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Suspeita de Membrana Epirretiniana, Adaptação de lentes de contacto RPG em Queratocone, Insuficiência de Convergência
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Abstract(s)
A elaboração deste relatório afigura-se como o término do período de Estágio Curricular do 2.º Ciclo de Estudos em Optometria e Ciências da Visão, que foi desenvolvido durante 6 meses na Óptica Lucas, localizada no distrito de Castelo Branco. Com o intuito disposto acima, foram selecionados e analisados 3 casos clínicos de acordo aos critérios definidos nomeadamente, saúde ocular, superfície ocular e lentes de contacto e visão binocular, como “Suspeita de Membrana Epirretiniana, Adaptação de lentes de contacto RPG em Queratocone, Insuficiência de Convergência.” O primeiro caso é sobre uma suspeita de membrana epirretiana (ERM), que se carateriza por uma membrana proliferativa celular pré-retiniana enrugada semitranslúcida avascular, que se forma na ‘interface’ vítreo-retiniana. Neste caso, a paciente foi submetida a uma serie de exames complementares de diagnóstico e em seguida foi encaminhada para outro profissional de saúde. No segundo caso, realizou-se uma adaptação de lentes de contacto RPG em Queratocone (KC), sendo uma distrofia corneana não inflamatória, progressiva bilateral, caracterizada por adelgaçamento, e protusão da córnea, levando a astigmatismo irregular, miopia e deficiência visual. O último caso, trata-se de uma anomalia binocular não estrábica, a insuficiência de convergência (IC). O tratamento recomendado para este caso é a terapia visual, uma vez que o paciente não se mostrou motivado para a realização da mesma, essa opção foi descartada, passando assim para o segundo tratamento que é a prescrição de prisma de base in (BI).
This report marks the end of the 2nd Cycle of Studies in Optometry and Vision Sciences, which took place over 6 months at Óptica Lucas, located in the district of Castelo Branco. With the above in mind, 3 clinical cases were selected and analysed according to the defined criteria, namely ocular health, ocular surface and contact lenses and binocular vision, such as "Suspected Epiretinal Membrane, Adaptation of RGP contact lenses in Keratoconus, Convergence Insufficiency". The first case is about a suspected epiretinal membrane ERM, which is characterised by a wrinkled semi-translucent avascular pre-retinal cell proliferative membrane that forms at the vitreoretinal 'interface'. In this case, the patient underwent a series of complementary diagnostic tests and was then referred to another health professional. In the second case, an RGP contact lens fitting was carried out on Keratoconus (KC), a non-inflammatory, bilateral progressive corneal dystrophy characterised by thinning and protrusion of the cornea, leading to irregular astigmatism, myopia and visual impairment. In the last case, it is an anomaly of binocular vision, convergence insufficiency. The recommended treatment for this case is visual therapy, but as the patient was not motivated to undergo it this option was discarded, we moved on to the second treatment, which is the prescription of base in (BI) prisms.
This report marks the end of the 2nd Cycle of Studies in Optometry and Vision Sciences, which took place over 6 months at Óptica Lucas, located in the district of Castelo Branco. With the above in mind, 3 clinical cases were selected and analysed according to the defined criteria, namely ocular health, ocular surface and contact lenses and binocular vision, such as "Suspected Epiretinal Membrane, Adaptation of RGP contact lenses in Keratoconus, Convergence Insufficiency". The first case is about a suspected epiretinal membrane ERM, which is characterised by a wrinkled semi-translucent avascular pre-retinal cell proliferative membrane that forms at the vitreoretinal 'interface'. In this case, the patient underwent a series of complementary diagnostic tests and was then referred to another health professional. In the second case, an RGP contact lens fitting was carried out on Keratoconus (KC), a non-inflammatory, bilateral progressive corneal dystrophy characterised by thinning and protrusion of the cornea, leading to irregular astigmatism, myopia and visual impairment. In the last case, it is an anomaly of binocular vision, convergence insufficiency. The recommended treatment for this case is visual therapy, but as the patient was not motivated to undergo it this option was discarded, we moved on to the second treatment, which is the prescription of base in (BI) prisms.
Description
Keywords
Insuficiência de
Convergência Lentes de Contacto Rígidas Permeáveis Aos Gases Membrana Epirretiniana Queratocone Tomografia de Coerência
Ótica