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Whatever you may look like, marry a man your own age - as your beauty fades, so will his eyesight.
You know you're getting old when the candles cost more than the cake!
The spiritual eyesight improves as the physical eyesight declines. - Plato
Visual Impairment in the elderly… .. . Geriatrics Grand Rounds 24 th  March 2006 Dr.Seraphine Soosaimanickam Geriatrics Fellow Hackensack Medical Centre UMDNJ
OBJECTIVES ,[object Object],[object Object],[object Object],[object Object],[object Object]
TOPICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VISUAL IMPAIRMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
CATARACT ,[object Object],[object Object],[object Object]
CATARACT ,[object Object],[object Object],[object Object]
Normal Vision
Vision with Cataract
 
CATARACT   ,[object Object],[object Object],[object Object],[object Object]
SURGERY ,[object Object],[object Object],[object Object]
Cataract surgery
CAPSULORHEXIS
Capsulorhexis ,[object Object],[object Object]
Phacoemulsification ,[object Object],[object Object]
Phacoemulsification
Phacoemulsification
Irrigation/aspiration ,[object Object],[object Object],[object Object]
Irrigation/aspiration
IOL   IMPLANTATION ,[object Object],[object Object]
IOL   IMPLANTATION
Intra Ocular Lens
Intra Ocular Lens
Intraocular implant
Age-related macular degeneration ,[object Object],[object Object],[object Object]
Pathophysiology  ,[object Object],[object Object],[object Object]
AGE-RELATED MACULAR DEGENERATION   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vision with macular degeneration
Symptoms of Macular degeneration ,[object Object],[object Object],[object Object],[object Object]
Dry macular degeneration ,[object Object],[object Object],[object Object],[object Object]
Non-Exudative macular degeneration
Drusen
Drusen ,[object Object],[object Object]
Exudative macular degeneration ,[object Object],[object Object]
Exudative macular degeneration
ARMD  with subretinal hemorrhage   Choroidal neovascularization and subretinal hemorrhage in a patient with late maculopathy.
Angiographic diagnosis ,[object Object],[object Object],[object Object]
Iodocyanine green dye technique
Treatment ,[object Object],[object Object]
Laser treatment ,[object Object],[object Object]
Laser Photocoagulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Photodynamic therapy ,[object Object],[object Object],[object Object]
Recommendations for ARMD  ,[object Object],[object Object],[object Object],[object Object],[object Object]
DIABETIC RETINOPATHY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIABETIC RETINOPATHY STAGES ,[object Object],[object Object],[object Object]
DIABETIC RETINOPATHY: NONPROLIFERATIVE STAGE ,[object Object],[object Object],[object Object],[object Object]
DIABETIC RETINOPATHY: NONPROLIFERATIVE  STAGE Intraretinal edema and exudate in the superior macular region with type 2 diabetes.
DIABETIC RETINOPATHY: PREPROLIFERATIVE STAGE ,[object Object],[object Object],[object Object],[object Object],[object Object]
DIABETIC RETINOPATHY: PROLIFERATIVE STAGE ,[object Object],[object Object],[object Object]
DIABETIC RETINOPATHY: PROLIFERATIVE STAGE Neovascularization of the disc in a patient with proliferative retinopathy.
GLAUCOMA ,[object Object],[object Object],[object Object],[object Object]
Progressive optic nerve damage
Glaucoma ,[object Object],[object Object],[object Object]
Vision with glaucoma
Vision with Glaucoma ,[object Object],[object Object],[object Object],[object Object]
GLAUCOMA ,[object Object],[object Object],[object Object],[object Object]
Glaucoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Glaucoma Management : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
REFRACTIVE ERROR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Snellen chart
REFRACTIVE ERROR ,[object Object],[object Object],[object Object],[object Object]
ANTERIOR ISCHEMIC OPTIC NEUROPATHY ,[object Object],[object Object],[object Object]
ANTERIOR ISCHEMIC OPTIC NEUROPATHY Pallid swelling of the optic nerve head in a patient with anterior ischemic optic neuropathy.
KERATITIS SICCA  ,[object Object],[object Object],[object Object],[object Object]
LID ABNORMALITIES ,[object Object],[object Object],[object Object],[object Object],[object Object]
HERPES ZOSTER OPHTHALMICUS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Herpes zoster Ophthalmicus
LOW-VISION REHABILITATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
SCREENING TO PREVENT VISUAL LOSS ,[object Object],[object Object],[object Object]
SUMMARY ,[object Object],[object Object],[object Object],[object Object]
THANK YOU!

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Visual Impairment

Notas do Editor

  1. Suggestions for Lecturer -1-hour lecture -Use GRS slides alone or to supplement own teaching materials -Refer to GRS5 , p. 176 for further content -Refer to Geriatrics at Your Fingertips for updated information -Supplement lecture with handouts of assessment instruments, eg, Screening in Primary Care (GRS5 , p. 418). -See GRS5 question #s 146, 166, 172, 199, 203 for additional case vignettes on visual impairment.
  2. Suggestions for Lecturer -1-hour lecture -Use GRS slides alone or to supplement own teaching materials -Refer to GRS5 , p. 176 for further content -Refer to Geriatrics at Your Fingertips for updated information -Supplement lecture with handouts of assessment instruments, eg, Screening in Primary Care (GRS5 , p. 418). -See GRS5 question #s 146, 166, 172, 199, 203 for additional case vignettes on visual impairment.
  3. Suggestions for Lecturer -1-hour lecture -Use GRS slides alone or to supplement own teaching materials -Refer to GRS5 , p. 176 for further content -Refer to Geriatrics at Your Fingertips for updated information -Supplement lecture with handouts of assessment instruments, eg, Screening in Primary Care (GRS5 , p. 418). -See GRS5 question #s 146, 166, 172, 199, 203 for additional case vignettes on visual impairment.
  4. Suggestions for Lecturer -1-hour lecture -Use GRS slides alone or to supplement own teaching materials -Refer to GRS5 , p. 176 for further content -Refer to Geriatrics at Your Fingertips for updated information -Supplement lecture with handouts of assessment instruments, eg, Screening in Primary Care (GRS5 , p. 418). -See GRS5 question #s 146, 166, 172, 199, 203 for additional case vignettes on visual impairment.
  5. Source: Figure 26.1, p. 177, in GRS5.
  6. Source: Figure 26.3, p. 178, in GRS5.
  7. Source: Figure 26.3, p. 178, in GRS5.
  8. Source: Figure 26.4, p. 179, in GRS5.