OCT’s epithelial thickness mapping provides reason

“Case Scenario,” is a new department that illustrates how a specific device’s image aided in patient management.

PATIENT

A 53-year-old female; chief complaint blurry vision; radial keratectomy (RK) 30 years ago

EXAM FINDINGS

Entering distance vision: OD 20/25, OS 20/25 at distance; best-corrected distance vision: OD -0.25-0.75x120 20/25+1, OS plano -1.25x 070 20/25+1, +2.00 add 20/20 OU; stromal scars from RK

APPROACH

Anterior segment OCT with epithelial thickness mapping (ETM)

DIAGNOSIS

Normal ETM is between 50 um to 59 um. Patient had several areas of increased ETM, explaining complaints of reduced vision.

MANAGEMENT

Re-normalizing the ocular surface with a scleral lens that has appropriate central clearance, limbal clearance and landing zone characteristics

PATIENT CARE TIP

Use diagnostic tools available to provide patient education.

CODING

92004, 92015, 92313, V2531, V2531 (per lens), B00.59 OM

CASE STUDY

 

 

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DR. BRUJIC is a partner in Premier Vision Group in northwest Ohio. He is a consultant/advisor to various eyecare companies and has lectured on their behalf. Email mile.brujic75@gmail.com, or send comments to optometricmanagement@gmail.com.