abc of eyes history and examination. abc of eyes history and examination ï‚‍ history...

Download ABC OF EYES HISTORY AND EXAMINATION. ABC OF EYES HISTORY AND EXAMINATION ï‚‍ History Previous ophthalmic history Medical history Family history Drug history

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  • Slide 1
  • ABC OF EYES HISTORY AND EXAMINATION
  • Slide 2
  • ABC OF EYES HISTORY AND EXAMINATION History Previous ophthalmic history Medical history Family history Drug history
  • Slide 3
  • ABC OF EYES HISTORY AND EXAMINATION Visual symptoms : details to establish Monocular or binocular Type of disturbances Onset Presence and type of field loss Associated symptoms Effect on lifestyle
  • Slide 4
  • ABC OF EYES HISTORY AND EXAMINATION Examination Vision VF Pupils Ocular motility Eye position Eyelids,conjunctiva,sclera and cornea Intraocular pressure Ophthalmoscopy
  • Slide 5
  • ABC OF EYES HISTORY AND EXAMINATION Vision test
  • Slide 6
  • ABC OF EYES HISTORY AND EXAMINATION Visual field test
  • Slide 7
  • ABC OF EYES HISTORY AND EXAMINATION Pupils
  • Slide 8
  • ABC OF EYES HISTORY AND EXAMINATION Ocular motility
  • Slide 9
  • ABC OF EYES HISTORY AND EXAMINATION Eye position
  • Slide 10
  • ABC OF EYES HISTORY AND EXAMINATION Eyelids
  • Slide 11
  • ABC OF EYES HISTORY AND EXAMINATION Conjunctiva
  • Slide 12
  • ABC OF EYES HISTORY AND EXAMINATION Cornea
  • Slide 13
  • ABC OF EYES HISTORY AND EXAMINATION Sclera
  • Slide 14
  • ABC OF EYES HISTORY AND EXAMINATION Intraocular pressure
  • Slide 15
  • ABC OF EYES HISTORY AND EXAMINATION Ophthalmoscopy
  • Slide 16
  • ABC OF EYES RED EYE
  • Slide 17
  • ABC OF EYES RED EYE History Onset Severity Previous attacks Other family members Contact lenses
  • Slide 18
  • ABC OF EYES RED EYE Symptoms Blurring of vision Pain Photophobia FB sensation Itching Sings Type of redness Discharge FB Corneal edema Corneal opacity Lid swelling Abnormal pupil
  • Slide 19
  • ABC OF EYES RED EYE Conjunctivitis Bacterial Viral Chlamydial conjunctivitis Conjunctivitis in infants Allergic
  • Slide 20
  • ABC OF EYES RED EYE Conjunctivitis Bacterial
  • Slide 21
  • ABC OF EYES RED EYE Conjunctivitis Viral
  • Slide 22
  • ABC OF EYES RED EYE Conjunctivitis Chlamydial
  • Slide 23
  • ABC OF EYES RED EYE Conjunctivitis Ophthalmia neonatorum
  • Slide 24
  • ABC OF EYES RED EYE Conjunctivitis Allergic
  • Slide 25
  • ABC OF EYES RED EYE Episcliritis and Scleritis
  • Slide 26
  • ABC OF EYES RED EYE Corneal Ulcers
  • Slide 27
  • ABC OF EYES RED EYE - Uveitis
  • Slide 28
  • ABC OF EYES RED EYE Acute Angle Closure Glaucoma
  • Slide 29
  • ABC OF EYES RED EYE Subconjunctival Haemorrhage
  • Slide 30
  • ABC OF EYES RED EYE Inflamed Pterygium & Pingueculum
  • Slide 31
  • ABC OF EYES REFREACTIVE ERRORS
  • Slide 32
  • Slide 33
  • ABC OF EYES REFREACTIVE ERRORS - Myopia
  • Slide 34
  • ABC OF EYES REFREACTIVE ERRORS - Hypermetropia
  • Slide 35
  • ABC OF EYES REFREACTIVE ERRORS - Astigmatism
  • Slide 36
  • ABC OF EYES REFREACTIVE ERRORS Pinhole Test
  • Slide 37
  • ABC OF EYES REFREACTIVE ERRORS - Presbyopia
  • Slide 38
  • ABC OF EYES REFREACTIVE ERRORS Contact Lenses Soft contact lenses Gas permeable contact lenses Hard contact lenses
  • Slide 39
  • ABC OF EYES REFREACTIVE ERRORS Contact Lenses Indications Personal appearance High refractive errors High anisometropia Corneal surface irregularities Therapeutic indications
  • Slide 40
  • ABC OF EYES REFREACTIVE ERRORS Contact Lenses Contraindications Atopy Dry eyes Previous glaucoma surgery Inability to handle CL Active ocular surface infection
  • Slide 41
  • ABC OF EYES REFREACTIVE ERRORS Contact Lenses Complications Corneal abscess Corneal abrasions Corneal pannus
  • Slide 42
  • ABC OF EYES REFREACTIVE ERRORS Refractive Surgery RK ICR PRK LASIK CLE ICL Bioptics
  • Slide 43
  • ABC OF EYES EYELID, ORBITAL, and LACRIMAL DISORDERS
  • Slide 44
