4 Prescribing And Case Studies-Attar Flashcards
When there is a large change in the patient’s spherical correction, change in cyl or axis, it’s the patient’s first pair of glasses, or any other concern… what do you have them do?
Go on a trial run! Maybe put it in a trial frame and walk around for a bit and see if it’s working well
What are the three main guidelines for optical correction?
Work towards full correction
Obtain the best possible visual acuity
Obtain efficient binocular vision
What are the four main optical correction prescribing cautions?
Avoid increasing subjective symptoms
Avoid large optical changes
Avoid poorly designed lenses and frames
Avoid ine ffective communication
A 37-year-old with a single vision hyperopic correction in their glasses is seeing well at distance, but is having difficulty reading.
What would you do?
Check full correction and do a cyclo refraction. Doesn’t need readers
A 50-year-old who is successfully using over-the- counter reading glasses is now beginning to have trouble with distance vision. Why, and what might you recommend?
Patient was a latent hyperope whole life and can no longer overcome at a distance. You would give them bifocals
A 6-year-old patient is examined and found to have a refractive error of +1.25 in each eye. Should glasses be given?
Make sure patient doesn’t have strabismus first. NO Rx needed
A 37-year-old myope seeing well at distance with their glasses is having trouble reading.
Patient is overminused and their accommodative ability is hindered. Give them education that it will take time to adapt to it, but you can see at near in no time dog
A 55-year-old high myope presents for routine examination. You determine that they do not need a change in glasses and that their eyes are in excellent health. When discussing those results, what else should you tell them?
You tell them that they may want backup spectacles, because of high myopia. Tell them that retinal detachment could happen to them and you tell them what to do immediately if any symptoms occur
A 30-year-old patient who has never worn glasses is examined and found to have a small amount of myopia. The patient says they do not feel they need distance glasses. Should you prescribe them?
Give them a trial frame to see if they really want them or not. Give them the Rx and tell them to wear whenever they need their best distance vision and let them be an active part of the process.
A 35-year-old wearing glasses for myopia is examined, and you measure a very slight increase in their myopic correction. Should you make it?
Give them a trial run. You let them flip back and forth between old and new, and ask which they like better. Give them an Rx of what they choose and tell them they can use old glasses as backup. Can use it or nah
A 55-year-old patient, for whom you performed a meticulous refraction two weeks ago, calls on the phone and says, “The new glasses you gave me are not good. I can’t see well with them.” What should you do?
Show them the difference in new and old glasses, check Rx of glasses, see how they sit on patient’s face, check the base curve of the glasses. If everything is made well, Rx is rechecked and patient is informed of new results
