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Bradley Brown
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Decks in this class (17)
1.1.3 Identifies and responds appropriately to patients’ fears, anxieties and concerns about their visual welfare.
Cataract explanation 1,
If patient is unsure about referr...,
Laymen s of cataracts explanaition 3
7
cards
5.3.3. Understands the techniques used in the fitting of complex contact lenses and advises patients requiring complex correction.
Some knowledge good. Please think about high Rx and how to apply contact lens knowledge, and you gave some incorrect information about this today. We will try a photo scenario on this topic for sign off
24
cards
6.1.14 Assesses signs and symptoms of neurological significance.
Optic nerve dysfunction expect 1,
Differential diagnosis of raised ...,
Optic disc oedema characteristic ...
32
cards
6.1.15 Recognises adverse ocular reactions to medication.
Antidepressants anti psychotics p...,
Antihistamines 2,
Anti tuberculosis eg ethambutol 3
32
cards
4.1.5 Dispenses a range of lens forms to include complex lenses, multifocals and high corrections, and advises on their application to specific patients’ needs.
New record for high Rx. Please revise the basics of lens properties so that you can discuss all the best options for any given scenario. Don’t talk about ‘thinning’ be specific. Please find out about compensated powers for ‘elite’ multi focalises and how to check. Be able to explain what happens with your high power when you change the BVD. What are the options for very high powers such as aphakia?
12
cards
4.2.1 Advises on the use of and dispenses simple low vision aids including simple hand and stand magnifiers, typoscopes and handheld telescopes.
Difficulties with simple scenario for reading - suggests appropriate power of aid but not correct spectacles. Confused about acuity reserve, watch the College webinar on 28th and then I will ask more questions
35
cards
4.2.2 Understands the application of complex low vision aids
Confused about telescopes. Did suggest Max TV for the TV scenario, and moving closer. Further questions needed.
17
cards
5.1.3 Chooses, fits and orders rigid lenses.
Give details of lenses you try and how you would adapt, flat and steep lenses
40
cards
5.2.2. Manages the aftercare of patients wearing rigid gas permeable contact lenses.
Incorrect image analysis. Revise typical complications of RGP lens wear. I will give you a new scenario.
13
cards
5.3.2. Chooses, fits and manages the correction of presbyopic patients.
Very limited knowledge of lens design and the various potential impacts on patients. How to problem solve - eg your patient had reduced VA but you didn’t seem to know why, and you were every quick to say she must ‘compromise’. Do some research, and we will discuss.
30
cards
6.1.5. Recognises common ocular abnormalities and refers when appropriate.
Not quite complete. We need to have a satisfactory glaucoma episode.
43
cards
6.1.8. Evaluates glaucoma risk factors to detect glaucoma and refer accordingly.
Although the patient was a suitable referral, the case was not well presented with limited understanding of disc changes in glaucoma and of the associated field defects. Have a look at the GONE project. More revision and a new record please.
45
cards
7.1.4 Understands the techniques of the assessment of infants.
Revise appropriate tests for under 2 year olds
25
cards
7.1.6. Understands the special examination needs of patients with learning and other disabilities.
PR (physical disability) was OK. For cognitive disability I tried to discuss the needs of a patient with dementia but you hadnt considered this. We will re-assess with a CS around learning disability or dementia.
10
cards
8.1.2. Understands the management of a patient with an anomaly of binocular vision.
This is almost complete. I have reviewed the PR. Consider the meaning of ARC and suppression and when, as an optometrist, an understanding of the sensory status might be helpful - and how you would assess it. I will discuss this alongside 'adult with heterotropia' at V4.
20
cards
8.1.6 Manages children presenting with an anomaly of binocular vision.
Case must be seen by you throughout
10
cards
Lens typez
Standard 1,
Premium 2,
Elite 3
4
cards
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