Download - Slit Lamp Exam Findings
![Page 1: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/1.jpg)
Slit Lamp Exam
Findings
![Page 2: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/2.jpg)
• Components:– Lids– Adnexa– Conjunctiva– Cornea– Anterior Chamber– Iris– Lens
![Page 3: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/3.jpg)
Lids
Lids
![Page 4: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/4.jpg)
Lids
Normal
![Page 5: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/5.jpg)
Lids
Ectropion
• Eyelid turning outward
• Document with location (I.e. “ectropion LLL”)
![Page 6: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/6.jpg)
Lids
Entropion
• Eyelid turning inward
• Document with location (I.e. “entropion LLL”)
![Page 7: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/7.jpg)
Lids
Dermatochalasis
(D’chalasis)
• Redundancy of skin in eyelids
• Atrophy of elastic tissue
![Page 8: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/8.jpg)
Lids
Upper Lid Folds
• Increased amount of folds
• Document as: “high UL folds”
![Page 9: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/9.jpg)
Lids
Hooding
• When upper lid comes over lid margin
• Document as: “Hooding”
![Page 10: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/10.jpg)
Lids
Ptosis
• Drooping of the upper eyelids
• Document with location (I.e. “Ptosis RUL”)
![Page 11: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/11.jpg)
Lids
Papilloma
• Growth on eyelid• Document with
location (I.e. “papilloma RUL”)
![Page 12: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/12.jpg)
Lids
Trichiasis
• Inward growth of eyelashes
• Document with location (I.e. “trichiasis RLL”)
![Page 13: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/13.jpg)
Lids
Chalazion
• Inflamed lump in meibomian gland
![Page 14: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/14.jpg)
Lids
Blepharitis
• Inflammation of eyelid margins
• Redness, swelling, itching, crusting
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Lids
Ecchymosis
• Bruising• Document with
location (I.e. “ecchymosis RUL”)
![Page 16: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/16.jpg)
Adnexa
![Page 17: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/17.jpg)
Adnexa
Normal
![Page 18: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/18.jpg)
Adnexa
Decreased Tear Lake
• Tear lake not smooth
• Also can have increased break up time
• Document as: “decreased tear lake”
• Misc – TBUT = 10 sec
![Page 19: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/19.jpg)
Conjunctiva
![Page 20: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/20.jpg)
Conjunctiva
Quiet
![Page 21: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/21.jpg)
Conjunctiva
Injection
• Tissue redness and swelling
![Page 22: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/22.jpg)
Conjunctiva
Sub-Conjunctival Hemorrhage (SCH)
• Blood below conjunctiva and above sclera
• Document as: “SCH” with location (i.e. “SCH OD temp, inf, nas”)
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Conjunctiva
Hyperemia
• Congestion of blood vessels
• Causes redness
![Page 24: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/24.jpg)
Conjunctiva
Bleb
• S/P trabeculectomy for glaucoma
• Document if flat or formed
![Page 25: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/25.jpg)
Cornea
![Page 26: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/26.jpg)
Cornea
Normal
![Page 27: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/27.jpg)
Cornea
Arcus
• White deposit of cholesterol
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Cornea
Edema
• Swelling of tissue from fluid accumulation
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Cornea
Superficial Punctate Keratitis (SPK)
• Small superficial corneal lesions
• Often due to dryness• Usually seen with
staining
![Page 30: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/30.jpg)
Cornea
Anterior Stromal Scarring
• Scarring on the Stroma (middle layer of the cornea)
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Cornea
Amiodarone Whorls
• Deposits from long-term use of Amiodarone
![Page 32: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/32.jpg)
Cornea
Abrasion
• Scraped area of corneal surface
• Accompanied by loss of epithelium
• Usually seen with staining
![Page 33: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/33.jpg)
Cornea
Astigmatic & Radial Keratomtery (AK /
RK) cuts
• S/P AK or RK• Document with location
(I.e. “AK cuts OU”)
![Page 34: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/34.jpg)
Cornea
Keratic Precipitates (KP)
• Inflammatory cells and white blood cells that enter aqueous and adhere to corneal endothelium
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Cornea
Guttata
• Small whitish hyaline deposits on inner surface of cornea
![Page 36: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/36.jpg)
Cornea
Lasik Flaps
• S/P Lasik• Location = direction
of flap opening• Document with
location (I.e. “Lasik flap inf. – healed”)
![Page 37: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/37.jpg)
Cornea
Neovascularization
• New blood vessel growth
• Document location (I.e. “OD inf.”)
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Cornea
Pinguecula
• Benign yellowish-brown elevation of sub-conjuntival tissue on either side of cornea
![Page 39: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/39.jpg)
Cornea
Pterygium
• Wedge-shaped growth in bulbar conjunctiva
• May advance over the cornea
![Page 40: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/40.jpg)
Cornea
PK
• S/P corneal transplant
• Note sutures:– None– 360*– Running 360*
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Cornea
Suture
• occ. used S/P PEIOL• Document with
location (I.e. “suture temp.”)
