OPTM7521 Case Analysis Report 3
Date of release: Monday 7th May 9am
Due date: Monday 28h May 5pm
Method of submission: Moodle submission through Turnitin
Assessment weighting: 15% of the overall mark for OPTM7521
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The following pages contain all the clinical information necessary to produce your report. Information from lectures (OPTM7511 and OPTM7521), case studies, background and required reading and your own research are the resources from which you can draw for this report. This case may relate to knowledge gained in modules 1-5 OPTM7521.
The report should contain the following elements (headings):
Interpretation of all the clinical data (include history, examination, retinal photos, Optomap images, FAF, macular thickness maps, OCT line scans and B-scan ultrasound)
Identify any further relevant tests you may wish to carry out on this patient and explain what information you may want to extract from these tests.
Develop a differential diagnosis for the macular condition seen in this patient
Identify your final diagnosis for the macular condition (be specific in your identification) and outline the prognosis of this condition.
Develop a differential diagnosis for the lesion seen inferior to the left macula.
What is the most likely nature of this lesion? Explain your rationale.
Outline a management plan for this patient.
Identify 3 “clinical pearls” or key learning points from this case
References
Reports should be a maximum of 2 pages, typed in 11 pt Calibri font with normal page margins (2.54cm margins top, bottom, right and left). Reports should be saved in PDF format. Any information exceeding 2 pages will not be marked. References are not included in this page limit.
If the Case Analysis Report is submitted late without the prior approval of the course co-ordinator, penalties below will apply (in accordance with the 2018 SOVS assessment policy):
• 10% if submitted on the due date but later than the due time.
• 20% per day if submitted after the due date
Your name and student number must be included on the document, preferably as a header on each page.
All questions regarding this assessment should be emailed to Michele Clewett – mclewett@cfeh.com.au.
History
A 51 year old Caucasian female presented for examination.
She is asymptomatic and has no history of trauma or surgery
She has thyroid disease for which she takes thyroxine but reports good general health otherwise.
No significant family ocular or medical history.
Examination
Uncorrected visual acuity OD: 6/7.5 OS: 6/6
Refraction and acuity
OD: +0.50 / -0.75 x 50 6/6
OS: +0.25 / -0.25 x 5 6/6
Contrast Sensitivity OD: 1.76 OS: 1.68
Goniosocopy and Slit lamp: Angles open to the ciliary body band. No sign of secondary glaucomas.
Intraocular pressures/CCT: OD 13mmHg CCT 508μm
OS 15 mmHg CCT 501μm
Slit lamp examination unremarkable
Retinal Photos
Macular Photos
Optomap Images
Fundus Autofluoresence
Macular OCT Right Eye
Macular OCT – Left eye
OCT through lesion inferior to macular in left eye
B-Scan Ultrasound
Cirrus Ganglion Cell Analysis
OD
OS
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