Professional Documents
Culture Documents
Examinating Eye
By: Sayed Hamzah
ANAMNESE
Main complaint
history of allergic
family history
Physical Examination
External examination
Visual acuity
Visual Fields
Fundoscopic Examination
Ocular history
External Inspection
Bulbar conjunctiva
Alignment examination
Cornea
Placido test
Fistel test
TES FLUORESCEIN
Anterior Chamber
1.
2.
Pupillary examination
Pupil size
Observe reflection of pen light in both pupils. Is it symmetrical?
Test the papillary response to light
A bright light is placed in front of one eye and moved quickly to the other
eye, then one or two seconds later moved quickly back to the first eye.
The pupils should remain constricted when the light is taken from one
eye quickly to the other
Visual acuity
Counting fingers
Hand movement
Light perception
Snellen Chart
If pt. wears glasses and
are not available use
pinhole testing.
If patient cannot read,
then document number
of fingers held up.
Hand motion at 2 ft.
If fails hand motion,
document light
perception
Visual fields
Confrontation test
Ocular movements
Six Cardinal Positions of Gaze
Fundoscopic Examination
Darken the room
Use R hand for pts R eye and L hand
for pts L eye
Ask pt to fix gaze on a spot on the wall
From about 15 away and about 15o
lateral look into pts eye
Observe the red reflex and then move
in closer
You may rest your opposite hand on
the pts forehead above the eye to
help guide
Move the opthalmoscope very close to
the pts eye
If you initially see blood vessels, you
can follow the blood vessels toward
the disc.
They flow like rivers toward the disc.
Diopters may need to
focus
Once you see the disc, you should note its color and note what percent of the
physiologic cup involves the disc.
You should note the size of the arterioles as compared to the veins. They should
be 2/3 to 4/5 the size of veins.
Finally, look at the fovea and macula. This may be accomplished by asking the pt
to look at the light
Other examinations
Perimetry/campimetry
Tonometry
Exophthalmometry
Anel test
Schrimer test
Color vision
Campimeter
Digital palpation
Schiotz Tonometer
Anel Test
Hertel Exophthalmolmeter
Schirmer test
Thank You