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Abstract(s)
O presente relatório de estágio, realizado no Centro Clínico e Experimental em Ciências da Visão, consta da apresentação e análise de três casos clínicos que surgiram ao longo do estágio. Os casos clínicos dizem respeito a uma suspeita de patologia, uma anomalia na visão binocular e uma adaptação de lentes de contacto hidrófilas tóricas.
O caso de suspeita de patologia foi detetado no decorrer de uma consulta e após a realização de vários exames incluindo a retinografia e a tomografia de coerência ótica, o paciente apresentava uma lesão retiniana do olho esquerdo, na zona perimacular temporal-inferior perfeitamente visível e delimitada com afetação do epitélio pigmentar da retina. Dado que o paciente não apresentava sintomas, este foi reencaminhado para a especialidade de Oftalmologia. Após a consulta o médico Oftalmologista diagnosticou os sinais apresentados acima como sendo cicatrizes coriorretinianas por suspeita de toxoplasmose congénita.
Relativamente ao caso da anomalia na visão binocular, após a realização da consulta optométrica, o paciente não aumentou significativamente o erro refrativo, pelo que se manteve a refração dos óculos. Ao analisar-se os valores dos testes binoculares e acomodativos, conclui-se que o paciente apresentava uma inflexibilidade acomodativa, na qual foi proposto treino visual para tratar o problema acomodativo e fortalecer o sistema visual.
Por último, no caso da adaptação de lentes de contacto hidrófilas tóricas, a paciente utilizava lentes de contacto esféricas de -4,50D, reportou que ultimamente via melhor com as lentes oftálmicas do que com as lentes de contacto. Optou-se por adaptar lentes de contacto hidrófilas tóricas.
This internship report, carried out at the Clinical and Experimental Center in Vision Sciences, focuses in the presentation and analysis of three clinical cases that have emerged over the traineeship. Clinical cases involve a suspected pathology, an abnormality in binocular vision and an adaptation of toric soft contact lenses. In the case of suspected pathology, after conducting several tests, including retinography and optical coherence tomography, one retinal lesion was detected in the left eye of a patient, in the temporal inferior perimacular zone, clearly visible, and defined with affecting of the retinal pigment epithelium. Since there were no symptoms, the patient was directed to Ophthalmology specialty. The patient reported the diagnosis of the medical specialty as being a coriorretineanas scars with suspicion of congenital toxoplasmosis. Regarding the case of abnormality in binocular vision, by the end of the optometric consultation, the patient did not significantly increase the refractive error, so maintaining the refraction of the glasses. When analyzing the values of binocular and accommodative tests, it is concluded that the patient had an accommodative inflexibility, proposing a visual training to treat the accommodative problem and strengthen the visual system. Lastly, in the case of adaptation of toric soft contact lenses, the patient used spherical contact lenses -4,50D, and recently reported that she could see better with ophthalmic lenses than with contact lenses. We chose to adapt toric soft contact lenses.
This internship report, carried out at the Clinical and Experimental Center in Vision Sciences, focuses in the presentation and analysis of three clinical cases that have emerged over the traineeship. Clinical cases involve a suspected pathology, an abnormality in binocular vision and an adaptation of toric soft contact lenses. In the case of suspected pathology, after conducting several tests, including retinography and optical coherence tomography, one retinal lesion was detected in the left eye of a patient, in the temporal inferior perimacular zone, clearly visible, and defined with affecting of the retinal pigment epithelium. Since there were no symptoms, the patient was directed to Ophthalmology specialty. The patient reported the diagnosis of the medical specialty as being a coriorretineanas scars with suspicion of congenital toxoplasmosis. Regarding the case of abnormality in binocular vision, by the end of the optometric consultation, the patient did not significantly increase the refractive error, so maintaining the refraction of the glasses. When analyzing the values of binocular and accommodative tests, it is concluded that the patient had an accommodative inflexibility, proposing a visual training to treat the accommodative problem and strengthen the visual system. Lastly, in the case of adaptation of toric soft contact lenses, the patient used spherical contact lenses -4,50D, and recently reported that she could see better with ophthalmic lenses than with contact lenses. We chose to adapt toric soft contact lenses.
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Keywords
Adaptação de Lentes de Contacto Tóricas Inflexibilidade Acomodativa Toxoplasmose Congénita