12 Stations - Posterior Segment

Front 1

Central Retinal Artery Occlusion

Back 1

Fundus Lens

Age: Middle Aged to Elderly patient
Risk factors: Giant cell arteritis, fibrinoplatelet plaques, calcific plaques, migrantes, contraceptives.
Sx: VA poor. Sudden (seconds) unilateral painless vision loss, preceeded by amaurosis fugax,
Key: + APD

Diagnosis Criteria
1) Characterized by a “cherry-red spot” in the macula

Front 2

Central Serous Retinopathy

Back 2

Fundus Lens

Age: Young to middle aged men
SXs: Reduced VA, possible scotoma, possible hyperopic shift, difficulty moving from light to dark.
Key: Amsler Grid Distortion

Diagnosis Criteria
1) Loss of foveal reflex
2) Dome shaped elevation over fovea/macula

Front 3

Clinically Significant Macular Edema

Back 3

Fundus Lens

Age: Middle age patient with longstanding diabetes
Risk Factors: Diabetic
Sxs: Gradually decreasing vision (20/25-20/50). Diabetic symptoms (polyuria, polydipsia, polyphagia, weight loss, fatigue, delayed wound healing, tritan color defects, fluctuating vision)
Key: Amsler Grid Distortion
Diagnosis Criteria:
1) Retinal thickening
2) Hard exudates
3) Signs of DM like dot blot hemes
4) Loss of foveal reflex

Front 4

Macular Hole

Back 4

Fundus Lens

Age: Middle aged to older patient
Sx: Gradual painless vision loss, Central scotoma: 20/100-20/200, gray ring on retina, distortion, possible from trauma
Key: Amsler Grid Hole

Diagnosis Criteria
1) Red circular hole near macular surrounded by elevation
2) Small yellowish deposits in center of hole

Front 5

Posterior Vitreous Detachment

Back 5

BIO

Age: Middle age to elderly patient
Risk Factors: aphakia, trauma
Sxs: Acute onset of flashes/floaters, Floaters move with eye movement. Often 20/20 VA.

Diagnosis Criteria
1) Weiss Ring (ring shaped floater/haziness) above ONH

Front 6

Retinal Detachment

Back 6

BIO

Age: Young to elderly
Risk factors: Myopia, cataract surgery, trauma, elderly
Sxs: Preceeded by flashes/floaters. Shadow or curtain of blurred vision. Possibly trauma caused. Possibly 20/20 vision.
Key: +APD
Diagnosis Criteria
1) Greyish/hazy area that moves with retina.

Front 7

Retinitis Pigmentosa

Back 7

BIO

Age: Onset in late teens to early 20’s
Progressive tunnel vision. Night blindness.

Diagnosis Criteria
1) Bone spicules in retinal periphery
2) ONH Pallor
3) Pigment surrounded by "moth eaten" areas of atrophy

Front 8

Wet Macular Degeneration

Back 8

Fundus Lens

Age: Elderly patient
Risk Factors: Light iris, white, smokers, hyperopia, cardiovascular disease
Sxs: Distortion. Blur (20/50-100 if the foveal area is involved). Decentered vision. Prolonged photostress recovery time. Amsler Grid distortion

Diagnosis Criteria
1) Greyish/green/brown if older SRNVM
2) Reddish if between RPE and sensory retina

Front 9

Renu Fresh

Back 9

SCL - 3 drops for 20 seconds. Soak 4 hours-30 days. Renu Lubricating & Rewetting Drops. Renu 1 Step Daily Protein Remover (4-12 hr).

Front 10

Renu Biotrue

Back 10

SCL - 3 drops for 20 seconds. Soak 4 hours-30 days. Renu Lubricating & Rewetting Drops. Renu 1 Step Daily Protein Remover (4-12 hr).

Front 11

Complete Moisture Plus

Back 11

SCL - 3 drops for 20 seconds. Soak 6 hours-30 days. Blink Contacts Lubricating Drops. Complete Blink-N-Clean Lens Drops.

Front 12

Optifree Replenish

Back 12

SCL - 3 drops for 20 seconds. Soak 6 hours-30 days. Optifree Replenish Rewetting Drops. Optifree Supraclens Daily Protein Remover

Front 13

Optifree GP

Back 13

RGP - 3 drops for 30 seconds. Soak 4 hours-30 days. Optifree Replenish Rewetting Drops. Optifree Supraclens Daily Protein Remover.

Front 14

Optimum by Lobob

Back 14

RGP - Cleaning, Disinfecting and Storage Solution (CDS). 10 drops for 30 seconds. If still dirty, Extra Strength Cleaner Solution. Soak *6* hours-30 days. In morning, Optimum Lobob Wetting/Rewetting drops. No protein remover needed.

Front 15

Boston Original

Back 15

RGP - Cleanser: 3 drops for 30 seconds. Conditioning solution: Soak 4 hours-30 days. Boston Rewetting Drops. Boston Enzymatic cleaner

Front 16

Boston Advance

Back 16

RGP - Cleanser: 3 drops for 30 seconds. Conditioning solution: Soak 4 hours-30 days. Boston Rewetting Drops. Boston Enzymatic cleaner

Front 17

Boston Simplus

Back 17

RGP - 3 drops for 30 seconds. Soak 4 hours-30 days. Boston Rewetting Drops. No enzymatic cleaner.

Front 18

Oxysept Ultracare

Back 18

SCL - Use AMO Complete. Then put in lens well with disinfecting solution and pink table. Invert 3 times. Store 6 hours. Invert 1 time. Put in eye. Store lens upsidedown with solution. Can directly wear contacts in morning. Blink Contacts Lubricating Drops. Ultrazyme Enzymatic cleaner: Weekly, Add tablet before closing. In morning, rub and rinse w/ complete before wearing.

Front 19

Clear Care

Back 19

SCL - 3 drops for 20 seconds. Rinse 5 seconds. Soak 6 hours-7 days. Put directly in eye in morning. Replace case 3 months. Aquify Comfort Drops. Unizyme Enzymatic Cleaner (weekly): 1/2 tablet. Dissolve. Shake. Soak 10 mins - 12 hours. Clean and disinfect lenses with Aquify in morning.

Front 20

Progent

Back 20

Clean with normal cleanser. Put lenses in vial. Add A and B. Shake gently. Soak 30 mins max (or discolor) Remove lenses and clean with normal care system. Wear lenses.