Eye exam

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Visual Acuity

(OD (R)/ OS (L))

best possible


NPL No perception of light

HM Hand movements only

CF Count fingers

20/X


Slit Lamp

  1. Lids and Lashes
    1. eversion
  2. Conjunctiva and Sclera
    1. injection, hemorrhage, discharge
  3. Cornea
    1. fluorescein for abrasions, foreign bodies,  
    2. perforation (staining or pooling)
  4. Ant Chamber
    1. cell and flare
  5. Iris
  6. Lens

Florecine: pooling or staining (don't say uptake)

Sidel's sign

APD (afferent pupillary defect): affected pupil enlarges in response to light (2/2 optic nerve dysfunction-neuritis vs retinal damage)

Slit Lamp Abreviations

  • 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

  1. optic disc for cupping/pallor/swelling/hemorr
  2. central retina for hemor/pallor
  3. periph retina for vessel appearance/hemorr/detach

Other

  • T Tono/Applinator/Schiotz
  • EOM
  • Visual fields
  • Xray with concerns of metal/glass/stone

Source

Adapted from Pani, Donaldson

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