Download - Na vaid'$ ver$ion of eye e-xam.nq
NaVaiD’$.VeR$iON.of.EyE-EXaM.NQ. My ORiGiNAL TELE-TEXT::EYE-EDU*
• APPLIED..OPTiC$• APPLIED..ORGANiC$• *****• Applied Optics= 1- Emmetropia• 2-Ametropias=Refractive Errors:• *Myopia• *Hyperopia• *Astigmatism
Kerato-Refractive Surgery:KCS:
Accommodation.Presbyopia.
SPHERiCAL..ERROR$SPHERO-
CYLiNDERiC..ERROR$ASTiGMATiC ERRORS.
CORNEAL ASTiGMATiSM with the RULE=^& against
the RULE>.
VARIANTS of REFR.ERROR$:1.CURVATURE Type
2.INDEX3.AXiAL
4.POSiTiONAL
VARIANTS of ASTIGMATISM$:*REGULAR^*IRREGULAR*SIMPLE=M^H
*COMPOUND = M^H*MiXeD^^STURM’S CONOiD
0RGANiC$:-************
A-FACIAL.ASYMMETRY& BELL’S PALSY
B- NECK.0CULAR T0RTiC0LLi$
INiTiAL.EYE-EVALUATiON*C0RNEAL.LiGHT.REFLEX.
*COVER TEST$=COVER^UNCOVER*EOMs=DUCTIONS^VERSIONS
PURSUiTS^SACCADE$*PURKiNJE-iMAGE$
*PUPiLLARY LiGHT-REFLEX=DiRECT+ CONSEN$UAL + RAPD.
EYE$=RE[OD=0culus
Dexter]^LE[OS=0culus Sinister]+Rx=“Eye of
Horus”!
ORBiT$ = R^L*THYROiD.EYE.DiSEA$E
*EX0PHTHALM0S*PROPT0Si$
*EN0PHTHALM0S*ORBiTAL CELLULITi$
LACRiMAL$= R^L1.LAC.GL.. 2.LAC.SAC..3.NLD
4.WATERiNG.. 5.LACRiMATiON6.EPiPH0RA..7. REGURGiTATiON
TEST.. 8.DACRYO-ADENiTiS^ DACRY0-CYSTiTi$.. 9.CONG.NLD.
0CCLU$iON.. 10.TEAR FiLM!
LiD$*$TRUCTURE=SKiN+M+T+P.Conj
**PT0Si$^P0SiTiONAL DEFECT$:ENTROPiON;ECTR0PiON***LiD-LE$iON$=CHALAZI0N+ $TYE+BLEPHARITIS+TRICHIASIS
CONJUNCTIVA1.Ac.CONJUNCTIVITI$
2.PTERYGIUM3.PHLYCTEN
4.PINGUECULA5.BiT0T’$ SP0T6.TRACHOMA
EPiSCLERA^SCLERA
1.Epi$CLERITiS2.Ant:SCLERITIS
3.SCLEROMALACIA4.E^S=N0DULAR. SECTORAL. DiFFUSE
5.P0STERiOR SCLERITIS
CORNEA=+43D1.ANATOMY; 2.STRUCTURE; 3.OPTiC$;
4.DYSTR0PHY; 5.DEGENERATiON$; 6.DiSEASE$; 7.C0RNEAL ULCER;
8.DENDRiTiC ULCER; 9.CFT’s=i.CLR; ii.C.Sensitivity.test; iii=KERAT0SCOPY;
iv.KERAT0METRY; v.SPECULAR MiCR0SCOPY; vi.C0RNEAL MAPPiNG!
ANTERiOR SEGMENT=ANTERiOR CHAMBER + P0STERiOR
CHAMBER.>.{B/W the TWO}LENS
>P0STERiOR $EGMENT { Filled with ViTREOU$ GEL.}.
ANTERIOR CHAMBER:-*AQUEOUS FLARE**AQUEOUS CELL$
***HYPOPYON****HYPHAEMA
*****IRi$-B0MBE*****PUP.BL0CK!
PUPIL$::R^L*1.PHYSICAL SHAPES=Normally ROUND ;
*P0ST.SYNECHiAE;*FEST00NED-PUPiL!*0CCLUSi0-PUPiLLAE;*SECLUSi0-PUPiLLAE..
*2.PUPILLARY-REFLEXES:- 2a.NEAR-SYNKINESiS=C0NVERGENCE+MI0SIS+ACC0M
. 2b.PLR=.DiRECT^CON$EN$UAL^ RAPD.*PPP=PHYSIOLOGICAL + PHARMAC0L0GICAL
PATHOL0GICAL Causes of MIOSIS Vs. MYDRIASi$.
*NATURAL LEN$ FUNCTIONS=+17D=OPTICAL=
REFRACTION+ REFLECTION=PURKiNJE-
iMAGE$=III^IV+ ACC0MM0DATiON= CHANGiNG
CONVEXITY of ANT.CURVATURE+ UVP!
ViTRE0-RETiNAL WORK-UP:-*SLE=Ant.1/3rd ViTREOU$
*ViT.FLU0R0-PH0T0METRY*ViTREiTi$=ViT.FLARE!
*$PECiAL AUXiLiARY LENSE$:+20D/28D/78D/+90D
*DDO+D.0ph.+iN-DiR 0ph.
