Contact Lens clinical case report (postgraduate Optometry studies) Essay - 1

Contact Lens clinical case report (postgraduate Optometry studies) - Essay Example Subsequently, another pair of lenses was required and he was doing well. His mother has taken the commitment for lens insertion at night before sleeping, removal at morning and proper cleaning and storage. Boston cleaner was used for cleaning, saline for rinsing and Boston advance conditioning solution for storing. This is one of the after care visits. The patient comes with his mother and states no complaints. His mother informs the optometrist that the entire family is going to spend the next two months overseas and the departure date is during this week. Unaided visual acuity was R: 6/6-, L: 6/7.5, while unaided binocular vision was 6/6-. Over refraction was R: -0.25 DS (VA 6/6) and L: -1.25 DS (VA 6/6). When the lens measurements are taken, it is revealed that lenses have been interchanged and the patient has been wearing incorrect lenses for the last six months. This explains the difference in unaided visual acuity between the eyes and the lack of correction in left eye. Slit lamp evaluation shows a Dystrophy like change in the cornea, more significant on the right eye with no limbal injection. Its location is in mid periphery corneal stroma extending from 9 to 4 o’clock in the right eye and from 10 to 2 o’clock on the left. Anterior segment images of OCT show white opacity in anterior stroma. The patient needs to discontinue wearing OK lens for the next period because of the dystrophy change noted in the cornea. Besides, it will be difficult to monitor the corneal change since the patient will be spending holidays overseas. Therefore, the patient has been advised to cease wearing lenses and using disposable contact lenses until regression of OK treatment occurs. The powers of daily contact lenses, to be worn in the same order for both eyes, are as follows: -0.75 DS, -1.25 Ds, -2.00 DS, -2.50 DS, -3.00 DS. In addition, the patient has been provided a pair of -3.50 DS monthly contact lenses to be worn on a daily basis, besides his