UWF imaging; genetic history helps suss out diagnosis

“Case Scenario,” illustrates how a specific device’s image(s) aided in patient management.

PATIENT

A 57-year-old white female who has high cholesterol and a family history of heart disease, diabetes, cancer, retinitis pigmentosa (RP), AMD and melanoma.

EXAM FINDINGS

A routine exam included auto refraction, IOP measurements and Optomap Ultra-Widefield (UWF) imaging. UWF image revealed the ellipsoid zone was missing, sparing a little island of vision around the macula, in both eyes — evidence of pre-symptomatic RP.

APPROACH

Given current palliative treatments, the patient will be monitored annually. Consider VF testing, OCT and electroretinography. Regular literature searches for potential new treatment options will be conducted on an ongoing basis.

DIAGNOSIS

RP

MANAGEMENT

Ongoing monitoring

PATIENT CARE TIP

The combination of UWF imaging and a detailed family history can help facilitate a quick and accurate diagnosis.

CODING

N/A OM

CASE STUDY

 

 

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Tell us how an image from a specific diagnostic device aided in the care of a patient.

DR. YU operates an independent practice in Fort McMurray, Alberta. His areas of clinical interest include specialty contact lenses, vision rehabilitation and ocular disease management. He is a 2010 graduate of the Illinois College of Optometry.