CommunicationOcular DiseaseSound Optometry

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Welcome to DOCET’s podcast Sound Optometry, hosted by Michelle Hanratty, an IP optometrist with 20 years’ experience on the high street and in hospital. Each month, with case studies and in-depth conversations, we will be exploring topics that matter the most to you as optometrists and are relevant for everyday practice.

Episode 9 - Suspicious Discs: When is a disc a disc at risk?

In this episode, we hear about a clinical scenario where a case of idiopathic intracranial hypertension led to severe visual symptoms and bilateral optic disc swelling. Michelle Hanratty then recaps the key features of papilloedema, its presentation and causes with neuro-ophthalmologist Dr Denize Atan before looking at the differential diagnoses.  The second part of the episode concentrates on the unilateral causes of optic disc swelling. Dr Atan discusses the features of optic neuropathies and how the symptoms and clinical findings are different to papilloedema. The episode concludes with advice to optometrists on the referral of these patients.

Subscribe to the series on your preferred podcast player so you don’t miss an episode. You can access all episodes of Sound Optometry here.

Last published: December 2021

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    • 1.1.1 To be able to elicit the detail and relevance of any significant symptoms relating to optic disc swelling.

    • 6.1.2 To be able to interpret and investigate the presenting symptoms of a patient with suspicious optic discs.  

    • 6.1.3 To be able to develop a management plan within a primary care setting for the investigation of a patient with suspicious optic discs and interprets the results.  

    • 6.1.14 Assesses symptoms and signs of neurological significance to differentially diagnose causes of optic disc swelling.

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