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Archive for Case Histories

Clinical Conundrums: Case History 2 - ‘Pie on the Floor’

Published March 14th, 2007 by Caroline King.

From Caroline King & Priscilla Darkwah:
We today examined a  34 year old female patient who attended for a routine 2-yearly eye examination.  She was reporting a slight deterioration in her distance visual acuity, which was more noticeable when driving. There were no problems at near. She was otherwise asymptomatic, no headaches, diplopia or any other complaints.
Her general health […]

My ‘Duty of Care.’ - Driving Standards

Published March 13th, 2007 by Priya Morjaria.

I clearly remember the words of my university lecturer saying to all of us:-
‘When a patient does not meet driving standard requirements, you can only advise them about it. Your duty is to make sure that they are aware of the clinical results. You are not in a position to tell them whether or not […]

The Contact Lens Patient Knows Best

Published March 13th, 2007 by Peter Chapman.

There I was, Friday afternoon, reflecting on a week comprising of mainly routine refractions but with the few interesting cases that kept my brain active. However, one area of clinical practice that I had observed during the week worried me:
Contact lens wearers seem to know best!
Imagine my disbelief when on asking to remove their contact […]

Clinical Conundrums: Case History 1

Published March 2nd, 2007 by Priya Morjaria.

I recently examined a 63 year old patient who came in for a re-check. He had been seen by my colleague a few weeks earlier and at the time his spectacles were updated; one pair for distance and one pair for near.
He came in complaining of not being able to read with both eyes open […]


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