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Contacts (NACOR) Exam Questions & Answers
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After wearing a contact lens all day, patient complains of photophobia (light sensitivity), redness, and tearing. Slit lamp with fluorescein shows STAINING around LIMBUS and BLOOD VESSELS on the conjunctiva. very LITTLE MOVEMENT of cl, on eye. Patient not experiencing any problems with solution. - ANSWERS-tight fitting lens- cease wear, refit lens Patient is no longer using the prescribed solution; she switched to a cheaper brand. complains of redness and mild discomfort. k's are slightly changed. slit lamp exam shows superficial punctate keratitis of the corneas outer layer
patient come to office complaining he see halos around lights. also experiences blurry vision for a few hours after lens removal. slit lamp exam shows central pooling with cl in place and fold in descemets membrane. k readings og: od43.00/44.75@90 new od43.50/45.00@ os42.50/44.75@90 os43.62/45.12@90 - ANSWERS-tight/steep fitting lens- stop wear, refit with new lens Patient had been wearing soft yearly cl for 2 years, today she is complaining of itching, redness, and a feeling of sand in her eyes. can only wear them or a few hours the lenses seem coated and move around. slit lamp shows lenses excessively move on eye and are riding up over the inferior libus with blink. mild injection and swelling of the conjunctiva. patient has been experiencing a mucoid discharge. upon eye life inversion, the eyelids have a cobblestone appearance. upon lens inspection, lenses are coated and slightly discolored even though they are only 6 months old. - ANSWERS-GPC- stop wearing cls forr few weeks, apx2, check back after patient is complaining of itchy eyelids that appear greasy and crusty. he has worn soft lenses for years with no problem. on slit lamp exam his eye lids appear to be thick. - ANSWERS-blepharitits- see doctor for ointments/drops patient had worn lenses for one year occasionally for sports. comes in not wearing lenses bc there seems to be something on the lens. lenses have been stores in clear care. she keeps her solution in the washroom. upon exam of lens under magnification a ferlike growth is seen on the lens surface
a previous RGP wearer wants to try soft lenses. with the soft lenses as well as with her glasses the patients VA is down, but she sees well with RGPS. k readings : od 43.50@175/49.75@ os45.00@180/48.50@75 - ANSWERS-(k readings show) irregular astigmatism and spectacle blur a patient returned for a two-week check up, using floursciene and slit lamp you find staining around limbus. k's orignal od43.50@180/43.75@90 os43.75@180/44.00@ new od44.00@180/44.25@90 os 44.50@180/44.75@90 - ANSWERS-edema, from a tight fitting lens, refit lens and cease wear of this lens