Optometry

Notes: Today's date is 10 June 2029. You are an optometrist at BrightView Optics Clinic. A patient, Mr. Samuel Foster, has presented with complaints of recurrent eye infections.

PATIENT DETAILS:

• NAME: Mr. Samuel Foster

• DOB: 12 July 1980 (48 y.o.)

• Social background: Married, three children

• Occupation: IT Consultant

• General health: Generally good, no known medical conditions

Family history:

• Father has a history of glaucoma

Patient history:

• 2015 – Diagnosed with allergic conjunctivitis

• 2010 – First episode of eye infection, treated with antibiotics

• 2008 – Diagnosed with mild myopia, prescribed glasses for occasional use

10 June 2029 Presenting problem: Mr. Foster reports experiencing recurrent eye infections over the past year.

Both eyes:

• Redness and itching

• Discharge (white or yellow)

• Episodic symptoms, occurring every few months

• No pain, photophobia, or decreased vision

Visual acuity (VA):

• Both eyes 6/6

Colour vision (D-15): Normal

External examination:

• Mild conjunctival injection in both eyes during active infections

• No apparent abnormalities between episodes

Eye Movements:

• Normal

Slit-lamp Examination:

• Mild bilateral papillary hypertrophy during active infections

• Clear cornea, no staining during episodes

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

• Within normal limits for both eyes

Fundoscopy:

• Normal optic disc appearance, no evidence of diabetic retinopathy or other retinal abnormalities

Diagnosis: Recurrent episodes of acute bacterial conjunctivitis

Initial treatment: Prescribed antibiotic eye drops during active infections; advised on hygiene measures

Writing Task:

Using the information provided in the case notes, write a letter of referral to the Ophthalmologist on duty at VisionCare Hospital, requesting further evaluation for Mr. Samuel Foster's recurrent eye infections. Address the letter to the Ophthalmologist on duty, VisionCare Hospital, 155 Oak Avenue, Cityville. In your response:

• 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.