Optometry

Notes:

Today's date is 20 October 2028. You are an optometrist at a local clinic. A patient has presented with a complaint of eye discomfort and blurred vision in both eyes.

PATIENT DETAILS:

NAME: Mrs. Emily Parker

DOB: 28 February 1972 (56 y.o.)

Social background: Married, two children

Occupation: Office manager

General health: History of seasonal allergies, no other medical conditions

Family history: Mother had glaucoma

Patient history: 2015 – Diagnosed with mild myopia, prescribed glasses for occasional use 2010 – Seasonal allergy diagnosis, managed with antihistamines

20 October 2028 Presenting problem: Eye discomfort and blurred vision in both eyes for the past week

Both eyes:

• Gritty sensation

• Itching and redness

• Blurred vision, especially in the evenings

• No pain, discharge, or photophobia

• Seasonal allergy symptoms concurrently

Visual acuity (VA): Both eyes 6/9

Colour vision (D-15): Normal

External examination:

• Mild conjunctival injection in both eyes

• No obvious corneal abnormalities

• No discharge or follicles

Slit-lamp examination:

• Mild bilateral conjunctival chemosis

• Bilateral papillary hypertrophy

• Clear cornea, no staining

Intraocular pressure (IOP) (Non-contact tonometry):

• Both eyes 15mmHg

Fundoscopy:

• Normal optic disc appearance

• No evidence of diabetic retinopathy or other retinal abnormalities

Diagnosis: Allergic conjunctivitis with papillary hypertrophy

Initial treatment: Prescribed antihistamine eye drops and advised on allergen avoidance measures.

Writing Task:

Using the information given in the case notes, write a letter to Mrs. Emily Parker, explaining her diagnosis of allergic conjunctivitis with papillary hypertrophy and providing instructions on the use of prescribed antihistamine eye drops. In your answer:

• Expand the relevant notes into complete sentences.

• Do not use note form.

• Use letter format. The body of the letter should be approximately 180–200 words.