Eye exam: Difference between revisions
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#Pupil exam | #Pupil exam | ||
#EOM and alignment | #EOM and alignment | ||
#IOP | #[[IOP]] | ||
#Confrontational visual fields | #Confrontational visual fields | ||
#External exam | #External exam | ||
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**No light perception, NLP | **No light perception, NLP | ||
==Slit Lamp== | ==[[Slit Lamp Exam]]== | ||
*Lids and Lashes | *Lids and Lashes | ||
**Eversion | **Eversion | ||
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*Cornea | *Cornea | ||
**Fluorescein for abrasions, foreign bodies | **Fluorescein for abrasions, foreign bodies | ||
**Perforation (staining or pooling - | **Perforation (staining or pooling - Seidel's sign) | ||
* | *Anterior Chamber | ||
**Cell and flare | **Cell and flare | ||
*Iris | *Iris | ||
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*APD (afferent pupillary defect) | *APD (afferent pupillary defect) | ||
**Affected pupil enlarges in response to light | **Affected pupil enlarges in response to light | ||
**Due to optic nerve dysfunction-neuritis vs retinal damage | **Due to optic nerve dysfunction-[[optic neuritis|neuritis]] vs retinal damage | ||
===Slit Lamp | ===Slit Lamp Abbreviations=== | ||
*L/L (lids/lashes) = nl | *L/L (lids/lashes) = nl | ||
*C (conjunctiva) = cl | *C (conjunctiva) = cl | ||
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==[[Fundoscopic Exam]]== | ==[[Fundoscopic Exam]]== | ||
*Optic disc for cupping/pallor/swelling/ | *Optic disc for cupping/pallor/swelling/hemorrhage | ||
*Central retina for hemor/pallor | *Central retina for hemor/pallor | ||
*Peripheral retina for vessel appearance/ | *Peripheral retina for vessel appearance/[[retinal hemorrhage|hemorrhage]]/[[retinal detachment|detachment]] | ||
==Other== | ==Other== | ||
Revision as of 16:43, 5 October 2019
8-point eye exam includes[1]
- Visual acuity
- Pupil exam
- EOM and alignment
- IOP
- Confrontational visual fields
- External exam
- Slit-lamp exam
- Fundoscopy
Visual Acuity
- (OD (R)/ OS (L))
- Obtain VA while wearing correction
- Pinhole occluder will aid in uncorrected refractive error
- Progression from better to worse:
- CF, count fingers
- HM, hand motions only
- Light perception with projection, LP
- Eye can determine which direction light is coming from (left, right, up, down)
- Light perception without projection (cannot tell direction)
- No light perception, NLP
Slit Lamp Exam
- Lids and Lashes
- Eversion
- Conjunctiva and Sclera
- Injection, hemorrhage, discharge
- Cornea
- Fluorescein for abrasions, foreign bodies
- Perforation (staining or pooling - Seidel's sign)
- Anterior Chamber
- Cell and flare
- Iris
- Lens
- APD (afferent pupillary defect)
- Affected pupil enlarges in response to light
- Due to optic nerve dysfunction-neuritis vs retinal damage
Slit Lamp Abbreviations
- L/L (lids/lashes) = nl
- C (conjunctiva) = cl
- K (cornea) = cl
- A/C (anterior chamber) = D/Q (dark/quiet)
- I (iris) = R/R (round/reactive)
- L (lens) = cl
(cl = clear; nl = normal)
Fundoscopic Exam
- Optic disc for cupping/pallor/swelling/hemorrhage
- Central retina for hemor/pallor
- Peripheral retina for vessel appearance/hemorrhage/detachment
Other
- Tono-Pen/Applinator/Schiotz
- EOM
- Visual fields
- Xray with concerns of metal/glass/stone
- See here for Optokinetic drum
See Also
Video
{{#widget:YouTube|id=7UH4HBKYeJc}}
References
- ↑ Rupp JD. The 8-Point Eye Exam. American Academy of Ophthalmology. MAY 24, 2016. http://www.aao.org/young-ophthalmologists/yo-info/article/how-to-conduct-eight-point-ophthalmology-exam.