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    History Pseudophakia Case RGMCH

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    Shahbaz AAnsari
    1) This document contains details of a 65-year-old male patient who underwent cataract surgery and intraocular lens implantation in his right eye 3 months ago. 2) On examination, the patient has a visual acuity of 6/6 in his right eye with glasses and scar marks on the conjunctiva and cornea from the surgery. Iridodonesis is present. 3) The provisional diagnosis is pseudophakia based on the findings of the examination and history of recent cataract surgery.

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    History Pseudophakia Case RGMCH

    Uploaded by

    Shahbaz AAnsari
    16 views4 pages
    1) This document contains details of a 65-year-old male patient who underwent cataract surgery and intraocular lens implantation in his right eye 3 months ago. 2) On examination, the patient has a visual acuity of 6/6 in his right eye with glasses and scar marks on the conjunctiva and cornea from the surgery. Iridodonesis is present. 3) The provisional diagnosis is pseudophakia based on the findings of the examination and history of recent cataract surgery.

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    1) This document contains details of a 65-year-old male patient who underwent cataract surgery and intraocular lens implantation in his right eye 3 months ago. 2) On examination, the patient has a visual acuity of 6/6 in his right eye with glasses and scar marks on the conjunctiva and cornea from the surgery. Iridodonesis is present. 3) The provisional diagnosis is pseudophakia based on the findings of the examination and history of recent cataract surgery.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views4 pages

    History Pseudophakia Case RGMCH

    Uploaded by

    Shahbaz AAnsari
    1) This document contains details of a 65-year-old male patient who underwent cataract surgery and intraocular lens implantation in his right eye 3 months ago. 2) On examination, the patient has a visual acuity of 6/6 in his right eye with glasses and scar marks on the conjunctiva and cornea from the surgery. Iridodonesis is present. 3) The provisional diagnosis is pseudophakia based on the findings of the examination and history of recent cataract surgery.

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    © All Rights Reserved
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    of 4

    Prepared by :- Dr Tamal Roy

    Associate Professor and HOD


    Department of Ophthalmology
    Raigang Govt Medical College and Hospital
    Mobile+ Whatsapp:- 9051831597
    E-mail:- [email protected]
    Name- yyy

    Age- 65yrs

    Sex- Male/Female

    Address-Malda

    Religion- H/M

    Occupation- Farmer

    Socioeconomic Status- Poor economic condition

    Chief Complaints:-

    Patient has as such no complaints in his RE.He has come for routine check-up.

    History of present illness:-

    Patient was operated in his RE 3 months back in Malda Medical College and Hospitial.He was operated
    as he developed gradual onset of dimness of vision in his both eye for last 10 months and the problem
    was more in RE.He consulted eye surgeon in this hospital ; Who after examination told that he has
    cataract in his both eye and decided to operate RE first. According to the the patient he has undergone
    cataract surgery along with intraocular lens implantation in his RE.2-3 days after operation he was able
    to see everything in distance with his RE but there was difficulty during near work. one and half month
    after operation doctor prescribed him glass and he uses glass only during near work.At present he has
    come for routine check up only.
    History of Past Ocular illness:-

    Nothing Significant

    History Of Systemic illness:-

    Patient has no history of diabetes,hypertension, thyroid disorder,tuberculosis or any other systemic


    disorder and he never had any type of operation.

    Family History:-
    Nothing Significant

    Personal History:-

    He is a smoker but not addicted to alcohol.

    No history of any allergic disorder

    General Physical and Systemic Examination:-

    Reveals no abnormality.

    Ocular Examination:-
    Visual Acuity:- RE 6/6p without glass and 6/6 with his own glass. RE near-N6 with own glass. PR acc in all
    quadrants.

    EYE LID and Eye lashes:-Normal in position and is no entropion,ectropion,blepharitis or trichisis.

    Conjunctiva:-No congestion. Scar mark seen near limbus ,superiorly.

    Sclera:- No congestion.Scar mark seen superiorly near limbus, from 10-2 oclock position

    Cornea:- scar mark seen from 10-2 oclock position.Rest of the cornea is clear.

    Anterior chamber depth:- Normal

    Iris:- iridodonesis present.One small atrophic patch seen over the iris in 9 oclock position.

    Pupil:- Round,regular, reacts briskly.Shiny glassy reflex found behind the iris plane.

    purkinje’s images:- All the 4 purkinje’s images are present.

