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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 entre outubro de 2021 e abril de 2022, no Centro Clínico e
Experimental em Ciências da Visão, da Universidade da Beira Interior, sob orientação
do Prof. Doutor Francisco Brardo.
Do conjunto de consultas realizadas no decorrer desse período de estágio, selecionaramse três casos clínicos com base em critérios definidos: saúde ocular, superfície ocular e
lentes de contacto e binocularidade.
No primeiro caso clínico descreve-se uma suspeita de distrofia endotelial de Fuchs, numa
paciente de 58 anos. Caracterizada por alterações endoteliais, edema corneal e sintomas
de visão turva, a paciente foi submetida a um conjunto de exames complementares de
diagnóstico e posteriormente encaminhada para outro profissional de saúde.
O segundo caso aborda uma readequação de lentes de contato hidrofílicas tóricas numa
paciente jovem. A adaptação inadequada induzida pelo sistema pálpebra-dependente foi
definida como a principal causa de desconforto. A mudança para o sistema de
estabilização de lastro de prisma mostrou uma melhoria na adaptação das lentes de
contato e contribuiu para aumentar o conforto e o tempo de uso das mesmas.
No terceiro caso é apresentada uma anomalia da visão binocular, numa paciente de 8
anos, com queixas de dificuldade na transição entre distâncias. A avaliação da função
binocular revelou uma disfunção das vergências fusionais. Nesses casos, o tratamento
adequado envolve a realização de terapia visual para normalizar amplitudes e
flexibilidades e desenvolver habilidades visuais.
This report was written within the scope of the dissertation/internship curricular unit carried out between October 2021 and April 2022 at the Clinical and Experimental Center in Vision Sciences at the University of Beira Interior under the supervision of Prof. Doctor Francisco Brardo. Three clinical cases were selected from the set of appointments made during this internship based on the following criteria: eye health, ocular surface and contact lenses and binocularity. The first clinical case describes a suspicion of Fuchs endothelial dystrophy in a 58-yearold female patient. Characterized by endothelial changes, corneal oedema and symptoms of blurred vision, the patient underwent a set of complementary diagnostic tests and was referred to another health professional. The second case approaches a re-fitting of toric hydrophilic contact lenses in a young patient. The inadequate fit induced by the eyelid-dependent system was the principal cause of discomfort. The change to the prism ballast stabilization system showed an improvement in the contact lens fitting and contributed to increasing the comfort and wearing time. In the third case, an anomaly of binocular vision is presented, in an 8-year-old patient, with complaints of difficulty in transitioning between distances. The assessment of binocular function revealed a dysfunction of the fusional vergencies. In these cases, adequate treatment involves performing visual therapy to normalize amplitudes and flexibilities and develop visual skills.
This report was written within the scope of the dissertation/internship curricular unit carried out between October 2021 and April 2022 at the Clinical and Experimental Center in Vision Sciences at the University of Beira Interior under the supervision of Prof. Doctor Francisco Brardo. Three clinical cases were selected from the set of appointments made during this internship based on the following criteria: eye health, ocular surface and contact lenses and binocularity. The first clinical case describes a suspicion of Fuchs endothelial dystrophy in a 58-yearold female patient. Characterized by endothelial changes, corneal oedema and symptoms of blurred vision, the patient underwent a set of complementary diagnostic tests and was referred to another health professional. The second case approaches a re-fitting of toric hydrophilic contact lenses in a young patient. The inadequate fit induced by the eyelid-dependent system was the principal cause of discomfort. The change to the prism ballast stabilization system showed an improvement in the contact lens fitting and contributed to increasing the comfort and wearing time. In the third case, an anomaly of binocular vision is presented, in an 8-year-old patient, with complaints of difficulty in transitioning between distances. The assessment of binocular function revealed a dysfunction of the fusional vergencies. In these cases, adequate treatment involves performing visual therapy to normalize amplitudes and flexibilities and develop visual skills.
Description
Keywords
Densidade Ótica Corneal Disfunção Vergencial Distrofia Endotelial de Fuchs Lentes de Contacto Hidrófilas Tóricas Microscopia Especular Tomografia de Coerência Ótica Tomografia de Scheimpflug