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Suspeita de Glaucoma, Adaptação de Lentes de Contacto Multifocais Tóricas, Insuficiência de Convergência
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Resumo(s)
O presente documento, intitulado “Suspeita de Glaucoma, Adaptação de Lentes de
Contacto Multifocais Tóricas, Insuficiência de Convergência”, apresenta o relatório de
estágio curricular realizado na empresa Ergovisão, com uma duração total de seis meses.
Este documento foi elaborado com o intuito de satisfazer os requisitos necessários à
obtenção do grau de Mestre em Optometria e Ciências da Visão, na Universidade da Beira
Interior, constituindo um registo detalhado das atividades, experiências e aprendizagens
adquiridas ao longo do período de formação prática.
No decurso do estágio, foram escolhidos três casos clínicos para análise detalhada, tendo
a seleção sido efetuada com base em critérios específicos, nomeadamente saúde ocular,
estado da superfície ocular e adaptação de lentes de contacto e função da visão binocular.
O primeiro caso apresentado refere-se a uma suspeita de glaucoma, numa paciente que
indicou antecedentes familiares desta patologia. Durante a avaliação, através da
biomicroscopia, foram identificados sinais compatíveis com síndrome de
pseudoexfoliação, sugerindo tratar-se de um possível glaucoma pseudoexfoliativo.
Tendo em conta este achado, aliado ao valor da pressão intraocular registada, foi
considerado adequado o encaminhamento do caso para a especialidade de Oftalmologia,
de forma a garantir o acompanhamento e tratamento adequados da condição
identificada.
O segundo caso refere-se à adaptação de lentes de contacto multifocais, com o objetivo
de correção da presbiopia. A seleção das lentes foi realizada de forma cuidadosa, tendo
em consideração que a paciente já tinha experimentado este tipo de lentes e não se tinha
adaptado. A adaptação decorreu ao longo de duas consultas e o processo revelou-se
satisfatório, tendo a paciente manifestado contentamento com a correção visual obtida.
No terceiro caso, foi identificada uma insuficiência de convergência numa criança,
caracterizada pela dificuldade em manter a convergência sem esforço. A análise deste
caso destacou a importância de uma anamnese detalhada e da realização de testes de
visão binocular. O tratamento consistiu em terapia visual, com o objetivo de melhorar a
amplitude e a flexibilidade vergenciais, desenvolvendo competências visuais e motoras,
e reduzindo a sintomatologia apresentada.
The present document, entitled “Suspected Glaucoma, Adaptation of Toric Multifocal Contact Lenses, Convergence Insufficiency”, presents the curricular internship report carried out at the company Ergovisão, with a total duration of six months. This document was prepared to meet the requirements for the award of the Master’s degree in Optometry and Vision Sciences at the University of Beira Interior, constituting a detailed record of the activities, experiences, and knowledge acquired throughout the practical training period. During the internship, three clinical cases were selected for detailed analysis, with the selection based on specific criteria, namely ocular health, ocular surface condition, contact lens adaptation, and binocular vision function. The first case concerns a suspected glaucoma in a patient with a reported family history of the condition. During the evaluation, biomicroscopy revealed signs compatible with pseudoexfoliation syndrome, suggesting the possibility of pseudoexfoliative glaucoma. Considering this finding, together with the measured intraocular pressure, the case was appropriately referred to the Ophthalmology specialty to ensure proper monitoring and management of the identified condition. The second case refers to the adaptation of multifocal contact lenses for the correction of presbyopia. The lenses were carefully selected, taking into account that the patient had previously tried this type of lens without successful adaptation. The fitting process was carried out over two appointments and proved to be satisfactory, with the patient expressing satisfaction with the visual correction achieved. In the third case, a convergence insufficiency was identified in a child, characterized by difficulty in maintaining convergence without effort. The analysis of this case highlighted the importance of a detailed anamnesis and the performance of binocular vision tests. The treatment consisted of vision therapy, aiming to improve vergence amplitude and flexibility, develop visual and motor skills, and reduce the symptoms presented.
The present document, entitled “Suspected Glaucoma, Adaptation of Toric Multifocal Contact Lenses, Convergence Insufficiency”, presents the curricular internship report carried out at the company Ergovisão, with a total duration of six months. This document was prepared to meet the requirements for the award of the Master’s degree in Optometry and Vision Sciences at the University of Beira Interior, constituting a detailed record of the activities, experiences, and knowledge acquired throughout the practical training period. During the internship, three clinical cases were selected for detailed analysis, with the selection based on specific criteria, namely ocular health, ocular surface condition, contact lens adaptation, and binocular vision function. The first case concerns a suspected glaucoma in a patient with a reported family history of the condition. During the evaluation, biomicroscopy revealed signs compatible with pseudoexfoliation syndrome, suggesting the possibility of pseudoexfoliative glaucoma. Considering this finding, together with the measured intraocular pressure, the case was appropriately referred to the Ophthalmology specialty to ensure proper monitoring and management of the identified condition. The second case refers to the adaptation of multifocal contact lenses for the correction of presbyopia. The lenses were carefully selected, taking into account that the patient had previously tried this type of lens without successful adaptation. The fitting process was carried out over two appointments and proved to be satisfactory, with the patient expressing satisfaction with the visual correction achieved. In the third case, a convergence insufficiency was identified in a child, characterized by difficulty in maintaining convergence without effort. The analysis of this case highlighted the importance of a detailed anamnesis and the performance of binocular vision tests. The treatment consisted of vision therapy, aiming to improve vergence amplitude and flexibility, develop visual and motor skills, and reduce the symptoms presented.
Descrição
Palavras-chave
Glaucoma Pseudoexfoliativo Insuficiência de Convergência Lentes de Contacto Multifocais
Tóricas Suspeita de Glaucoma