    Digital Tonometry:- Normal

    Extraocular muscle movement:- Normal

    Lacrimal Apparatus:- Appears to be normal


    General Examination:- Grossly examined ( take Bp, pulse, Temparature, Respiratory rate, Anaemia,
    cyanosis, Jaundice , clubbing )

    Case summary :- yyy, 65yrs male patient,who is a smoker, undergone cataract surgery with intraocular
    lens implantation I his RE 3months back.On examination, his visual acuity is ….with out glass and with
    glass the visual acuity is…..and with pin hole it is…..the Scar mark found in the conjunctiva,superiorly
    and also in the cornea.Iridodonesis present and there is atrophic patch in the iris.Shiny reflex found
    behind the iris plane and all the purkinje’s images present.

    So from the above points,my provisional diagnosis is RE Pseudophakia.


    (N.B;- irididonesis present in pseudophakia is very mild and may not be seen with torch light. So , some
    examiners may pull your legs by saying that how have you noticed it with torch light. So if you do not
    utter this….no hram, and also about atrophic patch….do not utter it ,if it is not seen)

    N.B:- ……mention the visual acuity according to your case. If the patient has 6/6 vision with glass
    ….further pin hole vision need not to be written….Hope you understood.

    PSEUDOPHAKIA CASE-2

    Chief Complaints:-With out glass RE distance visual acuity is defective but there is no difficulty during
    near work after operation

    History of present illness:-

    Patient was operated in his RE 3 months back in Malda Medical College and Hospitial.He was operated
    as he developed gradual onset of dimness of vision in his both eye for last 10 months and the problem
    was more in RE.He consulted eye surgeon in this hospital ; Who after examination told that he has
    cataract in his both eye and decided to operate RE first. According to the the patient he has undergone
    cataract surgery along with intraocular lens implantation in his RE.After operation patient was suffering
    from defective vision for distance in his RE but he had no problem during near work. one and half
    month after operation doctor prescribed him glass and with glass he is able to see both distance and
    near objects clearly.

    Visual Acuity:- RE 6/60 without glass. 6/6 with his own glass and with pin hole also. . RE near-N6 with
    his own glass and N8 without glass. PR acc in all quadrants.

    Pseudophakia Case:-3
    Chief Complaints:-With out glass RE distance visual acuity as wel as near vision is defective after
    operation
    History of present illness:-

    Patient was operated in his RE 3 months back in Malda Medical College and Hospitial.He was operated
    as he developed gradual onset of dimness of vision in his both eye for last 10 months and the problem
    was more in RE.He consulted eye surgeon in this hospital ; Who after examination told that he has
    cataract in his both eye and decided to operate RE first. According to the the patient he has undergone
    cataract surgery along with intraocular lens implantation in his RE.After operation patient was suffering
    from defective vision for distance as well as for near in his RE . one and half month after operation
    doctor prescribed him glass and with glass he is able to see both distance and near objects clearly.

    Visual Acuity:- RE 6/60 without glass. 6/6 with his own glass and with pin hole also. . RE near-N6 with
    his own glass and N18 without glass. PR acc in all quadrants.

    Pseudophakia Case:-4
    Chief Complaints:- Gradual dimness of vision in his right eye for last 5 months.

    History of present illness:- Patient had undergone cataract surgery with intraocular lens implantation in
    his RE 3 years back in Malda Medical College and Hospitial. After operation patient was doing well with
    his glass and had no problem . It is for the last 5 months that the patient is feeling gradual dimness of
    vision in his right eye and in his version he is feeling that he has again developed cataract in his right eye.

    Visual Acuity:- Right eye visual acuity is 6/36 with out glass( PR acc in all quadrants) and this vision is
    not further improving with pin hole. Near vision is N24.

    purkinje’s images:- All the 4 purkinje’s images are present , but 4th image is distorted.

    Case summary :- yyy, 65yrs male patient,who is a smoker, undergone cataract surgery with intraocular
    lens implantation in his RE 3 years back and he was doing well with glass in his right eye . For the last 5
    months the patient is feeling gradual dimness of vision in his right eye and feeling that he has again
    developed cataract.On examination, his visual acuity is ….with out glass and with glass the visual acuity
    is…..and with pin hole it is…..the Scar mark found in the conjunctiva,superiorly and also in the
    cornea.Iridodonesis present and there is atrophic patch in the iris.Shiny reflex found behind the iris
    plane .All the four (4) purkinje’s images present; but 4th image is distorted.

    So, from the above points my provisional diagnosis is Pseudophakia with posterior capsular opacity in
    his right eye.

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