Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 26 views

    Ocular Examination

    Uploaded by

    Muhammad Haziq
    This document provides guidance on performing an ocular examination, including assessing visual acuity, extraocular muscle motility, visual fields, inspection of facial features and eye structure, and examining the six components of the anterior segment including conjunctiva, cornea, anterior chamber, pupil, lens, and retina under both bright and dim light. The exam involves testing various cranial nerves and looking for any abnormalities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Ocular Examination

    Uploaded by

    Muhammad Haziq
    26 views2 pages
    This document provides guidance on performing an ocular examination, including assessing visual acuity, extraocular muscle motility, visual fields, inspection of facial features and eye structure, and examining the six components of the anterior segment including conjunctiva, cornea, anterior chamber, pupil, lens, and retina under both bright and dim light. The exam involves testing various cranial nerves and looking for any abnormalities.

    Original Title

    ocular examination

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides guidance on performing an ocular examination, including assessing visual acuity, extraocular muscle motility, visual fields, inspection of facial features and eye structure, and examining the six components of the anterior segment including conjunctiva, cornea, anterior chamber, pupil, lens, and retina under both bright and dim light. The exam involves testing various cranial nerves and looking for any abnormalities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views2 pages

    Ocular Examination

    Uploaded by

    Muhammad Haziq
    This document provides guidance on performing an ocular examination, including assessing visual acuity, extraocular muscle motility, visual fields, inspection of facial features and eye structure, and examining the six components of the anterior segment including conjunctiva, cornea, anterior chamber, pupil, lens, and retina under both bright and dim light. The exam involves testing various cranial nerves and looking for any abnormalities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Ocular examination / anterior segment examination

    1. Vision

    Visual acuity (cover one eye) Extraocular muscle motility (EOM) Visual field
    (patient and examiner need to cover
    one eye)
    - Snellen’s chart (at 1m) - Head fixed, eyes follow - Ask patient to look at you and
    - If can’t see E on snellen’s examiner’s finger fixed the head
    chart use Counting fingers - Do H shaped (full range) and go - Do the X shaped (4 quadrants)
    (1,2,5) near to the nose • Comments
    - Hand movement (at 50cm or - When do downward movement, - No visual field defect for
    less) lift up the lid both eyes in all 4
    - If can’t see hand movement • Comments quadrants
    check PL (perception of - No limitation of movements
    light) in all direction
     If abnormal, Tell the - No pain
    examiner you would like to - No nystagmus
    do pin hole test to exclude - No diplopia (double vision)
    refractory error
     Comments
    - Left eye , 6/60 ,
    unaided

    2. Inspection
    - Face (any syndromic features)
    - Size/position of eyeball (normal/abnormal) - proptosis
    - Ocular alignment
    - Lids (swelling/any abnormality?) – ptosis, ectropion,entropion
    - Lacrimal sac region (any swelling?)
    - Watery eye / discharge

    3. Check the 6 components

    Bright Light
    Conjunctiva Cornea Anterior Chamber (AC)
    • White / Injected (generalized/localized) • Clear • Deep / shallow
    • Discharge • Opacity • Quiet / abnormal content
    - Clear watery - Central / peripheral - Hypopyon
    - Purulent - Size approximately (total cornea - Hyphema
    diameter 12mm)
    • Corneal sensation Comment
    - Ophthalmic branch of trigeminal • Anterior Chamber is deep and quiet
    nerve (CN V) • Anterior chamber is shallow and there is
    presence of hypopyon
    Comment
    • Cornea is clear and I would like to do
    corneal sensation test by applying light
    touch with cotton wool on cornea
    - to check for ophthalmic branch
    of trigeminal nerve
    • There is cornea opacity centrally with
    approximately 5 x 5 mm size, and I would
    like to do corneal sensation test by
    applying light touch with cotton wool on
    cornea
    Dim Light
    Pupil Lens Retina
    • Round • Clear *Normally in undilated pupil you can’t
    • Regular • Opacity appreciate optic disk and macula.
    • Symmetrical - Immature/mature cataract
    - Don’t say symmetrical when • Red reflex • Optic Disk
    patient is given atropine dilator - Present - Colour: pink
    (dilated/ constricted) - Reduce (immature cataract) - Contour: regular
    • Light reflex - Absent (mature cataract) • Macula
    1. Direct • Aphakia/phakia/ pseudophakia - Haemorrhage
     Normal: Constricted pupil • Subluxated/dislocated - Exudate
     Test for afferent sensory nerve
    (Optic nerve) Comment Comment
    2. Consensual (look at the opposite • There is lens opacity with reduced red • On fundoscopic examination of retina,
    eye) reflex optic disk is pink with regular contour
     Normal: Constricted pupil • Say Pseudophakia if you know patient had and there is no macula haemorrhage or
     Test for efferent motor nerve lens impant done (IOL) exudate
    (Oculomotor nerve)
    3. RAPD (swinging light test)
     Normal: Constricted pupil
     Test for Relative Afferent
    Pupillary Defect (RAPD) for optic
    nerve

    Comment
    • BST HTAR: “Pupil is round and reactive to
    light”
    • Pupil is round and not symmetrical as RE
    pupil is more dilated than LE pupil, and
    Light reflex is normal

    You might also like