Tutorial MEH tutorial 7

Question 1

Why does a px adopt a CPH?

Answer 1

1. Null zone : nystagmus
2. Avoid Dip
3. Always double, but turning casues the images to be so far apart the px can focus on one of the images

Question 2

What is this?

Answer 2

1. Limiation to the right ad and ab

Type A duanes

Question 3

How do we manage her?

Answer 3

1. If she decompensates then we can correct this, but for now nothing
2. Small CHP, so no pain ect, so no intervention.

Question 4

Explain this ? R: +5.00/-0.50x170 L: +2.75/-0.75x180 (Full Rx)

Answer 4

1. Hyperopic
2. Astigmatism
3. Anisemetropia

If the px is patching then the amyblopic eye would be the right eye ; the higher rx/

Question 5

DO px with microtopia have central suppression?

Answer 5

Yes

Question 6

How can you detect microtopia?

Answer 6

1. Va the absoulte best
2. 4D prism base out best

Question 7

stable rx and patching what do we do?

Answer 7

We can start to stop the patching ; less hours

Question 8

How do we manage?

Answer 8

1. full time rx
2. we can slow down the patching

Question 9

DO with identity have a manifest deviation?

Answer 9

NO, wihtout identity will have a manifest.

Question 10

What does the left eye have?

Answer 10

secondary strabismus ; due to the VA in the left eye is shit

Question 11

px has light perception in the LE. what can we do to do some orthopic assessments?

Answer 11

1.CT: Corneal reflections
2. OM : can only do versions not ductions
3. PCT : Prism reflection test

Question 12

why does px have a small limiation in abduction in the 3rd nerve?

Answer 12

could be due to surgery

Question 13

how do we manage the 3rd nevre?

Answer 13

1. ask what she wants, ptosis, vision or muscles
2. when can we do ptosis surgery? knowing they will not get double vision if we took the eyelid away.
3. so do strabismic management first then address the lids.

Question 14

what we do to constrict the pupil?

Answer 14

Pilocarpine : this will make the VA better

Question 15

aberent regeneration findings?

Answer 15

1.ptotis and lid retractions
2.effected eye will converge
3.