Anterior and Posterior Case Presentations Enough Pearls to Make a Necklace

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Anterior and Posterior Case Presentations Enough Pearls to Make a Necklace
Speakers: Greg Caldwell, OD, FAAO
Hours: 2hrs | 94800-TD

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The focus and emphasis of the course is to provide clinicians with clinical pearls, diagnostic interpretation, and approaches, present-day and recently approved therapeutic opportunities, and guidance around pitfalls. This will be accomplished by means of common to complex anomalies of the anterior and posterior segment in case presentation design and will include numerous pathologies important and relevant to primary care optometric practice.

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Quiz

1. 65-year-old man presents to the office with sudden vision loss in his right eye. You diagnose him with a central retinal artery occlusion (CRAO). You send him:*

A - Home to sleep

B - To his primary care physician in 1 week

C - To the retinologist in 1 week

D - To a stroke ready hospital immediately for a stroke work up

2. 65-year-old man presents to the office with sudden vision loss in his right eye. You diagnose him with a branch retinal artery occlusion (BRAO). You send him:*

A - Home to sleep

B - To his primary care physician in 1 week

C - To the retinologist in 1 week

D - To a stroke ready hospital immediately for a stroke work up

3. 65-year-old man presents to the office with blacking out of his vision in his right eye. But, it slowly returneD - You diagnose him with a transient ischemic attack (TIA). You send him:*

A - Home to sleep

B - To his primary care physician in 1 week

C - To the retinologist in 1 week

D - To a stroke ready hospital immediately for a stroke work up

4. A cornea condition where central pachymetry readings are thin, the posterior cornea curvature is steeper than normal, and the patient is asymptomatic or with minimal symptoms is known as?*

A - Keratoconus

B - Pellucid marginal degeneration

C - Forme fruste keratoconus

D - Granular corneal dystrophy

5. The best diagnostic instrument for diagnosing forme fruste keratoconus is?*

A - Corneal topography with posterior float evaluation

B - Cornea pachymetry

C - Anterior segment ocular coherence tomography (OCT)

D - Keratometer

6. What cornea condition occurs when the posterior cornea cone gets too steep and Descemet’s membrane ruptures?*

A - Microcystic edema of the cornea

B - Cornea hydrops

C - Forme fruste keratoconus

D - Cornea guttata

7. 43-year-old man is complaining of severe OD pain since awaking this morning. After instilling sodium fluorescein dye into his OD, photo reveals what you see on slit lamp examination. You look at the OS, photo reveals what you see on slip lamp examination. This is the third time this year this has happened, always after awaking. However, is the first time he is seeking care for this problem. What is the most likely diagnosis? (Note: Questions 6, 7, and 8 go together)*

A - Infectious central corneal keratitis

B - Recurrent herpes simplex keratitis

C - Recurrent corneal erosion secondary to Fuch’s Dystrophy

D - Recurrent corneal erosion secondary to epithelial basement membrane dystrophy (EBMD)

8. Your initial treatment of this patient would be (above patient)?*

A - Referral for corneal transplant

B - Antibiotic drops and bandage contact lens

C - Steroid drops (prednisolone, Pred-Forte™)

D - Trifluridine (Viroptic™) drops and oral acyclovir

9. You have tried various treatments including sodium chloride (Muro 128™) drops and ointment. The above patient continues to suffer from these episodes. You discuss surgical procedures with him. Which one did you discuss?*

A - LASIK

B - Selective laser trabeculoplasty

C - Focal argon laser photocoagulation

D - Excimer phototherapeutic keratectomy

10. In most ocular conditions, it is time for a surgical procedure or intervention when?*

A - One medical treatment has failed

B - Two medical treatments have failed

C - Three medical treatments have failed

D - All medical treatments have failed/ been exhausted

11. Excimer phototherapeutic keratectomy (PTK) is a surgical procedure indicated for these procedures, except?*

A - Cornea opacities

B - Cornea surface irregularity

C - Cornea surface breakdown

D - Metallic cornea foreign body removal

12. A surgical treatment for a blocked or ruptured nasolacrimal system is?*

A - Punctal cautery

B - Dacryocystorhinostomy (DCR)

C - Sutureless amniotic membrane

D - Phototherapeutic keratectomy (PTK)

13. The syndrome which encompasses any intraocular hemorrhage associated with an intracranial hemorrhage and elevated intracranial pressures, is known as?*

A - Terson’s syndrome

B - Blood dyscrasia syndrome

C - Shaken baby syndrome

D - Pan ocular hemorrhage syndrome

14. What diopter value is a patient considered a degenerative or pathological myopia?*

A - -5.00 diopters

B - -10.00 diopters

C - -12.00 diopters

D - You don’t diagnose degenerative myopia via the refractive prescription

15. The difference between refractive myopia and degenerative myopia is:*

A - Degenerative myopes cannot wear contact lenses

B - All degenerative myopes cannot see well enough to drive

C - Refractive myopes are not at risk for retinal detachment

D - Degenerative myopes have an alteration to the globe structure that is progressive

16. The picture below is:*

A - Lattice degeneration with holes and added risk to retinal detachment

B - Lattice degeneration without holes and added risk to retinal detachment

C - Pavingstone degeneration without added risk to retinal detachment

D - Pavingstone degeneration with added risk to retinal detachment

17. The above finding is due to an infarction or ischemia to the:*

A - Nerve fiber layer

B - Optic nerve anterior to the lamina cribrosa

C - Choriocapillaris

D - All the layers of the neurosensory retina

18. 88-year-old man with best corrected acuity of count fingers at 2 feet OU reports he sees faces of friends that he has not seen for years, wheels of cars, and at times pine trees. He is most likely suffering from?*

A - Alcoholism

B - Dementia

C - Charles-Bonnet syndrome

D - Schizophrenia

19. The best treatment for the above 88-year-old man is?*

A - Refer patient for alcoholism counseling by a healthcare professional

B - Refer for proper dementia staging and appropriate medications

C - Reassurance that it is normal to experience these hallucinations

D - Refer for psychotherapy and coordinated specialty care services

20. In order to have a retinal disciform scar, the eye must have had a?*

A - Subretinal hemorrhage

B - Trauma with hyphemia

C - Vitreous injection with an anti-VEGF

D - Dry age-related macular degeneration

OD Information

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Educational Survey

As a result of this lecture, I have a better understanding how to manage a CRAO, BRAO, or TIA:*

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As a result of this lecture, I have a better understanding on how to diagnosis, manage, or treat recurrent corneal erosion (RCE):*

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

As a result of this lecture, I have a better understanding on how to diagnose, manage, or treat a Terson's syndrome:*

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

As a result of this lecture, I have a better understanding of the optometrist's role with Elahere - Mirvetuximab Soravtansin gynx (MIRV) with ovarian cancer:*

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

As a result of this lecture, I have a better understanding on how to recognize and manage a "Release Hallucination" or Charles Bonnet Syndrome:*

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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Survey 6

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Anterior and Posterior Case Presentations Enough Pearls to Make a Necklace

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