What is a hyperopic shift?

The fundus exam showed neither commotio retinae nor any peripheral retinal pathology.

It was concluded that a reduction in the gradient-index of the lens occurs with increasing age, acting being an emmetropizing mechanism by compensating for the steepening of both the front and back surfaces of the Lens. Treatment for choroidal metastases includes systemic chemotherapy and/or hormonal therapy and also plaque radiotherapy, external beam radiation therapy and/or photodynamic therapy. To our knowledge, here is the first report of such findings in a pediatric patient with blunt trauma to the eye. We treated the injured right eye with prednisolone acetate 1 percent and cyclopentolate 1 percent drops, four times and two times daily, respectively, and gave her standard posthyphema activity instructions. The slit-lamp exam of the proper eye revealed a clot in the superior angle and blood on the endothelium with 3+ circulating red cells. There was a little layered hyphema inferiorly, no visible iris dialysis, no phacodonesis.

July 2015 Wills Eye Resident Case Series

Systemic health conditions like diabetes can further add to the complexity. Consideration of the best optical correction for the individual, and regular monitoring, may be the ideal course of management. As the patient has already been currently wearing soft contact lens, commenters suggested multifocal soft lens as a form of myopia control. Her high hyperopic refractive error implies that a customized MFCL would likely be needed, if prescribed.

typically identifies childhood myopes, but myopia management in adults presents its own challenges and considerations. As the focus typically moves from slowing myopia progression to monitoring eye health in adult myopia, how do we manage refractive changes, eye health and general health factors? Here is a complex case from LM describing a adult with aphakia and Type 1 diabetes whose myopia may be progressing. This population-based cohort study included 15,010 participants from Germany aged 35 through 74 years at baseline. A five-year change in SE was computed as the difference between follow-up and baseline objective refraction.