Myopia: Diagnosis, Teatment And Management

Question 1

Major symptom of myopia

Answer 1

Blurred vision

Question 2

Major sign of myopia is

Answer 2

Reduces unaided distance visual acuity

Question 3

In simple myopia and degenerative myopia, the distance blur is _____

Answer 3

Constant

Question 4

In nocturnal myopia, distance vision is blurred when

Answer 4

Only in dim illumination or in dark conditions

Question 5

In _________ the blurred distance vision may be constant or intermittent with greater distance blur occurring after near work

Answer 5

Pseudomyopia

Can have anesthopia too

Question 6

When is induced myopia blurry

Answer 6

Vary from transient to constant, depending upon the particular agent or condition causing it

Question 7

Results of retinoscopy in the dark for nocturnal myopia

Answer 7

May be shifted in the minus direction, compared with the standard manifest refraction

Question 8

Patients with pseudomyopia frequently have ____________ that corresponds to fluctuations in accommodation

Answer 8

Fluctuations in distance VA

May be observable as variations in VA and retinoscopic reflex, and sometimes changes in pupils diameters

Question 9

Primary correction for treatment of myopia

Answer 9

Optical correction

Question 10

What is a concern when Rxing for myopia

Answer 10

Be concerned about giving the patient too much minus spherical correction

Question 11

What is visual hygiene

Answer 11

Giving eyes a break so you don’t tire, and to make sure you are blinking right

Question 12

What is one important part of visual hygiene?

Answer 12

Maintaining proper distance from the book

Question 13

What is the distance you should be reading at and what is that called

Answer 13

It should be at least as far from your eyes as your elbow when you make a fist and hold it against your nose. It is called the Harmon distance

Question 14

What do you tell parents that want to know if they can do anything to prevent their kids from getting more myopic?

Answer 14

Limit near work and make them play outside more

Question 15

Patient education for nocturnal myopia

Answer 15

Patient should be instructed to wear the correction for nighttime seeing under dark conditions

Question 16

Patient education for simple myopia

Answer 16

For kids, increases are not uncommon

Question 17

Patient education for pseudomyopia

Answer 17

Tell them the goal is to relax accommodation. Explain that periods of blurred distance vision occur when accommodation is not relaxed, and that blurred distance vision may occur periodically until accommodative response is reduced

Question 18

Patient education for degenerative myopia

Answer 18

• have annual or more frequent eye exams
• educate about the causes and symptoms of retinal break or detachment and be advised to seek immediate care if they experience the onset of symptoms

Question 19

Patient education for induced myopia

Answer 19

• educate about the agent or condition inducing the myopia and the nature of the changes occurring in the eye.
• informed as to whether the induced myopia will be temporary or long standing
• how to avoid the induced myopia if possible

Question 20

What type of myopia might benefit from vision therapy?

Answer 20

Pseudomyopia