MOC PQA Optometrist case studies
MOC PQA Optometrist · Put your knowledge to work in context.
The MOC Practice Quality Assessment (PQA) for optometrists is a maintenance-of-certification instrument that asks a licensed optometrist to demonstrate not only current clinical knowledge but also the ability to measure and improve the quality and safety of their own practice. It is designed for optometrists already in active practice who are renewing certification, rather than for students or new graduates entering the field. The MOC PQA Optometrist case studies are 5 cases and about 3,068 words.
1Transient Monocular Vision Loss in a Patient on Aspirin
A 68-year-old retired teacher presents with three episodes over the past 10 days of a "gray curtain" descending over the left eye, each lasting 3–5 minutes and resolving completely. She has hypertension and hyperlipidemia and takes low-dose aspirin.
663 words, about 3 min2Glaucoma Drop Intolerance in a Patient with COPD
A 74-year-old man with primary open-angle glaucoma has been stable on latanoprost 0.005% nightly and timolol 0.5% twice daily for four years. Today IOP is 16 mmHg OD and 15 mmHg OS, with a target of 15 mmHg and mild-to-moderate optic nerve cupping.
634 words, about 3 min3Tonometer Calibration Drift and a Cluster of Asymmetric IOPs
Over six weeks, a three-lane practice notices that 12 patients examined in lane 2 had Goldmann applanation IOP readings 4–6 mmHg higher than readings taken in lanes 1 or 3 on the same day. One patient, a 61-year-old woman with a family history of glaucoma, was started on latanoprost after a single lane-2 reading of 26 mmHg in each eye; a repeat in lane 1 two weeks later was 18 mmHg OU.
609 words, about 3 min4A Commercial Driver with a New Visual Field Defect
A 52-year-old long-haul truck driver presents for a biannual vision examination required for his commercial license. He has early primary open-angle glaucoma in the left eye, with a nasal step on 24-2 visual field testing and a cup-to-disc ratio of 0.7; his right eye is normal.
581 words, about 3 min5Diabetic Eye Screening in a Rural Outreach Clinic
A mobile eye clinic will screen 150 adults with diabetes over one weekend in a rural county. Forty percent have never had a dilated eye exam; many travel more than 90 minutes.
581 words, about 3 min