Guidelines for Resident of the strabismus clinic
https://w1.med.cmu.ac.th/ophthalmology/files/2023/06/Guideline_Stabismus_2564.pdf
• On Monday morning, the Resident checks the corners together with every orthoptist (resident 2D) who has made an appointment. Choose the one with the problem or will be queuing for surgery, leave a comment in the afternoon by preparing complete information as follows
• Repeat the digicard's medical history (Diagnosis, previous surgeries, same and last corner, last treatment, last written plan, etc.)
• May do homework before leaving for examination. There is already a patient list.
• Write a note on the OPD card on the date of the examination, which must include important information such as The eyes are squint every day/sometimes, which side? is there someone greeting me? How many glasses can you wear and which eye are you able to close your eyes for about how many hours a day?
• Write a record of strabismus examination. What you need is VA, muscle balance (MB) at distance (D) , at near (N), with correction (If you don't have glasses, measure the angle with trial frame)
• And measure 9 angles, if incomitant strabismus such as SO palsy, check sensory using Worth four dot as the main test, if intermittent strabismus, check Titmus stereotest as well.
• Monday afternoon, Resident 2D and 2B and professors jointly consider patients entering the clinic. with complete information, no need to look in the digicard again
• Non-surgical cases make an appointment to check by entering in the eye examination book (Monday for those with problems, Tuesday for those without problems)
• For those who want to make an appointment for surgery, enter the SMI queue. If GA on Tuesday, Line D can be posted 2 times a day.
• If it's LA, it's on Tuesday, Line D is a LA room (emergency may be set on Thursday, Resident room?)
• squint-eyed journal, finished speaking within 10 minutes, can view note no more than 10%
• ** Time to go to the eye clinic in the morning. Arrive on time at 9:30 a.m., 1:00 p.m. (before the teacher)
• **If already free from squint-eyed clinic Whether it's morning or afternoon, help check the OPD case.
Prof. Prapassorn Patikulsila
May 31, 2021
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