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OQ 78 (C-16787)

OQ78 1 Autistic Spectrum Disorder

Audio content

Speaker(s):
Dr Paul Constable, Philip Morgan

OQ78 2 Decontamination of contact devices

Audio content

Speaker(s):
Professor John Lawrenson, Hugh Breakspear

OQ78 3 Problems with long term RGP wear

Audio content

Speaker(s):
Anna Turvey, Judith Morris

OQ78 Quarterly Review

Audio content

Speaker(s):
Geoff Roberson
Closing Date:
07 September 2011
Speaker(s):
Introduced by Geoff Watts
Topic(s):
3 mirror
  1. Full Synopsis
  2. More Information
  3. MCQ test

Full Synopsis

Autistic Spectrum Disorder (ASD) – Dr Paul Constable & Philip Morgan   

Philip Morgan 2Paul ConstableCurrently there is no real guidance for optometrists on patients with Autistic Spectrum Disorder. This is something Paul Constable would like to change. Paul is an optometrist and researcher at City University, and in this interview he talks to Philip Morgan about the different forms of ASD and about how the condition can make it difficult for patients to receive an eye examination. Paul and Philip go on to look at best practice principles optometrists can follow to make it easier for these patients and their families. Finally, they discuss ways in which clearer guidance can be given to optometrists in future.

 

 Decontamination of contact devices – Prof John Lawrenson & Hugh Breakspear

John LawrensonHugh Breakspear 66Last year the Department of Health published new recommendations on decontamination in relation to the risk of transmission of variant Creutzfedlt-Jakob Disease (vCJD). Consequently the College of Optometrists revised their guidance on the decontamination of contact devices. Professor John Lawrenson was involved in interpreting these recommendations and drafting the new College guidance. Here he speaks to Hugh Breakspear about the updated guidelines and what they mean for practising optometrists.

 

Problems with long term RGP wear – Judith Morris & Anna Turvey  

Anna Turvey

Judith Morris

Anna Turvey is Superintendent Optometrist for Tesco Opticians, and an OQ listener. After noticing in her everyday work that refracting Rigid Gas Permeable (RGP) wearerscould sometimes cause problems, she contacted the programme via our online survey site – http://docet-oq.opencc.co.uk/ – and asked if we would cover the topic. We arranged for her to speak to Judith Morris, a Senior Lecturer in Contact Lens Education at City University and Senior Optometrist in Contact Lenses at the Institute of Optometry. In this interview, Anna and Judith discuss a range of issues relating to RGP lenses, including how long term RGP wear can affect the spectacle prescription and the shape of the cornea.

 

Quarterly Review – Geoff Roberson

Geoff Roberson 3

In the latest quarterly review, Geoff begins by following up the theme of intraocular pressure from the last edition of OQ. He discusses a paper which compares the Pascal Dynamic Contour Tonometer with the Goldmann tonometer, before mentioning an editorial from the British Journal of Opthalmology on the shortcomings of only measuring IOP during daylight hours. Geoff then goes on to consider an article looking at the reliability of the Tonosafe disposable Goldmann prism. Finally, Geoff reviews some interesting outcomes from a study which looked at the treatment of dry eye using Acupuncture.

More Information

References:

Autistic Spectrum Disorder

The National Autistic Society website: http://www.autism.org.uk/

Baird G, Cass H, Slonims V. 2003, Diagnosis of autism. BMJ 327(7413), 488-493.

Nakano T, Tanaka K, Endo Y, Yamane Y, Yamamoto T, Nakano Y, Ohta H, Kato N, Kitazawa S. 2010, Atypical gaze patterns in children and adults with autism spectrum disorders dissociated from developmental changes in gaze behaviour. Proceedings of the Royal Society B: Biological Sciences 277(1696), 2935-2943.

Simmons DR, Robertson AE, McKay LS, Toal E, McAleer P, Pollick FE. 2009, Vision in autism spectrum disorders. Vision Research 49(22), 2705-2739.

Decontamination of contact devices in relation to vCJD

Buckley RJ. 2010, Decontamination. Optometry in Practice 11, 27-32

Refitting RGP in a long term wearer

Gasson A and Morris JA, 2010. The Contact Lens Manual - a practical guide to fitting. 4th ed, Butterworth-Heinemann Elsevier UK

Quarterly Review

Ang GS, Nicholas S, Wells AP. 2011, Poor utility of intraocular pressure correction formulae in individual glaucoma and glaucoma suspect patients. Clin Experiment Ophthalmol 39(2), 111-118.

Dean SJ, Petty A, Swift S, McGhee JJ, Sharma A, Shah S, Craig JP. 2011, Efficacy and safety assessment of a novel ultraviolet C device for treating corneal bacterial infections. Clin Experiment Ophthalmol 39(2), 156-163.

Liu JH, Weinreb, RN. 2011, Monitoring intraocular pressure for 24 h. Br J Ophthalmol 95(5), 599-600.

Shin MS, Kim JI, Lee MS, Kim KH, Choi JY, Kang KW, Jung SY, Kim AR, Kim TH. 2010, Acupuncture for treating dry eye: a randomized placebo-controlled trial. Acta Ophthalmol 88(8), 328-333.

Thomas V, Daly MK, Cakiner-Egilmez T, Baker E. 2011, Reliability of tonosafe disposable tonometer prisms: clinical implications from the Veterans Affairs Boston Healthcare System Quality Assurance Study. Eye (Lond) 25(5), 651-656.

 

MCQ test

  1. CET user code prefix *

  2. 1. Which of the following statements about ASD is NOT correct? *

  3. 2) Which of the following statements in relatation to new vCJD guidance is correct? *

  4. 3. In the old study by Judith Morris how many times longer did it take for 3 and 9 o'clock staining to appear in PMMA wearers compared to RGP wearers? *

  5. 4. In relation to the CCT and IOP correction factors study which of the following statements is NOT correct? *

  6. 5. In the study comparing the Tonosafe to the GAT by approximately how much, strictly speaking, should the Tonosafe IOP measurement be adjusted downwards? *

  7. 6. In the study using UVC treatment of corneal microbial infections what radiation dose is thought to be the threshold for causing ocular damage? *