healthy.

            Good vision at near and distance with current spectacle.

            The current spectacle was worn for 2 years.

            Was undergone amblyopia treatment for 1 year, loss of follow up for 1 year. 

Pediatric Optometry Case 6: 5yo/M/I

 Subjective

-Referred from PCO clinic. Based on PCO, vision is fluatuate, required cycloplegic refraction. 

-Parent report, patient like to watch TV very close, squinting and make pinhole effect to see small letters, like to rub, tend to have face turn (not confrm either right or left) in order to focus. Generally healthy.

Pediatric Optometry Case 3: 2 years 6 m.o./M/F

Follow –up case: Suspect Autism

Patient came for follow up in IIUM Optometry clinic as her parents concern about her visual status as she is suspected to have autism.

Complaints:

-    Parent complaint her daughter sometimes has face turn and head tilt when looking at objects

-     During visit no AHP was observed.

Tracking 2 years old Child Development 2

As I've explained in my previous post, 2 years old child enjoys playing alongside other children, but doesn't interact a great deal with them.  Look at these photos, Adam (my son) and his friend play in the same field, but they are not play together..They have own play and each of them play with their ball..

Pediatric Optometry Case 2 : 3 yr old/F/C

Reason:

Came to IIUM optometry clinic as a referral from IIUM eye clinic. They suspect Convergence Insufficiency on RE. 

History Taking:

Mother complain that her RE sometimes deviate out 3 to 4 times a day. 

She notice since 1 ½ years ago. 

There is no specific time of deviation.

Pediatric Optometry Case 1: 2 years 6 m.o./M/F

(NEW CASE)

Hx:

·        - Suspected autism (as not confirmed by HTAA psychiatrist yet).

·        - Birth: Normal delivery.

·        -She was not feeling well during the visit.

·        - Mother reported she can suck well and eat rice as well.

·        -Good development except for speech.

SURVEY (SPECIAL CLINIC)

SURVEY (SPECIAL CLINIC)

1. Which specialty that can hold your interest? Please choose one only.

A. Low vision

B. Binocular vision

C. Pediatric

D. Contact lens

2. According to your answer for Question No. 1, please state reasons why the specialty can hold your interest. (State in point form)

E.g.

1. the lecturer……

2. Can relate theory and apply it during clinical

3. According to your answer for Question No. 1, based on your chosen specialty, what type of cases that might be most interesting case?

Eg.

LV- retinitis pigmentosa @ cataract

BV- acc. Problem esp. acc. Weakness

CL- keratoconus- fiiting with piggy back CL,or do Soflex fitting

4. According to your answer for Question No. 3, please state reasons why the type of case can hold your interest. (State in point form).

5. Which specialty that most bored?

A. Low vision

B. Binocular vision

C. Pediatric

D. Contact lens

6. According to your answer for Question No. 5, please state reasons why the specialty cannot hold your interest. (State in point form).

7. Which type of case is most challenging to manage?

A. Low vision

B. Binocular vision

C. Pediatric

D. Contact lens

8. According to your answer for Question No. 7, please state reasons why the case is challenging?

9. Which type of case is easiest to manage?

A. Low vision

B. Binocular Vision

C. Pediatric

D. Contact Lens

10. According to your answer for Question No. 9, please state reasons why the case is not challenging?

CV is not considered as one of specialty. It can be a sub-specialty either in Low vision, Binocular Vision, Pediatric or Contact Lens.

Paed Clinic.23/12/2009-LJS-Hasbi Group

opia2612@yahoo.com
December 23rd, 2009 at 6:05 pm e

(member: hasbi, amalina, ain, shafiah)
SNM 9/F/M (file no: 5964)
-Previous visit
• Mother reported that patient needs to squint her eyes to see clearly leading to symptoms of headache
• She has high WTR astigmatism OU + meridional amblyopia
• Full prescription prescribed and vision improvement noted 2 months afterward
• Her last visit was 16th May 2008
-Today’s visit (December 23, 2009)
• Pt sits in front of the class-no problem with copying notes from blackboard. However, headache reported occasionally during writing + reading+ looking at blackboard + sometime at home; location: top of the head
• Father reported: headache in the morning and evening (1-2 times a month)
Current Rx
RE: +0.50/-4.00 X 8 (6/6-2 ; N5@ 30cm)
LE: +0.50/-4.00 X 8 (6/6-2 ; N5@ 30cm)
Subjective refraction
RE: +0.50/-4.00 X 5 (6/9 ; N5@ 30cm)
LE: +0.50/-4.00 X 5 (6/9+3 ; N5@ 30cm)
AA
RE: 10/9 11/9, 12/10D
LE: 12/9,12/9,12/9D ; BE: 11/8, 12/9,11.5/8D
NPC: TTN
Phoria assessment
Maddox rod: 2ep @distance, 2xp @near
Howell card: orthophoria @ distance and near
Acc facility
RE: 7cpm ,LE: 9cpm ,BE:8cpm
Acc response (MEM)
BE: +1.50DS
K reading (Pentacam)
RE: 7.87mm/42.90D@H ; 7.22mm/46.70D@V
LE: 7.90mm/42.70D@H ; 7.13mm/47.30D@V
Other findings
-how do I put it? Mild to severe scratches was inspected on her current lenses…hehehe
To the rest of the class (excluding me, amalina, shafiah & hasbi), what is the possible assessment of this patient? To be more specific: what is the probable causes of her headache? Selamat menjawab \(^_^)/