Anterior Segment Liability

Question 1

Most common liability claims in anterior seg. Cases

Answer 1

Anterior uveitis 
Lumps and bumps
Corneal abrasion 
Corneal infection
Herpes simplex keratitis 
Cataract 
Conjunctival 
Foreign bodies 
Pigmentary glaucoma

Question 2

I have a liability to inform patients that have a corneal abrasion with a basement membrane break that

Answer 2

They are at risk for recurrent corneal erosion.

Question 3

I have a liability to inform patients with a corneal ulcer or infiltrate….

Answer 3

There is a risk of scarring that could reduce best corrected vision. May never see 20/20 again.

Question 4

I have a duty in microbial keratitis and all cases really to

Answer 4

To immediately start appropriate antibiotic therapy

Question 5

A common error of diagnosis is a failure to recognize

Answer 5

Herpes simplex keratitis.
Epithelial HSK may initially present as focal punctate keratitis, which gradually evolves over time.

The use of rose bengal assists in the differentiation of dendritic lesions FROM abrasions.

Question 6

Failure to do age related cataract not usually a cause of legal action since no injury to eye and surgery normally restores vision. But I have a liaibility to check for

Answer 6

Co-existing disease and the person I refer the patient to.

Make sure reduction in va is actually due to the cataract.

Question 7

Best way to avoid cases of lid and conjunctival tumors is to

Answer 7

Take a picture, monitor, question patient to death (is there a change in color or size), and refer out, keep good record keeping, and call pt when they are a no show.

Question 8

I have a liability especially with metal striking metal cases to

Answer 8

Check the back of the eye for an intraocular FR.

Question 9

I have a liability to figure out the cause of

Answer 9

Anterior uveitis and make sure I am providing the standard of care.

Question 10

I have a duty to document Krukenberg spindle so I can

Answer 10

Monitor over time for pigmentary glaucoma