Prescribing Prism for Aniseikonia: A Case Report and Review.
Subjective: A 62-year-old male first reported to our clinic with a chief concern of a larger image size in the left eye. There was a history of blunt trauma to the right nasal canthus almost 40 years previously. The patient reported that he was generally healthy with a history of hay fever or the us...
| Published in: | Optometry & Visual Performance Vol. 8; no. 2; pp. 52 - 63 |
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| Format: | case study equations & formulas pictorial tables/charts Journal Article |
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Optometric Extension Program
2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144198146&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144198146 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: 2020 vid: 8 iid: 2 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 144198146 144198146 144198146 144198146 ppf: 52 ppct: 11 formats: tig: atl: Prescribing Prism for Aniseikonia: A Case Report and Review. aug: au: Kundart, James affil: Pacific University College of Optometry • Forest Grove, Oregon sug: subj: Refractive Errors Diagnosis Refractive Errors Therapy Lenses Middle Age Male Refractive Errors Symptoms Tomography, Optical Coherence Cornea Pathology Intraocular Pressure Ocular Hypertension Diagnosis Retinopathy of Prematurity Diagnosis Latanoprost Therapeutic Use Latanoprost Administration and Dosage Visual Acuity Treatment Outcomes Middle Aged: 45-64 years Male ab: Subjective: A 62-year-old male first reported to our clinic with a chief concern of a larger image size in the left eye. There was a history of blunt trauma to the right nasal canthus almost 40 years previously. The patient reported that he was generally healthy with a history of hay fever or the use of nasal spray. Objective: Refraction showed low compound hyperopic astigmatism with absolute presbyopia. Over five visits in a three-year period, 12? esophoria was measured at far using associated methods. Without prismatic correction, a 6% image size difference OS was found. Optical coherence tomography (OCT) of the anterior segment showed central corneal thickness of 524 microns OD and OS, and OCT of the macula showed increased central thickness OS. Additional case history revealed the use of a steroid nasal spray in the left nostril only for the past two decades. His highest recorded blood pressure was 155/85. Intraocular pressure was measured at 11 mm Hg OD and 24 mm Hg OS. Assessment: The patient was diagnosed with divergence insufficiency, possibly secondary to abducens (CN VI) partial paresis, ocular hypertension OS, and central serous retinopathy OS secondary to systemic hypertension. Plan: The patient was prescribed 6? BO prism OD and OS (for a total of 12? BO). This prescription eliminated his aniseikonia without the need for a size lens. He was advised to discontinue the nasal spray and was prescribed latanoprost 0.005% QHS OS. The patient was advised that controlling hypertension might resolve the central serous retinopathy and aniseikonia and might change his need for prism. pubtype: Academic Journal doctype: case study equations & formulas pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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