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Helpline
Welcome to the Clinical Helpline. We all occasionally turn to a colleague to discuss a case. Now you can also turn to your Clinical Helpline. The service is open to all registered members of SCO, simply click on the link below to access the online e-mail form. We will endeavour to answer your question within 24 hours.
Click here to submit a question to the Helpline...
Some previous questions:
Glaucoma
Q. I have examined an 80 yr old lady who has no F/H of Glaucoma but IOP R26 L24(goldmann), discs look normal with cupping R0.2 L0.2 and full threshold fields are normal. Should I refer her to an Ophthamologist?
A. After F/H the next most important risk factor for Glaucoma is age. However if you are confident that the discs look normal and the fields and pressures are repeatable, then it is just a matter of monitoring her on a regular basis.
A risk of PVD
Q. I have examined a 60 year old myope who has been complaining of floaters for 3 months. I have dilated and examined the periphery with a volk lens but am concerned that I may have missed a tear or break.
A. Your patient is in a risk group and it is good that you have dilated and examined the periphery. However floaters present for more than 3 months with no other signs or symptoms are less of a concern. A sensible course of action is to issue a leaflet on the signs and symptoms of retinal detachment and review in 6 months.
Visit the Knowledge page for more information on PVD.