Examination techniques in ophthalmology V. Matušková Basic examination techniques •Visual acuity (natural, best corrected) •Measurement of intraocular pressure •Slit lamp examination •Fundus examination vyš Visual acuity •Visual acuity (natural, best corrected) • •Distance vision •Near vision • • • • • • • • •Charts • •Snellen •Landolt ring •Pictures •ETDRS • •Jaeger • Charts complete.gif lcd-optotyp-scs-3200.jpg optotyp Near vision https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcTNepfLGXvNR-pJ0c33gZ6epEAmDizD2AeozrEYXv_Ths1 HUQIIYrxOpoWh Jaeger chart Visual acuity •Counting finger (metres ) •Hand movement •Light perception andy-williams-eye-chart.jpg content.jpg Visual Acuity •5/50 (metres, feet 20/200) •0,1 • •Minimum separabile – minimum angle of resolution • images.jpg •Refractive error is an optical abnormality in which the shape of the eye fails to bring light into sharp focus on the retina, resulting in blurred or distorted vision. •In optometry, a "refraction" procedure is the measurement of refractive error •Autorefractor Refraction 1-autorefraktometr-rt-7000 Visual acuity •Frame •Lenses nosič skel brylova-skrin brylovy-nosic Tonometry • Contact techniques • Schiötz tonometry •Goldmann applanation tonometry • •Non contact techniques •Jet air (air puff) anatomie_komora-400 Schiötz tonometry • 7/7,5 •Topical anestesia • • • 1862_big.jpg Schiötz tonometry szemem.jpg Goldmann tonometry • The normal range is 10-21 mmHg • •Topical anestesia, fluorescein •Force required to flatten the cornae AT1 Goldmann tonometry obr AT1 obr Non contact tonometry 1249315134-25744.jpg tonoref2_006.jpg mereni-NCT Examination of anterior segment •Aspection akutní angulární glaukom blefarokonjuktivitida Slit lamp biomicroscopy •table mounted microscope with a special adjustable illumination source attached prevobr21.jpg iris Slit lamp biomicroscopy rohovka foto nduhovka n Slit lamp biomicroscopy rohovka foto intum katarakta traumatická katarakta , Synechiae posterior uveitida Sunconjunctival haemorrhage 8301262508_002_002 Corneal abrasion 4 Hyphema hyphema Hypopyon hypopyon Examination of fundus •Ophthalmoscopy - direct • - indirect • Slit lamp biomicrocsopy • (high power convex lens, the image is vertically inverted • and laterally reversed) oftalmoskop-piccolight-e_75.jpg indirect trhlina2 [USEMAP] https://lh3.googleusercontent.com/5AkUuTV0typogapV1EQXScYO78YzhrMmZmaVJAKivd0knbe-Fz9TD_tDF0K4LaJVV dMHFg=s154 fig22 • Ocular fundus zdrave Special examination techniques Gonioscopy • Gonio lens ( mirrors) • • Angle structures • Fundus examination • 2949_352 gon3mir gonio2a obr 27 Optical coherence tomography E:\Clanky\OCT SM\vypaleni\MatuskovaOCTobr1.jpg E:\Clanky\OCT SM\vypaleni\MatuskovaOCTobr4.jpg http://www.medicine.uiowa.edu/uploadedImages/Departments/Ophthalmology/Content/Patient_Care/Imaging _Services/OCT-CME%281%29.jpg Fluorescein angiography Výsledek obrázku pro fluorescein angiography Výsledek obrázku pro fluorescein angiography • •ERG (electroretinography) • diagnosis of functional defects of retina •Record of an action potential produced by the retina when it is stimulated by light • • •VEP (visual evoked potential) • -diagnosis of functional defects of visual pathways •Record of electrical activity of the visual cortex created by stimulation of the retina Electrophysical tests Electrophysical tests • vep vep Electrophysical tests 1743_VEP_small Ultrasound Bscan1 UZV přístroj UZV vyšetření Ultrasound •Non transparent optical media •UBM- high frequency ultrasound – imaging of anterior segment Bscan1 UBM •A scan ( biometry) • •B scan • • • dermoid usg A Pigment2 Ultrasound ags-fig08b_mm TRD UBM Retinob3 24 10-013_CD Color vision – HUE test 10-014_CD Hertl exoftalmometry hertl hertl1 hertl2 Hertl4 fish_eyes Děkuji za pozornost!