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Abstract(s)
Neste trabalho são apresentados casos clínicos reais na área de optometria analisados numa ótica do grupo Alberto Oculista localizada em Ponta Delgada na ilha de São Miguel nos Açores.
O estágio consistiu na observação clínica de consultas, no seu acompanhamento e realização, na execução e análise de exames complementares de diagnóstico por forma a consolidar conhecimentos de compensação de ametropias, bem como de anomalias binoculares e identificação de potenciais patologias.
Ao longo do estágio foram executadas muitas consultas, com as devidas condições e equipamento adequado, ao qual se selecionou três casos específicos com base no grau de complexidade e nos parâmetros pretendidos para o presente relatório. Para tal foram abordadas as áreas de contactologia, avaliação de exames complementares, exames de visão binocular, exames refrativos e exploração básica da saúde ocular. Destacaram-se um caso de suspeita de patologia ocular, mais concretamente, uma retinopatia diabética em que o paciente foi reencaminhado para um médico, um caso de insuficiência de convergência e um caso de adaptação de lentes de contacto hidrófilas tóricas.
As queixas da paciente do primeiro caso, levaram logo a suspeitar de algum problema que não poderia ser solucionado com compensação ótica ou qualquer outro método que nos é permitido utilizar, por isso foi realizada uma anamnese mais pormenorizada, seguida da refração e de um despiste específico que, combinando a informação, revelou a possibilidade da existência de patologia. Após isto, foi explicada a situação à paciente e entregue uma carta de referenciação para um médico oftalmologista.
Um outro caso consistiu numa anomalia da visão binocular não estrábica, ou seja, uma insuficiência de convergência que foi explorada devido às queixas de tarefas em visão próxima e, consequentemente, detetada e tratada com correção ótica e terapia visual.
Por fim, deparamo-nos com uma adaptação de lentes de contacto mais complexa devido à componente astigmática requerida, levando a alguns procedimentos mais característicos deste método de compensação ótica.
Todos os casos alcançaram resoluções satisfatórias, de forma a solucionar cada dilema independentemente.
This paper presents real clinical cases in the area of optometry that were performed in an optic group called Alberto Oculista located in Ponta Delgada, São Miguel, in the Azores. The internship consisted in the clinical observation of consultations, in its monitoring and implementation, execution and analysis of diagnostic tests in order to consolidate knowledge in treatment of refractive errors, as well as binocular anomalies and identify potential pathologies. Throughout the internship a lot of consultations were performed with the appropriate conditions and equipment from which were selected three specific cases based on the degree of complexity and the required parameters for this report. To this end the areas of contact lenses, evaluation of complementary tests, binocular vision exams, refractive examination and basic exploration of eye health were addressed. Some cases stood out, such as, an ocular pathology suspicion, more specifically, a diabetic retinopathy where the patient was directed to a doctor; a case of convergence insufficiency and a case of adaptation of toric soft contact lenses. The patient's complaints on the first case, led to the suspicion that it was a problem that could not be solved with optical compensation or any other method that we are allowed to use so, a more detailed anamnesis was performed, followed by a refraction and a specific screening. Once all of this was done, the possibility of the existence of a pathology was revealed, the situation was explained to the patient and we provided the person a letter of referral to an ophthalmologist. We had another case that was related to an anomaly of non-squint binocular vision, that is, a convergence insufficiency, which was analyzed due to complaints when performing near vision tasks and therefore detected and treated with optical correction and visual therapy. Finally, we came across a more complex adaptation of contact lenses due to the requirement of an astigmatic component, leading to the employment of more characteristic procedures regarding this optical compensation method. All patients achieved satisfactory resolutions, solving each situation independently.
This paper presents real clinical cases in the area of optometry that were performed in an optic group called Alberto Oculista located in Ponta Delgada, São Miguel, in the Azores. The internship consisted in the clinical observation of consultations, in its monitoring and implementation, execution and analysis of diagnostic tests in order to consolidate knowledge in treatment of refractive errors, as well as binocular anomalies and identify potential pathologies. Throughout the internship a lot of consultations were performed with the appropriate conditions and equipment from which were selected three specific cases based on the degree of complexity and the required parameters for this report. To this end the areas of contact lenses, evaluation of complementary tests, binocular vision exams, refractive examination and basic exploration of eye health were addressed. Some cases stood out, such as, an ocular pathology suspicion, more specifically, a diabetic retinopathy where the patient was directed to a doctor; a case of convergence insufficiency and a case of adaptation of toric soft contact lenses. The patient's complaints on the first case, led to the suspicion that it was a problem that could not be solved with optical compensation or any other method that we are allowed to use so, a more detailed anamnesis was performed, followed by a refraction and a specific screening. Once all of this was done, the possibility of the existence of a pathology was revealed, the situation was explained to the patient and we provided the person a letter of referral to an ophthalmologist. We had another case that was related to an anomaly of non-squint binocular vision, that is, a convergence insufficiency, which was analyzed due to complaints when performing near vision tasks and therefore detected and treated with optical correction and visual therapy. Finally, we came across a more complex adaptation of contact lenses due to the requirement of an astigmatic component, leading to the employment of more characteristic procedures regarding this optical compensation method. All patients achieved satisfactory resolutions, solving each situation independently.
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Keywords
Adaptação de Lentes de Contacto Hidrófilas Tóricas Insuficiência de Convergência Retinopatia Diabética Topografia Corneal