Ms. Bowman

EVALUATION OF THE EYE

ANATOMY REVIEW• Eye contained in

bony orbit

• Protects and stabilizes eye

• Provides attachment sites for muscles

ANATOMY REVIEW• Eye structures

• Globe

• Sclera

• Pupil

• Iris

• Conjunctiva

• Ciliary body

• Lens

• Retina

• Rods and cones

• Optic nerve

ANATOMY REVIEW• Muscles surrounding the eye rotate the eye

HISTORY• Location and description of symptoms

• Photophobia-intolerance to light

• Scratchiness/”something in eye”-foreign body

• Itching-edema of conjunctiva

• Disruption of vision

• MOI

• Blunt force trauma

• Chemicals

• Foreign substances

• Prior visual assessment

• Periorbital area

• Discoloration

• Gross deformity

• Eyebrows

• Orbit

• Globe

• General appearance

• Eyelids

• Cornea

• Conjunctiva

• Sclera

• Iris

• Pupil shape and size

INSPECTION

PALPATION• Orbital margin

• Frontal, nasal, zygomatic bones

• Eyelid, skin around eye

SPECIAL TESTS-FUNCTIONAL• Vision assessment

• Snellen eye chart

• Pupillary reaction to light

• PEARL

• Eye motility

SPECIAL TESTS-NEUROLOGICAL• Numbness tingling

• Cranial nerve assessment-instruction to be provided when we discuss the head

SPECIAL TESTS-SPECIFIC• Fluorescein strips

• Corneal abrasions

• Corneal laceration

• Visible deformity, irregularly shaped pupil

• Iritis

• “red eye”

• Detached retina

• Flashes of light, halos, or blind spots in vision

• “curtain” or shape being pulled over vision

• Ruptured globe

• Black spots on sclera

• Complete or partial loss of vision

• Hyphema

• Pupil tear drop in shape

SPECIFIC EYE INJURIES

• Conjunctivitis

• Viral or bacterial infection

• Eyelids stick together

• Burning or itching

• Red swollen

• discharge

• Foreign bodies

• Debris

• Penetrating objects

SPECIFIC EYE INJURIES