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Authors
Advisor(s)
Abstract(s)
O presente relatório de estágio foi redigido no âmbito da unidade curricular de
dissertação/estágio, realizado durante 6 meses, no Centro Clínico e Experimental em
Ciências da Visão, da Universidade da Beira Interior.
Do conjunto de consultas realizadas no decorrer desse período, foram selecionados três
casos clínicos com base em critérios definidos: saúde ocular, superfície ocular e lentes de
contacto, e visão binocular.
O primeiro caso aborda uma suspeita de descolamento da retina, caracterizado por
queixas de alteração da forma e tamanho dos objetos, dor de cabeça forte na zona frontal,
escotomas, e fluido sub-retiniano. A paciente foi submetida a um conjunto de exames
complementares de diagnóstico e posteriormente encaminhada para outro profissional
de saúde.
O segundo caso aborda a adaptação de lentes de contacto rígidas permeáveis aos gases
num paciente com queratocone. Esta condição torna a córnea mais fina e irregular, e leva
a uma perda de acuidade visual. O tratamento inclui uso de lentes de contacto que
possibilita fornecer um melhor suporte mecânico. O exame complementar da topografia
corneal é fundamental na deteção desta condição, e ajuda na adaptação para que esta
seja bem-sucedida.
No terceiro caso é apresentada uma condição anómala da visão binocular,
nomeadamente uma insuficiência de convergência. Esta condição é caracterizada pela
incapacidade de manter uma convergência sem esforço, e este caso destaca a importância
da valorização dos sintomas e o papel fundamental da anamnese e de um conjunto de
testes de visão binocular. O tratamento pode incluir treino visual com o objetivo de
normalizar amplitudes, flexibilidades e desenvolver habilidades visuais e motoras,
eliminando assim a sintomatologia apresentada pelo do paciente.
This report was written within the scope of the dissertation/internship curricular unit, carried out over six months, at the Clinical and Experimental Centre for Vision Sciences, at the University of Beira Interior. During this period, a set of eye examinations was carried out where three clinical cases were selected based on defined criteria: ocular health, ocular surface and contact lenses, and binocular vision. The first case involves a suspected retinal detachment, characterized by complaints of changes in the shape and size of objects, severe headache in the frontal area, black spots, and subretinal fluid, where the patient was submitted to a set of exams diagnostic tests and subsequently referred to another health professional. The second case addresses rigid gas-permeable contact lenses fitting in keratoconus. Since this makes the cornea irregular and thinner, and there is a loss of visual acuity, contact lens wear provides better mechanical support. Examination of corneal topography is critical in detecting this corneal condition and helps contact lens fitting succeed. The third case presents an anomaly of binocular vision, specifically a convergence insufficiency. Characterized by the inability to maintain an effortless convergence, this case shows the importance of signs and symptoms also for the fundamental role of anamnesis and binocular vision tests. Treatment may include visual training to normalize amplitudes, flexibilities and developing visual and motor skills, thus eliminating the patient's complaints and symptoms.
This report was written within the scope of the dissertation/internship curricular unit, carried out over six months, at the Clinical and Experimental Centre for Vision Sciences, at the University of Beira Interior. During this period, a set of eye examinations was carried out where three clinical cases were selected based on defined criteria: ocular health, ocular surface and contact lenses, and binocular vision. The first case involves a suspected retinal detachment, characterized by complaints of changes in the shape and size of objects, severe headache in the frontal area, black spots, and subretinal fluid, where the patient was submitted to a set of exams diagnostic tests and subsequently referred to another health professional. The second case addresses rigid gas-permeable contact lenses fitting in keratoconus. Since this makes the cornea irregular and thinner, and there is a loss of visual acuity, contact lens wear provides better mechanical support. Examination of corneal topography is critical in detecting this corneal condition and helps contact lens fitting succeed. The third case presents an anomaly of binocular vision, specifically a convergence insufficiency. Characterized by the inability to maintain an effortless convergence, this case shows the importance of signs and symptoms also for the fundamental role of anamnesis and binocular vision tests. Treatment may include visual training to normalize amplitudes, flexibilities and developing visual and motor skills, thus eliminating the patient's complaints and symptoms.
Description
Keywords
Descolamento da Retina Insuficiência de Convergência Lentes de Contacto Rígidas Permeáveis Aos Gases Queratocone Tomografia de Coerência Ótica Tomografia de Scheimpflug