Symptoms And Treatment Of Dry Eye

The Client’s mother died at 45 years old from typhoid fever and her sister had breast cancer in 2013 and had double mastectomy. Client’s father died at 40 years old from unknown cause. Client’s maternal grandfather died at 90 years old from stroke and he passed away in the

Medical Update: Client has no current medical issues. CM observed that the client is having problem with the eyes. CM on numerous occasions referred the client to Laser Eyes but the client was no show.

L.H. report no concurrent or severe headaches; There was no head trauma, syncope or vertigo. Patient wears corrective lens with no difficulty of vision or diplopia; absent of inflammation, discharge or lesion. Last eye exam was in September of 2016 with no history of glaucoma, cataracts. L.H. denies having any frequent colds, sinusitis, epistaxis and trauma. Patient reports having obstruction stating, “it happens when I am lying down” with an occasional postnasal drip.

Eyes, ears, mouth: Patient denies difficulty with vision or double vision. Denies any eye pain, inflammation, discharge, denies history of glaucoma or cataracts, denies hearing loss or trouble hearing, denies sore throat, dry mouth, bleeding gums. Reports regular dental visits.

The records have been reviewed. The member is an adult male with a birth date of 05/16/1973. He has a diagnosis of bilateral degenerative myopia. His treating provider, Amy Camarota, OD, recommended treatment options on 03/18/2016, one of which was scleral lenses, which the member opted and paid for on 04/01/2016.

Macular Degeneration is a disease of the eye that gradually causes loss of a person’s central vision. Approximately 1.75 million Americans suffer from vision loss associated with the disease (All About Vision 1). The leading cause of blindness in people over the age of 60, Macular Degeneration, exists in two types (National Eye Institute 1). Both the wet and dry versions of the disease have similarities in risk factors, but differ in symptoms and treatments.

“Patient is currently having blurred vision, facial pain, numbness in both upper and lower extremities,

Recommendation Statement “glaucoma affects approximately 2.5 million Americans and is a leading cause of impaired vision (loss of peripheral vision) and blindness” (Moyer). Glaucoma is a disease the damages the optic nerve in the eye. There are several different types of glaucoma including: Open-angle, normal-tension, closed-angle, and congenital glaucoma. Open-angle is the most common. Even though there is no treatment yet for glaucoma, a person can manage it. To help a person mange this disease there are two basic treatments that can be used: medicated eye drops or surgery.

Patient denies any signs or symptoms of GI bleeding, N/V/D, bloody stool, chest pain, SOB, or blurred vision. Patient was in a fight over 20 years ago and has facial bone damage, now that is affecting his vision. Requesting community resources Patient was seen at Calhoun Eye Center several years ago.

HISTORY OF PRESENT ILLNESS: Patient was in bed, reading a book on his tablet computer when the words began to look “fuzzy.” In addition to the blurred vision, he also experienced a “strange feeling” in his right eye. The following morning, he had difficulty opening the right eye. Using his fingers to open the eye, he had double vision. Along with the double vision, he also experienced pain in both eyes, which worsened when looking left. His wife drove him to the on-post emergency

Eyes: Pupillary light reflex: Pupils are equal, round, reactive to light. Accommodation is present. Eyebrows, eyelids, and lashes are present, symmetric, and eyelids are a proximal completely. Conjunctive is pink, clear, with no swelling or lesions. Sclera is china white. Patient wears glasses and the glasses are in good repair. The last vision test was last spring and the patient gets an eye exam done every two years. The client states her left eye did not fully develop so she has always had bad vision in that one eye. However, when you look at the eye, you would never notice. Cataracts were removed in both eyes, but it was 3 years apart.

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

Eye: patient’s states having “Annual eye examination for 5 years, Glasses for driving, inability to see far object (myopic). Patient was able to read with each eye and both eyes with eye glasses. There was no abnormities with cranial nerve 2, 3, 4 and 6. Pupil was equal round, reflective to light and accommodation.

Wet Macular Degeneration causes more severe loss of vision. Dry Macular Degeneration is the age-related type. There is no proven cure for dry Macular Degeneration.

Conditions that affect the lacrimal gland or its ducts, including autoimmune diseases such as lupus and rheumatoid arthritis, lead to a decrease in tear secretion and develop dry eye condition.