Is there anything more annoying than those who don’t pick up after their dog? These patient interactions are a close second.
What should you consider when a patient reports a history of blunt ocular trauma?
A 49-year-old Hispanic female presented for a second opinion regarding chronic floaters and photopsia OU for seven months that were previously diagnosed as a posterior vitreous detachment. Medical history included migraines and hypothyroidism that were both controlled medically.
Optometrists are often the first to encounter the initial presentation of this rare inflammatory disease in their patients.
This will be the first of two columns to explore the concept of using various pieces of information about our glaucoma patients to make educated, targeted and personalized treatment plans. After managing patients with glaucoma for extended periods of time, it’s not unusual for progression to occur despite close surveillance and adequate patient compliance. This can happen for several reasons, including the loss of efficacy of the same medications over time, increased difficulty of stabilizing an optic nerve in an 80-year-old vs. when they initially began treatment 30 years prior, the overall health changes a patient undergoes after many years and the fact that glaucoma tends to simply become more difficult to manage over time.
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