Examination of Eye Pt II

Examination of Eye Pt II - Examination of Eye Examination...

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Examination of Eye Examination of Anterior Segment Part - II Copy of Lecture taken by Dr Sanjay Shrivastava Professor of Ophthalmology for Junior Final year students of Gandhi Medical College, Bhopal
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Dec 24, 2011 Prof Sanjay Shrivastava 2 Examination of Cornea Examination of cornea is done under the following headings 1. Shape 2. Size 3. Surface 4. Transparency 5. Corneal Sensation
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Dec 24, 2011 Prof Sanjay Shrivastava 3 Uniocular Loupe
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Dec 24, 2011 Prof Sanjay Shrivastava 4 Examination of Cornea Size Normal Diameter Horizontal 11 mm Vertical 10.6 mm Size Measured by Transparent rule Slit Lamp
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Dec 24, 2011 Prof Sanjay Shrivastava 5 Corneal Size Size Increased - Megalocornea - Buphthalmos - Keratoglobus Size Decreased : - Microcornea - Microphthalmos
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Dec 24, 2011 Prof Sanjay Shrivastava 6 Corneal Shape Shape of Cornea Normal cornea is elliptical with regular curvature. Examined by help of slit beam on slit lamp.
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Dec 24, 2011 Prof Sanjay Shrivastava 7 Curvature Flat Cornea : Cornea plateau Atrophic bulbi Conical Cornea : Keratoconus Globular Cornea : Keratoglobus Anterior staphyloma Buphthalmos
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Dec 24, 2011 Prof Sanjay Shrivastava 8 Corneal Surface Surface : Corneal surface is normally smooth regular Examined with the help of placido disk reflex, window reflex, corneal staining or sophisticated corneal topography machine.
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Dec 24, 2011 Prof Sanjay Shrivastava 9 Corneal Surface Placido Disk : Hold the disk in front of the patient cornea and look through the lens in centre of disk at patient’s cornea. The image of disc (circles) is seen on patient cornea if they are regular surface is smooth and regular.
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Dec 24, 2011 Prof Sanjay Shrivastava 10 Corneal Transparency Transparency of Cornea : Normal cornea is uniformly transparent Hazy in : Corneal edema due to – Keratits Bullous Keratopathy. Glaucoma (Acute Congestive) Iridocyctitis Acute hydrops Corneal dystrophy.
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Dec 24, 2011 Prof Sanjay Shrivastava 11 Corneal edema in Angle Closure Glaucoma
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Dec 24, 2011 Prof Sanjay Shrivastava 12 Corneal Ulcer
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Dec 24, 2011 Prof Sanjay Shrivastava 13 Corneal Opacity Corneal Opacity : Opacity should be examine under following head – 1. Number of opacity 2. Size and shape 3. Site 4. Type 5. Vascularization
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Dec 24, 2011 Prof Sanjay Shrivastava 14 Corneal Opacity Type of Corneal Opacity : Nebular – Iris details clearly visible at level of anterior stroma and Bowman membrane. Macular – Iris details visible, ½ of stroma. Leucomatous – No iris details are visible. The whole stroma is involved
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Dec 24, 2011 Prof Sanjay Shrivastava 15 Nebulomacular Corneal Opacity
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Dec 24, 2011 Prof Sanjay Shrivastava 16 Leucomatous Corneal Opacity
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Dec 24, 2011 Prof Sanjay Shrivastava 17 Leucomatous Corneal Opacity
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Dec 24, 2011 Prof Sanjay Shrivastava 18 Dry Eye with Corneal Opacity
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Dec 24, 2011 Prof Sanjay Shrivastava 19 Corneal Edema
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Dec 24, 2011 Prof Sanjay Shrivastava 20 Corneal Opacity Leucomatous corneal opacity may be seen in association with Anterior Synechia Adherent Leucoma Corneoiridic scar Opacity also looked for any abnormal pigmentation and degeneration.
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Dec 24, 2011 Prof Sanjay Shrivastava 21
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Dec 24, 2011 Prof Sanjay Shrivastava 22 Salzman Nodular Degeneration
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Examination of Eye Pt II - Examination of Eye Examination...

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