![Page 42: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/42.jpg)
Cornea
Descemets Folds
• Folds in the Descemet’s membrane
![Page 43: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/43.jpg)
Cornea
Ulcer
• Area of epithelial loss
• Associated with inflammatory cells in cornea & AC
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Cornea
Band Keratopathy
• Horizontal band of calcium deposits
• In superficial layer of cornea
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Cornea
Haab’s Striae
• Breaks or tears in Descemet’s membrane
• Usually from forceps use during delivery
![Page 46: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/46.jpg)
Anterior Chamber
![Page 47: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/47.jpg)
Anterior Chamber
Deep & Quiet
• Deep = Large distance between both beams
• Quiet = No abnormal matter in AC
• Document as “D&Q”
![Page 48: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/48.jpg)
Anterior Chamber
Shallow
• Minimal distance between both beams
• Document as “shallow”
![Page 49: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/49.jpg)
Anterior Chamber
Moderate Depth
• Moderate distance between both beams
• Document as “moderate depth”
![Page 50: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/50.jpg)
Anterior Chamber
Closed
• Irido-Corneal touch• Document as
“Closed”
![Page 51: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/51.jpg)
Anterior Chamber
Cells
• White blood cells and protein in AC
![Page 52: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/52.jpg)
Anterior Chamber
Flare
• Scatterings of light in AC from slit lamp beam
• Due to increased protein in aqueous
![Page 53: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/53.jpg)
Anterior Chamber
Red Blood Cells (RBC)
• Red blood cells in AC
![Page 54: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/54.jpg)
Anterior Chamber
Hypopyon
• Collection of pus in AC
![Page 55: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/55.jpg)
Anterior Chamber
Hyphema
• Blood in AC
![Page 56: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/56.jpg)
Anterior Chamber
Tube Shunt (may have stitch
blocking end)
• S/P glaucoma sx• Document with
location (I.e. “shunt s-t”)
![Page 57: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/57.jpg)
Anterior Chamber
Gas bubble in AC
• S/P PPVx• Document as “gas
bubble”
![Page 58: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/58.jpg)
Anterior Chamber
Silicone Oil bubbles in AC
• S/P PPVx with Silicone oil
• Document as “Sil. Oil”
![Page 59: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/59.jpg)
Iris
![Page 60: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/60.jpg)
Iris
Normal
![Page 61: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/61.jpg)
Iris
Nevus (multiple = nevi)
• Freckle• Document with location
(I.e. nevus I-T”)
![Page 62: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/62.jpg)
Iris
Neovascularization
• New blood vessel growth on iris
• May be florid (everywhere)
• Document with location
![Page 63: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/63.jpg)
Iris
Atrophy
• Wasting away of cells or tissue
![Page 64: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/64.jpg)
Iris
Peripheral Iridotomy (PI)
• For glaucoma• Note if closed or patent
(open)• Document with location
(I.e. “PI Sup”)
![Page 65: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/65.jpg)
Iris
Posterior Synechiae
• When iris adheres to lens• May also have pigment
on lens from previous episodes of broken Post. Syn.
• Document with location (I.e. “post. Syn. I-N & S-T)
![Page 66: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/66.jpg)
Iris
Pupillary Membrane
• Congenital
![Page 67: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/67.jpg)
Iris
Ectropion Pupillae
• When the pupil margin folds out• Document with location•Usually due to iris nv contraction
![Page 68: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/68.jpg)
Lens
![Page 69: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/69.jpg)
Lens
Clear
![Page 70: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/70.jpg)
Lens
Nuclear Sclerosis (NS)
• Cataract with increased hardening or density at center of lens
![Page 71: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/71.jpg)
Lens
Cortical Spokes (CS)
• Radially arranged opacities on lens cortex
![Page 72: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/72.jpg)
Lens
Posterior Sub-Capsule (PSC)
• Cataract on rear surface of lens
![Page 73: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/73.jpg)
Lens
Posterior Chamber Intra Ocular Lens
(PCIOL)
• Usually edges cannot be seen through an undilated pupil
• Document as “PCIOL”
![Page 74: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/74.jpg)
Lens
Pseudoexfoliation (PXF)
• Deposits of unknown material appearing on lens and iris
![Page 75: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/75.jpg)
Lens
Subluxated IOL
• IOL that has fallen down
• Document as “Sublux. IOL”
• Misc. – a dislocated lens may not be visible since will be in PC
![Page 76: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/76.jpg)
Lens
Aphakic
• Without a lens• Through a peaked
pupil, you can see there is no lens edge
![Page 77: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/77.jpg)
Lens
Posterior Capsule Opacity (PCO)
• Scar tissue that forms after PEIOL
• Document as “PCO”
![Page 78: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/78.jpg)
Lens
Yag Capsulotomy
• Done to make opening in PCO
• Might not be seen fully til eye is dilated
• Note if open or closed• Document as “Yag
open”
![Page 79: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/79.jpg)
Lens
Feathering
• Opacity on posterior capsule, S/P PPVx/F-Gx
• Caused when gas hits lens surface
![Page 80: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/80.jpg)
Lens
ACIOL
• Can be seen without dilation
• Document as “ACIOL”
![Page 81: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/81.jpg)
Lens
Mature Cataract
• Can often be seen without use of the slit lamp
• Document as “white NS”
![Page 82: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/82.jpg)
Lens
Elshnig’s Pearls
• Cystic growth of lens epithelial remnants
• Usually S/P PEIOL
![Page 83: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/83.jpg)
Misc.
![Page 84: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/84.jpg)
Misc.
Scleral Thinning
• Usually noted by a bluish tint to sclera
• Document as “Scleral thinning”
![Page 85: Slit Lamp Exam Findings](https://reader033.vdocuments.net/reader033/viewer/2022061319/568144e3550346895db1b311/html5/thumbnails/85.jpg)
Misc.
Translucent Sclera (albinism)
• Lack of pigment• Sometimes more
than others