examine eye clinical

1. OPHTHALMIC EXAMINATION

2. DONE BY :DR ENTESAR SABAYAH
SUPERVISED BY: DR SALEH AL AKILI.

3. OPHALMIC EXAMINATION
The purpose of ophthalmic evaluations to document objective
&subjective measurement of visual function & ocular health.
Physician accomplishes these objectives by assessing the pt
history & performing examination using specific equipments
needed.
Asucessful evaluation relies in part also on the physician
approaching the pt appropriately& is supported by the keeping of
adequate records.

4. HISTORY
Demographic
data:name,d.o.b,sex,occupation.
Chief complain &history of present illness.
Present status of vision,glasses, visual
needs& symptoms
Past ocular history of dis, surgeries&
medications.
Past systemic history: allergies, medication
and medical problems.
Family history: poor vision,other familial
ocular&systemic dis.

5. EXAMINATION
Visual acuity for distant &near.
Determine best corrected v.a
Ocular alignment &motility.
Pupillary examination
Examination of external eye& ocular adnexa.
Examination of ant. Segment.
Tonometry.
Post segment examination.

6. COMPONENT OF HISTORY
Chief complain recorded in pt own wards
Present illness evaluating : time & manner of
onset,severity,influences,constancy& temporal
variation, laterality ,documentations,
Past history :using glasses,CL, ocular medications
used in past, ocular surgery, ocular trauma.
History of amblyopia.

7. Ocular medication :
recent therapy(6wks) ,some pts do not know
their drugs names so colors may be used as
green ,red, blue,.
General med. &surgical history as many of
them are associated with ocular dis.( to
perform a proper preoperative evaluation).
Systemic medications.
Allergies :atopic dermatitis, allergic asthma,
allergic rhintiis,urticaria,vernal conj.
Social history.
Family history of ocular &nonocular diseases‫ز‬

8. Ophthalmic examination
 V.A FOR DISTANT & NEAR.-UNAIDED
-AIDED
PINHOLE ACUITY TEST.
OCULAR MOTALITY
 -OCULAR ALIGNMENT
-
-BINOCULARITY(FUSION)
- EYE MOVEMENT IIN 9 CARDINAL
GAZES.
PERFORMING CORNEAL LIGHT REFLEX.

9. Pupilary examination
General observation of pupil (size, shape,
location, regularity)
Pupillary reflexes by light reflex test &
swinging test to evaluate direct &
consensual reflexes, near reflex test.

10. EXTERNAL EXAMINATION
 Inspection
 Palpation
 Auscultation
 Observation of 2 orbits with comparision of the
measurments,IPD,PF,
 Eye lids symmetry & relative position of the eye
brows, position of eye lashes,no. & density of the
lashes & their color.
 Lacrimal system,lac. Gland ,lac puncta for apposition
& patency.
 Globe is examined by holding eyelids open,palpebral
conj. Is1st examined inferiorly, then superiorly.
 Corneal diameters H&V,corneal sensation.

11. Slit lamp examination
 Lacrimal gland & skin (palpebral lobe)
 Eye lids & lashes ,gray line,meibomian gland
orifices.
 Conjunctiva begin with palpepral then bulbar
conj.& limbal conj.
 Episclera& sclera for inflammation &
pigmentations.
 Tear film over all wetness, tear meniscus, tear film
BUT.

12. Cornea ,to detect
epith.defects,dystrophy,degenerations.sca-
rs,ectesia .
Ant. Chamber (depth ,cells & flares, bl.
Staining &F.B, lens materials & vit)
Iris (nodules ,neovascularization , cysts &
tumors ,persistent pupillary memb.
remnents,synechias,hetrochromia)
Lens(capsule,cat,pseudophakia,aphakia,su-
bluxation &dislocation ,,microspherophakia)
Ant. vitreous( cells &flares, inflammation)
Tonometry(applination,schiotz)
Post. Segment (fundus &post vitreous).

13. Patient Case Record Sheet
 Patient Data:
 Name: Age:
 Sex: Occupation:
 Address: Telephone
 Chief Complaint
 H/o Present Illness:
 Past Ocular History:
Past Ocular History:
Ocular Surgery:
Ocular Drugs:
Ocular Trauma:

14. Ocular Examination
Right Left
 VA
Unaided
P.H.
Aided
Refraction
 Orbit
 Eyelid
 Lacrimal Apparatus
 Anterior Segment:
Conjunctiva
Cornea
sclera
A/C
IRIS
PUPIL
LENS
 IOP
 POSTERIOR SEGMENT
VITREOUS
RETINA

15. THANK YOU