Eye Doc

 

 

1-  HISTORY 2-  VISUAL ACUITY (with and without glasses and with pinhole) 3-  External examination in diffuse light 4-  Distant direct ophthalmoscopy 5-  Pupil reaction /RAPD 6-  Extra ocular eye movements 7-  Visual field by confrontation method 8-  Cover/uncover tests 9-  Retinoscopy 10-  Subjective refraction 11-  Cross cylinder examination 12-  Duochrome test 13-  Muscle balance for far(Maddox rod test) 14-  Near point of accommodation /and convergence 15-  Muscle balance for near after adding for near 16-  Measurement of IPD 17-  Measurement of BVD 18-  Prescribing the glasses and making the patient to walk around 19-  Fundoscopy 20-  Check and recheck

1-  Introduce yourself                                                                             2-  Take verbal consent                                                                            3-  Explain procedure to the patient appropriately (follow the target, not to move head, fixate examiner nose for target etc.)                                                                              ...

  1-  INTRODUCE YOURSELF 2-  TAKE VERBAL CONSENT 3-  ASSESSES THE MENTAL CALIBER OF PATIENT TO DECIDE ABOUT SNELLENS CHART PLATE 4-  EXPLAIN THE PROCEDURE 5-  CHECKS VISUAL ACUITY ONE BY ONE 6-  DOCUMENT THE RECORDED VISUAL ACUITY 7-  THANKS

  1-  Introduce yourself                                                                            2-  Take verbal consent                                                                             3-  Explain the procedure to the patient appropriately       4-  Give proper fixation target                                                             5-  Ask for ambient light in room      ...

1-  Introduce yourself                                                      2-  Take verbal consent                                                    3-  Explain the procedure to the patient appropriately(not to move head, notify you when the  subject feel pain during movement and double vision)                                                           4- Check   g ross visual acuity                                                ...

1-  Introduction                                                                             2-  Consent                                                                                     3-  Explain the procedure                                                            4-  Ask the patient to look down as far as possible               5-  Put edge of the ruler on lower m...

1.   INTRODUCES YOURSELF 2. TAKE CONSENT FROM THE PATIENT 3. EXAMINATION SHOULD BE DONE IN SEMI DARK ROOM AND PUPILS SHOULD BE DILATED 4. EXPLAIN THE PROCEDURE 5. COMMAND TO THE PATIENT TO LOOK STRAIGHT TOWARDS YOU. 6. TO EXAMINE THE RIGHT EYE OF THE PATIENT , YOU SHOULD BE IN THE RIGHT SIDE, USE YOUR RIGHT HAND TO HOLD AND RIGHT EYE TO SEE THROUGH THE OPHTHALMOSCOPE. VICE VERSA FOR LEFT EYE. 7. PERFORM THE TEST BY CHECKING RED REFLEX AT THE PUPILLLARY PLANE BY LOOKING THROUGH THE EYEPIECE OF OPHTHALMOSCOPE. 8. KEEP THE INSTRUMENT AT ACCURATE DISTANCE OF 20-25 CM 9. CHECK BOTH EYES SEPARATELY 10. THANKS TO PATIENT

  1-  Introduce yourself                                                                 2-  Take verbal consent                                                               3-  Explain to the patient appropriately                                                4-  Ask for ambient room light                                                   5-  Use an appropriate distant fixation target ...

  1-  Introduce yourself 2-  Take verbal consent 3-  Explain the procedure appropriately to the patient. 4-  Ask the patient to look downwards 5-  Use of both index fingers for palpation 6-  Put both middle fingers on forehead for proper support 7-  Press gently with one finger and palpate with other index finger 8-  Pay thanks to the patient  

1-  Introduce yourself                                                                            2-  Take verbal consent                                                                        3-  Explain the procedure to the patient appropriately                     4-  Instruction to patient (tight closure of eyelids during attempted opening by the examiner)    ...

  1-  Introduce yourself 2-  Take verbal consent 3-  Explain the procedure to the patient appropriately 4-  Check gross VA for proper distant and near target 5-  Check gross ocular movement in right and left gaze 6-  Perform entire procedure for distant and near and with and without glasses 7-  Perform Hirschburg test a)  Shine light, light should fall on glabella b)  Ask the patient to look into the light c)  Note the corneal reflection d)  Comment on this test, whether straight or deviated 8-  Cover test a)  Show definite target b)  Note which eye is deviated c)  Cover the straight eye d)  Note other eye to take the fixation e)  REPEAT ABOVE TEST TO CONFIRM THE SQUINT     9)  Alternate cover test by alternately covering each eye one by one quickly to check alternate squint.     10) Thanks to patient  

 

  The first impression of the patient presenting to an ophthalmologist can be thought of by considering the points presented in above slides even before the eye examination starts.

 The above device is used to test vision, Carefully Observe the above device and answer the questions for self assessment by pressing Click Here .

  Opticokinetic drum is a useful to examine the gross visual acuity of an infant eye by observing the direction of nystagmus. A rough idea about the possible behavior of an  eye in front of an OKN can be seen by click here. The visual acuity is recorded according to the smallest width of the white strip used that can subtend a minimum angle at the retina and thus induce an eye movement. 

  1.  Introduce yourself 2.  Tell the subject that you want to examine the  patient in which no pain will be felt by the patient, and if the patient feels pain then you will stop the examination. 3.  Check gross vision by counting fingers at 1 meter. 4.  Torch examination 1.  Hirshberg test (Tropias) 2.  Check pseudostrabismus 3.  Abnormal head posture 4.  Pupil (Direct and consensual reflex) 5.  Epicanthus , telecanthus 6.  Nystagmus 7.  Ptosis 5.  Extraocular movements a)  Tell the patient that if he feels any pain or double vision then  he/she should speak out. b)  Fixate the eyes of patient on a target like your finger, tip of pen or a torch c)  Move the target in 9 cardinal positions Tips :  Separation of images is greatest in the direction in which the weak muscle has its purest action   d)  Hold the target in each position for atleast 5 seconds and observe for any deviation ...

  Now you can practice Squint examination by using variable target and an occluder to test the behaviour of the strabismic eye and use prisms to measure the prism diopters of strabismus.  To Open the simulator click here

 Retina is the inner most layer of the eye ball that is responsible for sensing light. We can not see the retina with naked eye because our cornea and lens  make the light coming from the retina parallel and hence the image formed at infinity. So in order to see the retina we have to over come the power of cornea as well as natural lens.  There are many methods to examine the retina but the most handy and useful method is distant direct ophthalmoscopy. This method is performed by an instrument called Ophthalmoscope or fundoscope. This instrument uses built-in light source and magnifying lenses. It magnifies 15times the original size of fundus.  In order to see the retina we have to sit the patient in a comfortable posture and hold the ophthalmoscope in the right hand in order to examine the right eye of the patient at the level of the patient . Approach the pupil of the eye of patient 15-30' lateral to the axis of the eye. Optic disc will come into focus at the dista...