BV 7 - Prognosis and Diagnosis

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Author:
sookylala
ID:
290417
Filename:
BV 7 - Prognosis and Diagnosis
Updated:
2014-12-02 04:52:06
Tags:
strabismus
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Description:
diagnosis
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  1. Diagnostic summary?
    • 1. overview of case hx: (CC, signs, sx, onset, och, fochx, parent/px goals)
    • 2. rx status: BCVA, entering VA
    • 3. deviation: direction, magnitude (dx and near), frequency, laterality, dominance, cosmesis, comitance, ACA)
    • 4. associated conditions: EF, AC, amblyopia (which eye and VA)
  2. What should be mentioned for prognosis?
    • treatment method
    • expected results - good, fair, poor
  3. What factors are favourable for a good prognosis for strab?
    • late onset >1YO
    • short duration
    • family hx
    • concomitant
    • accom ST
    • Intermittent
    • obj angle <20PD (NC)
    • normal AC
    • nonamb
    • CF
    • stable flat fusion
    • stereo
    • good motor fusion
  4. What factors are unfavourable for a good prog for strab?
    • early onset <1YO
    • long duration
    • nonconcomitant
    • nonaccom ST
    • constant
    • if AC obj angle <20pd
    • <20PD obj angle
    • AC
    • amblyopic
    • EF
    • suppression
    • no stereo
    • poor motor fusion
  5. favourable prognosis for amblyp?
    • anisometropic
    • hyp aniso
    • CF
  6. unfavourable prog for amb?
    • strab
    • myopic amb
    • EF
    • latent nystagmus
    • hx of sensory deprivation

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