Clinical Pearls
May 2013
in “
Optometry and vision science
”
TLDR The document discusses challenges in eye care, including treating melanoma before macular hole repair, bloody tears resolved by blood pressure control, eyelash regrowth in hair-pulling disorder with medication, a non-invasive method to detect eyelash mites, and the psychological factors affecting contact lens comfort.
The document "CLINICAL PEARLS" from June 2013 included several case reports and clinical reviews. One case report discussed three rare instances of macular holes coexisting with posterior uveal melanoma, highlighting the complexity of treating such conditions. Another case involved an 82-year-old male with hemolacria, where spontaneous resolution occurred after blood pressure normalization, though the patient later died from kidney failure. A third case report presented the use of bimatoprost 0.03% to regrow eyelashes in a patient with trichotillomania, showing positive results over four months. Additionally, a method to identify Demodex in eyelash follicles without epilation was described. A clinical review examined psychological and other mechanisms for end-of-day discomfort in soft contact lens wearers, suggesting that high initial comfort levels might lead to higher expectations and subsequent discomfort. The document emphasized the importance of clinical insights and practical take-home messages for eye care professionals.
Kujodo 
