Case history

Question 1

Case history (Patients)

Answer 1

Identify:
the who, what where and why about CLs
Pt expectations, abilities and economics
Helps with recc. of CL type, care and wearing schedule

Question 2

Medical history

Answer 2

-Systemic: thyroid, lupus, sjogrens (all cause dryness)
-Pregnancy: (last tri, more dry)
-OCT meds: (antihistamines, dry)
-Smoking: dryness, irritation and red eye (NO EXTENDED WEAR)
-Hormone replacement: dryness
Some OTC drops are not for use with CLs

Question 3

CL and Ocular history

Answer 3

• Ocular injury/surgery/infections
• If current wearer: what type, how often do they wear/sleeping in? Are they satisfied? How long have they been wearing?
• Identify solutions in use (may need enzyme cleaner)
• Identify goals for new wearers

Question 4

Considerations for CL wear

Answer 4

• Pets? More prone to allergies
• Age: Oldest, after cataract surgery; youngest, 2-3 years old
• Occupation: Dirty/dusty? Graveyard shifts need higher Dk
  More dryness occurs with digital device use
• Sports/Hobbies: RGP can never be worn by a boxer

Question 5

Indications for CL wear

Answer 5

1. Cosmesis
2. Inconvenience of glasses
3. Sports
4. Vision therapy
5. Color deficiency
6. Anisometropia
7. Increased field of view
8. Distortion with glasses
9. Iris disorders (albinism)
10. Nystagmus
11. Corneal conditions (keratoconus)
    HERPES DESENSITIZES THE CORNEA

Question 6

Contraindications for CL wear

Answer 6

1. Health conditions
2. Ocular conditions (tear film abnormalities, lid apertures, cornea
3. Reliability of patient
4. Economics of patient