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Patient case
Cataracts

Cataracts

Patient details
- Name: Mrs. MS. - Age: 68 years - Gender: Female - Residence: Rural Kenya
Patient case fields
Presenting Complaints

- Progressive blurred vision in both eyes over 1 year

- Difficulty seeing at night, increased glare, colours appearing faded.

 

 

Past Medical History:

- Family History: No significant ophthalmic history

- Personal History: Hypertension, controlled with medication

  Social History: Occupation: Retired teacher

Examination Findings

- Visual Acuity: Right eye 20/80, Left eye 20/70

- Slit-Lamp Examination: Bilateral lens opacities, centrally pronounced

- Fundoscopy: Poor retinal view due to lens opacity

 

 

Diagnosis:

- Bilateral Senile Cataracts

 

Management Plan
  1. Surgery: Phacoemulsification with intraocular lens (IOL) implantation
  2. Pre- and Post-Operative Care: Comprehensive eye exam, antibiotic and anti-inflammatory eye drops, follow-up visits
  3. Education: Benefits of surgery and importance of medication adherence

 

Discussion

Challenges:

- Limited access to surgical services

- Financial constraints

- Cultural reliance on traditional medicine

Public Health Needs:

- Community education on cataracts

- Mobile surgical units for remote areas

- Training for local healthcare workers

Discussion

Cataract surgery is essential to improve vision and quality of life for patients like Mrs. Mary Smith, necessitating efforts to overcome access barriers and enhance awareness.

Questions
1. What is the main complaint of Mrs. MS?

A). Eye pain

B). Progressive blurred vision

C). Sudden vision loss

D). Double vision

 

 

 

 

 

 

 

 

 

 

 

2. What is Mrs. MS 's age?

A). 55 years

B). 60 years

C). 68 years

D). 72 years

3. What other medical condition does Mrs. MS have?

A). Diabetes

B). Asthma

C). Hypertension

D). Hyperthyroidism

4. How long has Mrs. MS been experiencing blurred vision?

A). 3 months

B). 6 months

C). 1 year

D). 2 years

5. What specific symptom does Mrs. MS report experiencing at night?

A). Increased eye pain

B). Double vision

C). Difficulty seeing

D). Complete vision loss

 

 

 

 

6. What were Mrs. MS 's visual acuity measurements?

A). Right eye: 20/40, Left eye: 20/30

B). Right eye: 20/80, Left eye: 20/70

C). Right eye: 20/100, Left eye: 20/90

D). Right eye: 20/60, Left eye: 20/50

7. What was found in the slit-lamp examination of Mrs. MS 's eyes?

A). Retinal detachment

B). Corneal abrasion

C). Bilateral lens opacities

D). Optic nerve atrophy

 

 

 

 

 

 

 

8. What is the diagnosis for Mrs. MS?

A). Glaucoma

B). Diabetic retinopathy

C). Macular degeneration

D). Bilateral senile cataracts

9. What surgical treatment is recommended for Mrs. MS?

A). LASIK surgery

B). Corneal transplant

C). Phacoemulsification with intraocular lens (IOL) implantation

D). Trabeculectomy

 

 

 

 

 

10. What is a key socioeconomic challenge faced by Mrs. MS?

A). Language barriers

B). Limited access to surgical services

C). Political instability

D). Lack of family support

11. What public health measures are suggested to improve cataract care in Mrs. MS’s community?

A). Distribution of free sunglasses

B). Community education on cataracts and mobile surgical units

C). Providing vitamin supplements

D). Establishing dental clinics

Reveal answers

Answers

  1. B). Progressive blurred vision
  2. C). 68 years
  3. C). Hypertension
  4. C). 1 year
  5. C). Difficulty seeing
  6. B). Right eye: 20/80, Left eye: 20/70
  7. C). Bilateral lens opacities
  8. D). Bilateral senile cataracts
  9. C). Phacoemulsification with intraocular lens (IOL) implantation
  10. B). Limited access to surgical services
  11. B). Community education on cataracts and mobile surgical units