Professional Documents
Culture Documents
AR303/AR303-B
Instruction Manual
& Eye Conditions
Skills
Offers excellent hands-on experience and practice in the examination of eyes, and
the use of an ophthalmoscope, with the emphasis on Diabetic Retinopathy
The model is now supplied with a completely new set of images identifying
conditions and diseases of the retina. These are shown on a set of 28
interchangeable transparencies
Features
The slides for use in the Retinopathy head can be placed in either the left or the
right eye and are labelled accordingly
Contents
Front
Rear
Supplied With
SPAR303 Set of 28 Slides
Optional Extra
ARR00002 Ophthalmoscope
If you require any replacement parts or optional extras please contact our
Sales Department, quoting codes where applicable.
3
During Use
1
Inserting Slides
Ensure the work area is clean and dry.
For optimal use, position the Eye Retinopathy Trainer where there is a good
light source behind the head.
Each of the 28 slides supplied can be used in both the left or right eye and are
labelled accordingly.
With the Eye Trainer head and numbered condition on the slide facing you:
Insert Left Eye slides (Grey Side) into the a Left Eye Slide Holder.
Insert Right Eye slides (White Side) into the b Right Eye Slide Holder.
When handling the slides, be sure to avoid touching the film.
Using Ophthalmoscope
2
Slide 2 The view is of the optic disc and temporal retina (alignment marker is shown)
The main clinical features are:
Multiple dot and blot haemorrhages
Cotton wool spots (CWS)
Intra-retinal micro-vascular abnormalities (IRMA)
The diagnosis is consistent with:
PRE PROLIFERATIVE DIABETIC RETINOPATHY
Comment:
Pre-proliferative Diabetic Retinopathy is characterised by retinal ischaemia.
CWS represent areas of focal retinal ischaemia and IRMA are a pathological attempt at
micro-revascularisation. IRMAs are flat and do not grow into the vitreous.
Slide 3 The view is of the central fundus with the optic disc
The main clinical features are:
New vessels on the disc
Haemorrhages
Exudates
Pre-retinal fibrosis
The diagnosis is consistent with:
ADVANCED PROLIFERATIVE RETINOPATHY
Comment:
On-going ischaemia and increase in vaso-proliferative factors. The new vessels grow into
the vitreous and are fragile leading to haemorrhage. As the haemorrhage organises, fibrous
tissue reaction occurs often resulting in retinal traction and detachment.
6
Slide 5 This view is of the optic disc and temporal retina (alignment marker is shown)
The main clinical features are:
Multiple laser scars with areas of hyper pigmentation
Regressed new vessels at the disc with residual gliosis
The diagnosis is consistent with:
PAN RETINAL LASER PHOTOCOAGULATION
Comment:
The overall appearance suggests good response to management and stable retinopathy.
The patient will have reduced peripheral vision and a degree of night-blindness (compare
with retinitis pigmentosa).
Slide 6 This view is of the posterior pole centred on the optic disc
The main clinical features are:
Disc area is obscured
Poorly defined vasculature
The diagnosis is consistent with:
UNGRADABLE RETINOPATHY
Comment:
The suspicion of fibrovascular proliferation at the disc and along the vascular arcade with
tractional detachment is very strong. This would be a feature of advanced diabetic eye
disease. Clearly, urgent referral is indicated.
Slide 8 The view is of the posterior pole centred on the optic disc
The main clinical features are:
Large cup disc ratio
Superior polar notching
Nasal displacement of central blood vessels
The diagnosis is consistent with:
GLAUCOMATOUS OPTIC DISC
Comment:
Glaucomatous damage and its extent is confirmed by visual fields and tomographic imaging
techniques.
Slide 14 This view is of the posterior pole centred on the optic disc
The main clinical features are:
Large optic disc
Marked peripapillary chorioretinal atrophy
The diagnosis is consistent with:
HIGH MYOPIA
Comment:
Areas of chorioretinal atrophy in the macular area are not uncommon in highly myopic
patients.
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Slide 21 This view is of the temporal retina and temporal optic disc
The main clinical features are:
Attenuation of arteries and veins
The pale temporal edge of the optic disc is shown
Central cherry red spot with surrounding pale retina
The diagnosis is consistent with:
CENTRAL RETINAL ARTERY OCCLUSION (CRAO)
Comment:
Poor prognosis due to retinal infarction. Retinal cloudiness of pale retina would disappear
after a few weeks. Attenuated vessels would remain and consecutive optic atrophy would be
evident. The cherry-red spot is seen because the macular arterial supply from the choroid
can remain intact. Often there is a band of neural tissue that is not rendered ischaemia by
the CRAO, this is seen if there is an adequate cilio-retinal artery supply.
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T: +44(0)1795 471378
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E: sales@adam-rouilly.co.uk
www.adam-rouilly.co.uk
Copyright 2011