Clinical Skills for the Ophthalmic Examination: Basic by Lindy Dubois MEd MMSc CO COMT

By Lindy Dubois MEd MMSc CO COMT

The step by step, educational advisor for the most typical ophthalmic tools and methods has been up to date to a moment variation. scientific abilities for the Ophthalmic exam: uncomplicated strategies, moment version presents information on assessments often played within the workplace and offers directions at the right solution to practice them. Lindy DuBois specializes in providing basic guide in a transparent and easy-to-use guide. crucial chapters, reminiscent of these on sufferer background, medicines, asthma, and refractive surgical procedure were up to date to supply severe info for the ophthalmic expert. New to this variation: An improved heritage part with an in depth sufferer interview to conform with new rules. improved intervening time background part to incorporate sufferers with low imaginative and prescient. New sections on Exophthalmometry and A-Scan Biometry. Make medical talents for the Ophthalmic exam: uncomplicated techniques, moment version your go-to textual content for info at the most up-to-date methods and tools utilized in the medical institution this present day.

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Example text

Use your open eye opposite the eye being tested as the fixation point. • Present the target midway between the patient and yourself. • Record the visual field from the patient’s point of view. 38 Chapter 5 An integral part of the comprehensive eye exam is the evaluation of the extent and integrity of the visual field. A great deal of information can be gained by performing quick and easy informal field exams. These tests are done in the examining room and require no special equipment. The assistant who is familiar with the entire visual system will be able to get the most useful information from these tests.

If both eyes do this, it indicates that both eyes see the small numbers equally well. A few other tests and observations may prove useful. When a patient claims visual loss in both eyes, it is important and helpful to observe his or her behavior. Someone who is severely visually impaired will not come to the office alone. The assistant may be able to demonstrate tunnel visual fields by performing a confrontation test (see Chapter 5) at different distances and observing the extent of the borders.

Continue to look at the target during the exam. Size In dim illumination, the average pupil diameter is 3 or 4 mm. This is ascertained by shining the light from below the patient’s nose so that the pupils are just visible to the examiner; the light is not shone directly into the patient’s eye. The assistant can then use a millimeter rule (or the half circles printed on the bottom of a near card) to measure the pupil diameters. With experience, the assistant will become fairly accurate at estimating this measurement at a glance.

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