DARK-ROOM TESTS IN CLINICAL OPHTHALMOLOGY:-
*.1.OBLIQUE iLLUMiNATiON=*PT= PEN-T0RCH; **PT+0PHTHALMiC
LOUPE; SLE=Slit-Lamp Examination via S/L Bio-Microscope; .2.DISTANT DIRECT OPH.;.3.DiR.0PH.;.4.iND.0;
5.Streak RETiN0SC0PY.
MEDiCAL OPHTHALM0L0GY:-1. THYROID EYE DISEASE2.DIABETIC EYE DISEASE
3. HYPERTENSIVE EYE DiSEA$E+4.HARD EXUDATES: 5.S0FT
EXUDATES: 6.DOTS.&.BLOTS; 7.FLAME-SHAPED H.8.NVE; 9.NVD;
10.R0TH SP0T${CML}!...
SQUINT$^STRABISMUS1.ORTHOPHORIA=STRAIGHT-EYE$
2.HETEROPHORIA=LATENT SQUINT3.HETEROTROPIA=MANIFEST SQUINT
4.DIAGN0STiC EVALUATiON$:-5.CLRCT=COVER-TEST$
6.EOMs=6=CARDiNAL P0SiTiONs7.PURSUiT$^SACCADE$
8.ESOTROPIA^9.EXOTROPIA10.CYCLOPHORIA^11.CYCLOTR0PIA
12.CONVERGENCE.^13.HYPER^HYPO. 14.HERING’$^&^SHERRiNGTON’$ LAW$..
ACTIONS 0F OCULAR MUSCLE$:EOM 6 MUSCLES’ MOVEMENT$:
1.SR=ELEVATION in Abduction2.IR=DEPRESSiON in Abduction
3.LR=ABDUCTION^4.MR=ADDUCTiON5.SO=DEPRESSiON in Adduction6.IO=ELEVATiON in Adduction+SO=Intorsion.^.IO=Extorsion
DUCTIONS.vs.VERSIONS+CONVERGENCE
LACRIMAL –SYSTEMLACRIMAL GL=INFLOW
TEAR M.STRiP$=INTER-FLOWLAC.SAC$>NLD>=OUTFLOW
TEARING=WATERING:-a-LACRiMATiON.^.B-EPiPHORA
PHAKIA.APHAKIA.PSEUDOPHAKIAAPHAKIA=ICCE 0R ECCE
1.SiGN$ of CAT.SURG.in.ICCE:-A.WOUND MARK>B.PI.>C.IRiD0D0NESiS>D.DEEP A/C
>E.JET-BLACK PUPiL.>F.ABSENT 3rd & 4th PURKiNJE-SANSON iMAGE$ .>
2.PLAiN^PLANNED ECCE=4th IMAGE SHALL BE PRESENT AS PC is INTACT!.3.PSEUD0-
PHAKIA = 3rd P-S img..Bright^Big”Glistening-Reflex”!
STEP$ 0f ACC0MM0DATiON:-{Alongwith Convergence^Miosis}
RECITE^READ1.CONTRACTION 0F CILARY M.2.L00SE^LAX Z0NULE 0F ZiNN3.CONTRACTiON 0F CAPSULE
4.^C0NVEX CURVATURE of LENS5.^C0NVERGENCE to F0CUS at 33 cm.
PRESBYOPIAAround 40 Yrs.”LENTAL SCLER0SiS”
PREVENTS THE CRYSTALLINE LENS T0 CONFORM T0 MORE CONVEX ANTERIOR SURFACE CURVATURE DUE TO LENS DE-NATURATION & CONVERSION 0F SOLUBLE
CRYSTALLINES =33%=PR0TEiN FRACTiON$ iNT0 INSOLUBLE ALBUMiN0iD PR0TEiN FRACTiON$ &
HENCE PERSONS^PATIENT$ NEED T0 WEAR ‘READiNG’ C0NVEX “GLASSES” T0 C0NVERGE M0RE WHiLE
READiNG AT NEAR WHERE THE RAY$ R DiVERGENT!
ADVANCED TREATMENT IN MYOPIA:-
A.MENISCUS CONCAVE SPECTACLE- LENSES
B.M.CONCAVE C0NTACT LENSESC.RADIAL KERAT0TOMY=“RK”D.EXCIMER LASER SURGERY:-
E-PRK->-F-LASIK->-LASEK! INTRA-C0RNEAL LENSES-Rx-KERAT0C0NU$!
LASER$ IN OPHTHALM0LOGY:-1.EXCIMER C0RNEAL UV PH0T0-
ABLATiON2.YAG LASER=PH0T0-
DiSRUPTiON=P0ST.CAPSUL0TOMY3.ARG0N GREEN & KRYPTON
LASER PH0T0-C0AGULATiON of RETiNA!
ADVANCED SUB-SPECIALIST UNITS 0F OPHTHALM0LOGY: 1.ORBiTAL SURGERY
1.0CULO-PLASTiC SURGERY 2.SQUINT-CORRECTiON SURG.
3.KERAT0-REFRACTIVE SURG.4.ANTERIOR SEGMENT SURG.
5.PHACO-EMULSIFICATION SURG.6.ViTRE0-RETiNAL SURGERY7.TRAUMATiC.EYE.SURGERY
*WELL-WISHER T0 ALL THE STUDENTS 0F OPHTHALMOLOGY WORLD-WIDE =UGs^PGs = DR.NAVAID QURESHI,MBBS,FCPS[Oph][email protected]=*NQ*NaVaiD
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