THE STRUCTURE/FUNCTION CONUNDRUM
Until functional testing can match the sensitivity of functional testing… the question cannot be answered.
Until one can answer if functional testing is really testing what it is supposed to test… the question cannot be answered.
Case Lesson #4
- 14 YEAR HISTORY OF DIABETES WITH HEMOGLOBIN A1C OF 6.4
- BEST VA OF 20/20 O.U. AND ASYMPTOMATIC
- NORMAL IOP NOT BEING TREATED FOR GLAUCOMA
When I started in Optometry in 1971 we were stranded on a sandbar. It was either the 21-point examination or the graphical analysis method. We tested and tried to put the results into some variation of an equation to come up with an answer for the patient. When we were learning the examination techniques, it seemed sort of silly and it really did not transfer well to my first position as a Navy optometrist. Then we evolved further to develop the problem-based examination that didn’t ever really catch on. We really never left the sandbar with problem-based and we continue to be stranded.
Wednesday, 03 April 2013
Written by Larry J Alexander OD FAAO
Posted in Philosophy/Editorials
Case Lesson #7
- 52 yo
- CC: blurred vision at near, recent headaches here or there but nothing out of ordinary
- Currently wears otc for reading
- Review of systems was unremarkable
- No reported medications or allergy to medications
- Past hx of metallic foreign body injuries
- routine eye evaluation
- knows doctors were concerned about her eyes years ago and had ordered ct and mri all of which were “normal”
- best corrected va od 20/20 os 20/20
- cct 533, 537
- iop 17 well defined inferior vf defects