Clinical Scorecard: Online Photo Diagnosis

At a Glance

Key Highlights

• Patient presented with toxoplasmosis, amblyopia, and central corneal scarring.
• Intralimbal GP lenses improved peripheral vision despite absence of central vision.
• Corneal tomography indicated severe keratoconus.
• Scleral lenses were used when contact lens wear became contraindicated.
• Technological evolution in lens design enhanced functional vision over decades.

Guideline-Based Recommendations

Diagnosis

• Utilize corneal tomography and visual acuity assessments for keratoconus diagnosis.

Management

• Fit specialized contact lenses, such as intralimbal GP and scleral lenses, to manage keratoconus.

Monitoring & Follow-up

• Regular follow-ups to assess corneal health and lens fit.

Risks

• Monitor for corneal integrity and pachymetry, especially in advanced cases.

Patient & Prescribing Data

Individuals with advanced keratoconus and poor central vision.

Intralimbal GP lenses can provide improved peripheral vision and comfort.

Clinical Best Practices

• Consider patient comfort and corneal health when fitting lenses.
• Adjust lens parameters to enhance tear exchange and maintain corneal physiological health.
• Stay updated on advancements in lens technology for optimal patient outcomes.

Related Resources & Content

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• More than the Useful Field: Considering peripheral vision in driving
• Peripheral vision and what we can see in the dark
• Teen researcher eyes peripheral vision
• Visual Field Testing: From One Medical Student to Another