Eyes: Pupillary Light Measure

Whilst communicating with Mr H I reviewed his hearing ability by making a mental note of the times he hadn't heard me correctly and compared this with the previous day, at present Mr H's hearing ability doesn't appear to have changed, I recorded this in the communication section of Mr H's care plan where others could see there were no changes at present.

There were no intraoperative or postoperative problems. However in one patient elevated intraocular pressure (IOP) were detected at the postoperative control. Were considered steroid induced, the IOP returned to baseline levels after cessation of steroid. Throughout all follow-up years, a total of 5 eyes of 5 patients have been received a new intervention due to a tilt of the lens or had been dislocated from the iris. In this patients the endothelial cells loss was much higher than the

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

occurred on Sunday. She states she was seen by the “eye doctor earlier today” and

This lady lives alone, which is the situation 2.5 million people over 75 find themselves in the UK(office for national statistics, 2015), the population of the United Kingdom over 75 is projected to double over the next 30 years (Ons.gov.uk, 2015) . She has bilateral age related maculopathy this affects less than 3.3% of the older population. Augood et al (2004). She does live with family and this will give good motivation to try to and make the best of her remaining vision in order to help her play with her grandchildren, the fact that her granddaughter is able to bring her to the appointment is also very helpful as any advice can (as long as the patient gives permission) can be relayed to his daughter to reinforce particularly in the correct

The dry form is broken down into three stages; Early, Intermediate, and Advanced (National Eye Institute 3). In the Early stage, people have several small or few medium yellow deposits under the retina called drusen. This stage shows no symptoms or vision loss. During the second stage, Intermediate, more medium or even large deposits happen. As this happens, a blurred spot can develop and more light could be needed for reading. Lastly, in the Advanced stage, a breakdown of light-sensitive cells and tissue causes the blurred spot to enlarge and darken. In this latter stage, facial recognition is unlikely unless the person is extremely close. Either form of Macular Degeneration can only be detected by thorough eye exams. The exam should include visual acuity, which measures sight at varied distance intervals. Also, dilation of the eyes will allow an ophthalmologist to check the retina and optic nerve. An instrument called a Tonometer will measure pressure within the eyes (National Eye Institute 6).

Two pt verifier name and dob confirmed Call to address referral request to audiology. Pt states that for a couple of weeks he have not been able to hear in his right ear with his hearing aid. Pt states that he change the battery and filter in the hearing aids but still can not hear. Pt denies fever,chills, ringing in the ears, or feeling off balance. Informed the pt that an audiology referral was placed; once approved CAMO will notified him to assist with scheduling an appt. Pt agrees and verbalized understanding.

Pupils equal and round, reactive to light. Wears glasses, had injury to eye in 2008 where traumatic Cataract removed and lens was implanted.

The first disease I’m going to mention is Glaucoma, according to Web MD last updated in 2015, Glaucoma is a condition that causes damage to your eye's optic nerve and gets worse over time. It's often associated with a buildup of pressure inside the eye. Glaucoma tends to be inherited and may not show up until later in life.

Two pt verifier name/dob confirmed. Pt states that during her last encounter with PA Wells, that she and him had discuss possible ear piercing to help with migraines. Pt states that she would like accupunture in her ears instead. Informed the pt her message will be forwarded to her provider and then we call her with reccomendations. Pt agrees and verbalizes

There are many clinical signs that can be used to diagnose early keratoconus. The patient presents with a primary complaint of a gradual reduction in vision over the past few years. As a starting point, it may be beneficial to phone Miss Stuarts previous optometrist to get a copy of her most up to date prescription along with her best corrected visual acuities. If the optometrist is willing to give the prescription over the phone, it would be a good indicator as to how much Miss Stuart’s prescription has changed within the past three to four years. If this is not feasible, a good starting point would be retinoscopy. An early sign of keratoconus can be seen on retinoscopy by the presence of a slight scissor reflex. Patients with normal

disease, damage to the eyes and other changes to the body. Tests may be per-

Findings from previous eye exam and dilations may be serious enough to require a second

Ms.Ebony Bohanon, called the office Friday 28,2017, her complaint she could not see out of her right contact. Linda and I search for another right for her eye. The patient did not put on the contacts until she was at work. Patient called several times, asking what we could do for her. Finally she switch the contacts, the contacts worked perfect. Patient stated the contact boxes were marked incorrectly. Patient was very happy and all was

A 33 year old female presented to the Emergency Department of the University Hospital of the West Indies with a one month history of worsening headaches and a two day history of visual deterioration. She also complained of irregular menstrual periods for the previous six months and galactorrhoea for three months. There was no change in her conscious level, no seizures or syncopal episodes. She denied any fever or photophobia. The headaches were mostly frontal with a severity of 9 on the visual analog scale (VAS). There was no previous history of an chronic illnesses. She was admitted to the Ophthalmology service for investigation of her deteriorating vision. She was referred to the neurosurgical department