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AJGP Clinical Challenge August 2019: Eyes

Speciality Classification
General Practice ( GP ) / Family Medicine
2 hrs

To provide guidance for the general practitioner in the management of eye presentations

Relevance to General Practice

Patients with ocular symptoms commonly present to GPs, with one study estimating they account for approximately 1.4% of all presentations in Australia. Patients can find it challenging to convey the nature of their visual distortions and often describe the changes as ‘blurred vision’ or ‘vision loss’. Metamorphopsia, micropsia, macropsia, scotomas and paracentral scotomas are all symptoms of visual function disturbance described in various macular disorders. Bacterial infections such as microbial keratitis can occur when the ocular defences are compromised, and are potentially vision threatening if not managed and treated appropriately. Eyelid lesions, can represent malignant disease, which has has the potential for metastatic spread and mortality. Ocular dysfunction can also occur in patients with concussion, with frequency of reported concussions increasing by 60.5% between 2002 and 2011.Careful history and examination are vital for prompt recognition and treatment.

Learning outcomes
  • Implement a function-focused approach in primary care to address the needs of people with visual disturbances
  • Discuss the clinical presentation, examination and management of microbial keratitis
  • Describe and review common eyelid lesions
  • Review ocular defects associated with concussion and identify relevant test procedures
  • Clarify complaints of visual distortions, outlining the common ocular causes, with a focus on macular pathologies
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    • Communication is clear, respectful, empathic and appropriate to the person and their sociocultural context

    D2. Applied professional knowledge and skills

    • Diagnosis and management is evidence-based and relevant to the needs of the patient

    D3. Population health and the context of general practice

    D4. Professional and ethical role

    • Professional knowledge and skills are reviewed and developed

    D5. Organisational and legal dimensions

    Curriculum Contextual Units
    • Adult health
    • Eye medicine


    AJGP Clinical Challenge August 2019: Eyes
    Provider Type
    Education Provider
    2 hrs
    Start Date
    End Date
    CPD Points
    4 cpd