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Suspeita de Oclusão Venosa da Retina, Adaptação de Lentes de Contacto RPG em Queratocone, Ambliopia
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| 2.87 MB | Adobe PDF |
Authors
Abstract(s)
Este relatório, intitulado “Suspeita de Oclusão Venosa da Retina, Adaptação de
Lentes de Contacto RPG em Queratocone e Ambliopia”, resume a experiência adquirida
ao longo de um estágio de seis meses na clínica de optometria Optocentro, situada em
Lisboa. Este estágio, iniciado em 1 de março de 2023, foi uma parte fundamental do
mestrado em Optometria e Ciências da Visão da Universidade da Beira Interior. Durante
este período, foram aprimoradas competências práticas que possibilitaram uma
ampliação significativa do conhecimento na área da optometria, com ênfase na adaptação
de lentes de contacto rígidas permeáveis a gases, na avaliação de condições oculares como
a oclusão venosa da retina, e na análise de casos de ambliopia. A experiência prática
incluiu a realização de exames complementares, como tomografia de coerência óptica,
retinografia, topografias, retinografias, campimetrias e análise de casos de disfunções
binoculares e acomodativas, permitindo uma abordagem abrangente e integrada no
diagnóstico e tratamento de disfunções visuais.
O relatório está organizado em três casos clínicos distintos. O primeiro aborda um
paciente com suspeita de oclusão venosa da retina, uma condição que pode levar a uma
diminuição significativa da acuidade visual devido à obstrução do fluxo sanguíneo nas
veias retinianas. Neste caso, foram realizadas avaliações clínicas detalhadas, incluindo
exames de Retinografia e OCT, para fundamentar a suspeita de patologia.
O segundo caso foca na adaptação de lentes de contacto rígidas permeáveis a gases
em um paciente diagnosticado com queratocone. A adaptação foi realizada com base em
uma análise da topografia corneana, visando proporcionar uma correção visual eficaz e
conforto ao paciente, que apresentava irregularidades na superfície corneana.
O terceiro caso aborda a ambliopia numa criança de 4 anos. A paciente, sem
historial de uso de óculos, foi submetida a uma avaliação optométrica completa. O
tratamento prescrito incluiu a correção baseada na refração cicloplégica, complementada
por oclusão terapêutica do olho dominante e, a implementação de exercícios de
estimulação visual. Estas intervenções visam melhorar a acuidade visual do olho
amblíope e favorecer o desenvolvimento binocular adequado.
This report, titled “Suspected Retinal Venous Occlusion, Adaptation of Rigid Gas Permeable Contact Lenses, and Amblyopia,” outlines the insights gained during a sixmonth internship at the Optocentro optometry clinic in Lisbon. Starting on March 1, 2023, this internship was an integral component of my master’s program in Optometry and Vision Sciences at the Universidade da Beira Interior. Throughout this period, I enhanced my practical skills, significantly deepening my understanding of optometry, particularly in the adaptation of rigid gas permeable (RGP) contact lenses, the assessment of ocular conditions such as retinal venous occlusion, and the analysis of amblyopia cases. My hands-on experience included performing various complementary examinations, such as optical coherence tomography, retinography, corneal topography, visual field tests, and evaluations of binocular and accommodative dysfunctions. This comprehensive approach allowed for a thorough diagnosis and treatment of visual disorders. The report is structured around three distinct clinical cases. The first case involves a patient suspected of having retinal venous occlusion, a condition that can lead to a significant reduction in visual acuity due to obstructed blood flow in the retinal veins. Detailed clinical assessments were conducted, including retinography and OCT, to evaluate and confirm the diagnosis. The second case focuses on the adaptation of RGP contact lenses for a patient diagnosed with keratoconus. The adaptation process was guided by an analysis of corneal topography, aiming to achieve effective visual correction and comfort for the patient, who exhibited irregularities in the corneal surface. The third case focuses on amblyopia in a 4-year-old child. The patient, with no previous history of wearing glasses, underwent a comprehensive optometric evaluation. The prescribed treatment included full correction of hyperopia, complemented by therapeutic occlusion of the dominant eye, alongside other interventions such as visual stimulation exercises. These measures aim to improve visual acuity in the amblyopic eye and promote proper binocular development.
This report, titled “Suspected Retinal Venous Occlusion, Adaptation of Rigid Gas Permeable Contact Lenses, and Amblyopia,” outlines the insights gained during a sixmonth internship at the Optocentro optometry clinic in Lisbon. Starting on March 1, 2023, this internship was an integral component of my master’s program in Optometry and Vision Sciences at the Universidade da Beira Interior. Throughout this period, I enhanced my practical skills, significantly deepening my understanding of optometry, particularly in the adaptation of rigid gas permeable (RGP) contact lenses, the assessment of ocular conditions such as retinal venous occlusion, and the analysis of amblyopia cases. My hands-on experience included performing various complementary examinations, such as optical coherence tomography, retinography, corneal topography, visual field tests, and evaluations of binocular and accommodative dysfunctions. This comprehensive approach allowed for a thorough diagnosis and treatment of visual disorders. The report is structured around three distinct clinical cases. The first case involves a patient suspected of having retinal venous occlusion, a condition that can lead to a significant reduction in visual acuity due to obstructed blood flow in the retinal veins. Detailed clinical assessments were conducted, including retinography and OCT, to evaluate and confirm the diagnosis. The second case focuses on the adaptation of RGP contact lenses for a patient diagnosed with keratoconus. The adaptation process was guided by an analysis of corneal topography, aiming to achieve effective visual correction and comfort for the patient, who exhibited irregularities in the corneal surface. The third case focuses on amblyopia in a 4-year-old child. The patient, with no previous history of wearing glasses, underwent a comprehensive optometric evaluation. The prescribed treatment included full correction of hyperopia, complemented by therapeutic occlusion of the dominant eye, alongside other interventions such as visual stimulation exercises. These measures aim to improve visual acuity in the amblyopic eye and promote proper binocular development.
Description
Keywords
Ambliopia Lentes de Contacto Rpg Oclusão Venosa da Retina Queratocone