Page 46 - NAME OF CONDITION: REFRACTIVE ERRORS
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a) Clinical Diagnosis:
An adequate history taking, coupled with a comprehensive evaluation goes a long way in
establishing a clinical diagnosis which can then be confirmed by microbiological
examination. Patients come with varying degrees of pain, photophobia, watering and
redness of eyes and may also complain of defective vision, especially if the visual axis is
involved.
History
Eliciting a proper history with regards to nature of trauma and use of TEM is crucial step in
the management of microbial keratitis. Trauma with vegetable matter such as paddy husks
or onions are more likely to cause a fungal keratitis. Contact with contaminated or
brackish water is likely to produce Acanthamoeba keratitis. In cases of contact lens
wearers, it is imperative to take history of wearing schedule and lens care.
Examination
The ocular examination includes recording visual acuity, an external eye examination and
slit-lamp biomicroscopy of affected and normal eye.
Visual Acuity measurement
Due to acute infection of the involved eye, it is difficult to record visual acuity accurately.
However, an approximate visual acuity with or without optical correction will give a
baseline data to aid in the appropriate management strategy and also to monitor the
healing process.
External Examination
An external examination should be performed with particular attention to the following:
General appearance of the patient
Facial examination
Eyelids and lid closure
Conjunctiva
Nasolacrimal apparatus
Corneal sensation
Slit-lamp Biomicroscopy
Should include evaluation of the following:
Eyelid margins: Inflammation, ulceration, eyelash, and abnormalities including trichiasis,
irregularities, and lacrimal punctal anomalies.
Conjunctiva: Discharge, inflammation, morphologic alterations (e.g. follicles, papillae,
cicatrization, keratinization, membrane, pseudomembrane, ischemia, and foreign
bodies).
Sclera: Inflammation, (e.g. infectious, versus autoimmune), ulceration, scarring /
thinning, nodules, ischemia.
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