Master Mustapha Case Study Essay

BACHELOR OF OPTOMETRY (HONS)

OPT 5182 OPTOMETRIC CASE STUDIES II

CASE WRITE-UP 1

Name: Sharfaa Azraa Beebee Peeroo

Student ID: SCM-023457

Lecturer: Mr. Foo Say Kiang

Case history:

Master Mustapha is an 11 yrs. old male who came to clinic complaining of blurred vision at distance and near in BE since 2 yrs. and the blurred vision was gradual and no self-treatment to make it clear. He complains of having itchiness in BE since 3 -4 yrs. and he is using artificial tears to make relief. He is not a spectacles wearer and contact lens wearer. He is allergy with dust and not under any medication. He does not have any history of ocular injury, infection or surgery. He never had his full body medical checkup and he does not have any history

On his first visit he complaints about having blurred vision with both eye since 2 yrs and no treatment was done to make vision clear. His vision was found to be 6/10-2 on the RE and 6/9-3 on the LE and BE with pinhole can reach until 6/9 only and as we know 6/9 and above if vision cannot be improved it is called as amblyopia. Amblyopia is defined as the decrease in corrected visual acuity and the recognition as a measured high-contrast symbols such as letters, in the absence of ophthalmoscopically visible abnormalities (David, 2016). Amblyopia is divided into 3 types namely deprivative amblyopia, strabismic amblyopia and refractive amblyopia. Refractive amblyopia is again divided into 2 types namely anisometropic and isoametropic amblyopia. Some of the signs and symptoms for someone having amblyopia are reduced vision in one or both eyes, decrease in stereopsis, constant unilateral strabismus, suppression, eccentric fixation, visual perceptual skills deficit and early learning problems ("Care of the Patient with Amblyopia", 2004). This patient has one of the symptoms that is the blurred

This is because correcting the refractive error anomaly with glasses provide the retina with a clear and sharp optical image (Clarke, Noel, 1990; Kivlin, Flynn,1981). He is given appointment after 4 months to see if any improvement is observed, then will see if patching will be advice for him. Patching enables the amblyopic eyes to enhance neural input to the visual cortex and it eliminates eccentric fixation (Ostadimoghaddam et al., 2012; O’Donoghue et al., 2013; Deng & Gwiazda, 2012). In this patient patching is not given in the first place as at the age of 12 yrs. it won’t have any significant effect (Menon, Chaudhuri, Saxena, Gill & Sachdeva, 2005). On his next visit if no changes the part-time occlusion with an opaque or translucent occluder may be used 2-5 hours per day together with his