  • ABC OF EYES EYELID DISORDERS - Lumps Importance May need disfiguring operation if left May be life threatening May cause visual disturbance May cause amblyopia in children May indicate systemic disease
  • Slide 45
  • ABC OF EYES EYELID DISORDERS - Lumps Chalazion
  • Slide 46
  • ABC OF EYES EYELID DISORDERS - Lumps Stye
  • Slide 47
  • ABC OF EYES EYELID DISORDERS - Lumps Papilloma
  • Slide 48
  • ABC OF EYES EYELID DISORDERS - Lumps Xanthelasma
  • Slide 49
  • ABC OF EYES EYELID DISORDERS - Lumps Basal cell carcinoma
  • Slide 50
  • ABC OF EYES EYELID DISORDERS Inflammatory disease Blepharitis
  • Slide 51
  • ABC OF EYES EYELID DISORDERS Inflammatory disease Chalazion Stye Acute dacryocyctitis Allergy Herpes simplex Herpes zoster ophthalmicus
  • Slide 52
  • ABC OF EYES EYELID DISORDERS Malposition Entropion
  • Slide 53
  • ABC OF EYES EYELID DISORDERS Malposition Ectropion
  • Slide 54
  • ABC OF EYES EYELID DISORDERS Malposition Trichiasis
  • Slide 55
  • ABC OF EYES EYELID DISORDERS Malposition Ptosis May indicate a life threatening condition May indicate a disease that needs systemic treatment May cause irreversible amblyopia
  • Slide 56
  • ABC OF EYES ORBITAL DISORDERS Proptosis Causes Orbital cellulitis Orbital inflammatory disease Thyroid eye disease Orbital lymphoma Lacrimal gland tumors Orbital invasion from adjacent sinus Big eye
  • Slide 57
  • ABC OF EYES ORBITAL DISORDERS Enophthalmos Causes Blowout fracture Microphthalmos Atrophy of orbital contents Cicatrizing orbital lesions
  • Slide 58
  • ABC OF EYES LACRIMAL SYSTEM
  • Slide 59
  • ABC OF EYES LACRIMAL SYSTEM Tear film
  • Slide 60
  • ABC OF EYES LACRIMAL SYSTEM Watering eye Excessive tears production Punctal malposition Punctal stenosis Blockage
  • Slide 61
  • ABC OF EYES LACRIMAL SYSTEM Dry eye Symptoms Causes Diagnosis Treatment
  • Slide 62
  • ABC OF EYES EYE INJURIES
  • Slide 63
  • History The mechanism The circumstances Injuries in children
  • Slide 64
  • ABC OF EYES EYE INJURIES Examination VA Inspection Lids Globe Pupil Flurescein
  • Slide 65
  • ABC OF EYES EYE INJURIES Corneal abrasions
  • Slide 66
  • ABC OF EYES EYE INJURIES Foreign bodies
  • Slide 67
  • ABC OF EYES EYE INJURIES Radiation damage (flash burn)
  • Slide 68
  • ABC OF EYES EYE INJURIES Chemical burn Irrigate, irrigate then irrigate Remove loose particles Beware alkalis Refer patient to ophthalmic department
  • Slide 69
  • ABC OF EYES EYE INJURIES Chemical burn
  • Slide 70
  • ABC OF EYES EYE INJURIES Blunt eye injuries
  • Slide 71
  • ABC OF EYES EYE INJURIES Blunt eye injuries
  • Slide 72
  • ABC OF EYES EYE INJURIES Penetrating eye injuries If suspected, the eye should be examined very gently Special attention: history of high velocity injury
  • Slide 73
  • ABC OF EYES EYE INJURIES Penetrating eye injuries Signs to look for Distorted pupil Cataract Prolapsed uveal tissue
  • Slide 74
  • ABC OF EYES EYE INJURIES Penetrating eye injuries Protect the eye from any pressure and refer the patient immediately to the nearest eye department
  • Slide 75
  • ABC OF EYES ACUTE VISUAL DISTURBANCE
  • Slide 76
  • History Onset Old or new Previous ophthalmic history General health Understand the disturbance VF loss Scotoma Distortion Floaters Flashing lights Amarosis fugax Zigzag lines Headache Pain on eye movement
  • Slide 77
  • ABC OF EYES ACUTE VISUAL DISTURBANCE Examination VA Pupillary reaction Red reflex VF testing Fundoscopy
  • Slide 78
  • ABC OF EYES ACUTE VISUAL DISTURBANCE Posterior vitreous detachment The most common cause of floaters Might be associated with flashes May result in retinal hole and retinal detachment Needs urgent referral
  • Slide 79
  • ABC OF EYES ACUTE VISUAL DISTURBANCE Vitreous Haemorrhage Sudden onset of floaters and loss of vision Common in diabetics Refer to ophth. to clarify the cause and treat underlying disease
  • Slide 80
  • ABC OF EYES ACUTE VISUAL DISTURBANCE Retinal detachment Floaters and flashes VF loss Variable in VA More likely to occur in high myopic patients after trauma or intraocular operation Common in