Retinopathy of Prematurity
Meagan Chastain
Ophthalmic Medical Technology Student
University of Arkansas Medical Sciences


Patient History

A twenty-six year-old black female with a past ocular history of Myopia, Exotropia, Nystagmus, Scleral Buckle (1983), and Retinopathy of Prematurity (ROP) has a chief complaint of seeing flashes and floaters since 11:00 a.m. this morning in her left eye. She states that there is no pain. Her visual acuity in her right eye with no correction is 20/300 and in her left eye with a corrective contact lens is 20/70. A pinhole is then used for the left eye where there was no sign of improvement. Her intraocular pressures are fifteen in her right eye and twenty-four then twentyfive in her left eye with the use of a Tonopen. Her pupils show a 1+ RAPD in her right eye and the left eye was “Brisk.” When testing of her extraocular muscle balance, she shows to have a right exotropia. Upon slit lamp examination, here lids cornea and lashes are within normal limits.

The conjunctiva shows blue sclera. When dilated, the patient has retinal detachment in the left eye with large tear posterior to the scleral buckle. The patient has heart murmurs but no other major medical problems. She is currently not on any medications and has no drug allergies. (All of this information was recorded by Dr. Harper upon examination.)

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