Online peer discussion 2020
Case 1
Female 61 years old Used under licence: CC BY 4.0 https://www.ncbi.nlm.nih.gov/pmc/articl es/PMC5345890/ https://www.researchgate.net/publicatio n/312504220_Dysfunctional_tear_syndrome _Dry_eye_disease_and_associated_tear_f lm_disorders_-_New_strategies_for_diagn osis_and_treatment
Allow 10 minutes for this slide, then you’ll be brought back to the main discussion group
What signs are visible in this slit lamp photograph? What clinical tests would you like to do? What is your diagnosis? What else might cause similar symptoms? What is your management plan? Under what circumstances would referral be appropriate?
Case 2
Describe the discs. Give as much detail as possible. What would you write on the record card?
Describe the disc. What would you write on the record card? What do you expect the fields to look like?
Case 2 Male 71 years old Describe the discs in as much detail as you can Describe the felds: are they reliable? What do they show? How does this relate to the disc images? Is this glaucoma? What other tests do you wish to do? What other information do you need? How can you obtain it? Allow fve minutes on this slide then proceed to the next slide for more
Case 2 Male 71 years old Van Herick Grade 4: cornea and ant chamber equal thickness IOPs Pulsair @11am: RE 24mmHg, LE 24mmHg Goldmann@ 11:10am RE 23mmHg, LE 23mmHg What risk factors does he have? Is this glaucoma? How will you manage this? Refer? Monitor? Allow fve minutes on this slide, then you’ll be called back to the main discussion group
Case 3
Case 3: Male 32 years old
Image credit: Iceclanl https://commons.wikime dia.org/wiki/File:Contact _Lens_Related_Small_Cor neal_Ulcer_with_Sodium _Fluorescein_Staining_2.j pg Used under CC BY-SA 4.0
What other questions do you want to ask the patient before beginning your examination? What are the possible explanations for these symptoms? What is your diagnosis? What causes this condition? What are the other possible diagnoses and what symptoms and signs would you use to differentiate between these? How would you manage this patient? Allow 7 minutes for this case