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A 25 yo Hispanic male complains of 2 day onset of red right eye with foreign body sensation.
22

Ophthalmology lecture 2

Jul 16, 2015

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Page 1: Ophthalmology lecture 2

A 25 yo Hispanic male complains of 2 day onset of red right eye with foreign body sensation.

Page 2: Ophthalmology lecture 2

A 65 yo Asian female has acute onset of headache, eye pain and blurry vision.

Page 3: Ophthalmology lecture 2

Ophthalmic Exam

Page 4: Ophthalmology lecture 2

Instruments for Ophthalmic Exam

Visual Acuity Chart

Distant Chart

Near Vision Chart

Occluder

Pen Light

+/- Woods Lamp

Direct Ophthalmoscope

Page 5: Ophthalmology lecture 2

Dyes and Drops

Fluorescein Dye

Rose Bengal or Lissamine Green

Dilating Drops

Mydriacyl 1%

Neosynepherine 2.5%

Page 6: Ophthalmology lecture 2

Visual Acuity

Without correctionWith correctionPinhole

Page 7: Ophthalmology lecture 2

Check Motility

Page 8: Ophthalmology lecture 2

Confrontational Visual Fields

Page 9: Ophthalmology lecture 2

PupilsPupils

Direct Response

Consensual Response

Swinging Light Test (APD)

Page 10: Ophthalmology lecture 2

External Exam

Peri-orbital TissuePeri-orbital Tissue

Lids

Lashes

Lymph Nodes

Page 11: Ophthalmology lecture 2

Intra-ocular Pressure

Tonopen

Digital

Page 12: Ophthalmology lecture 2

Anterior Segment Exam

Page 13: Ophthalmology lecture 2

ConjunctivaConjunctiva

Direct Ophthalmoscope

Woods Lamp

Fluorescein Dye

Page 14: Ophthalmology lecture 2

Cornea

Pen Light

Woods Lamp

Direct Ophthalmoscope

Dyes

Fluorescein

Rose Bengal

Page 15: Ophthalmology lecture 2

Anterior Chamber

Oblique Flashlight Test

Page 16: Ophthalmology lecture 2

IrisIris

Page 17: Ophthalmology lecture 2

LensLens

Direct Ophthalmoscope

Set at zero, looking for the red reflex

Page 18: Ophthalmology lecture 2

Posterior SegmentPosterior Segment

Direct OphthalmoscopeDirect Ophthalmoscope

Set ophthalmoscope to + 10 or +20

Page 19: Ophthalmology lecture 2

VitreousVitreous

Page 20: Ophthalmology lecture 2

Optic DiscOptic Disc

Circumference

Color

Cup

Page 21: Ophthalmology lecture 2

VesselsVessels

Caliber

A/V ratio

Crossing Changes

Page 22: Ophthalmology lecture 2

MaculaMacula