Jane Goodwin BSc MSc. Nurse Practitioner in Primary Care and Ophthalmic PwSI (practitioner with specialist interest). 30.8.06 – GP Registrar. Requests/concerns – what do you want ? Examination – VA Case studies Examination - Ophthalmoscope Case studies Other presenting problems
Jane Goodwin BSc MSc
Nurse Practitioner in Primary Care and Ophthalmic PwSI (practitioner with specialist interest)
30.8.06 – GP Registrar
Requests/concerns – what do you want ?
Examination – VA
Examination - Ophthalmoscope
Other presenting problems
The opticians letter states
‘this man has a cataract in the left eye and I have advised him to seek a specialist opinion’
His VA is 6/9 right and 6/12 left
Ten weeks after uncomplicated cataract surgery a patients requests a further prescription of G. Maxidex. He missed his post operative review.
One year after cataract surgery, a patient complains of gradual deterioration in vision, in the operated eye.
A 50 year old man notices a single black object in the field of his left eye. It moves on eye movements.
Flashes and Floaters
Typically 20 minutes
-Vitreous Haemorrhage -Ocular Migraine-PVD
-PVD with retinal detachment -(+/- retinal hole formation)
PVD – post vitreous detachment
If occurs in one eye increased risk of happening in the other
A 28 years old female presents with a smooth, round swelling in Left upper lid. It has been present for 2 months.
A 20 year old women presents with bilateral red eyes that are gritty and burning. Discharge is evident on the lashes.
A 24 year old man presents with a painful left red eye that has been present for 5 days and has been getting worse every day. He is quite photophobic.