SLExam Pt II - INSTRUCTION COURSE ON SLIT LAMP EXAMINATION...

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December 24, 2011 Slit Lamp Examination - IC 1 INSTRUCTION COURSE ON SLIT LAMP EXAMINATION Part II
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December 24, 2011 Slit Lamp Examination - IC 2 M.P. STATE OPHTHALMIC CONFERENCE UJJAIN
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December 24, 2011 Slit Lamp Examination - IC 3 Presented by Presented by Dr. Sanjay Shrivastava Dr. Sanjay Shrivastava Dr. Nikhilesh Trivedi Dr. Nikhilesh Trivedi Dr. Kavita Kumar Dr. Kavita Kumar
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December 24, 2011 Slit Lamp Examination - IC 4 The science of examination with a slit lamp is called Biomicroscopy as it allows in vivo study of living tissues at high magnification.
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December 24, 2011 Slit Lamp Examination - IC 5 SET UP SET UP Prerequisites – Preferably a dark room and slit lamp biomicroscope Position – Patient is seated comfortably on an adjustable stool, with chin resting against chin rest and forehead against head rest bar.
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December 24, 2011 Slit Lamp Examination - IC 6 Examination of Various Ocular Structures
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December 24, 2011 Slit Lamp Examination - IC 7 1. LIDS Diffuse Illumination Direct Focal Illumination 1. Hyperaemia Capillary engorgement and suffusion of superficial vessels Individual hair follicle 2. Diffuse inflammation (Edema) Meibomian gland orifice 3. Hordeolum externum Cilium 4. Tumours and Naevi Papillae on lid margin 5. Punctal Occlusion 6. Regurgitation on Pressure over sac 7. Mites and Parasites
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December 24, 2011 Slit Lamp Examination - IC 8 2. CONJUNCTIVA - As the conjunctiva is transparent it is mainly studied by light reflected from sclera. - Eversion of lid Examination of upper tarsal conjunctiva - Double eversion of lid Upper fornix examination.
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December 24, 2011 Slit Lamp Examination - IC 9 (a) Diffuse Illumination Following things are noted - General status of ocular surface. - Conjunctival congestion - Inflammation - Presence of foreign body - Tear Film assessment Marginal tear meniscus
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December 24, 2011 Slit Lamp Examination - IC 10 Diffuse Illumination - Cysts - Concretions - Tumours - Nodules - Conjunctival pigmentation - Staining of tear film. - Staining of any conjunctival defect.
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December 24, 2011 Slit Lamp Examination - IC 11 (b) Direct Focal Illumination : - Detailed examination of all lesions - Depth of any lesion. - Papillae - Follicles - Blood Vessels over a tumour - Neovascularization - Extent of subconjunctival haemorrhage
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December 24, 2011 Slit Lamp Examination - IC 12 (c) Specular Reflection - Zones of intensely brilliant reflexes - Conjunctival elevated zones - Mucus and Waxy meibomian gland secretions - Elevated papillae (d) Indirect Illumination : - Vessels - Conjunctival scars. (e) Sclerotic Scatter Technique :             -    Pannus in Trachoma  
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December 24, 2011 Slit Lamp Examination - IC 13 3. CORNEA Diffuse Illumination - Generalised view of surface of cornea - Size - Shape - Transperancy - Foreign Body - Opacity - Staining of Cornea
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December 24, 2011 Slit Lamp Examination - IC 14 Direct Focal Illumination Integrity of corneal epithelium Thickness of cornea Depth of lesion Vascularisation-superficial/deep Folds in Descemet's membrane Rupture in Descemet's mvmebrane
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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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SLExam Pt II - INSTRUCTION COURSE ON SLIT LAMP EXAMINATION...

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