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EXAMINATION
OPHTHALMOLOGY EXAMINATION
1. Routine :
Anamnesis
Physical examination
Visual function test
Anatomy
ANAMNESIS
Purpose: deep ocular evaluation
2 methods :
Autoanamnesis
Alloanamnesis
Collected infromations:
1. General : name, age, gender, address, jobs).
2. Khusus :
a. Main complain : decrease of vision,
diplopia, pain, etc.
b. Other clinical symptoms link to main
complain: onset, progressvity, duration,
relaps, ocular movement disturbance, injury,
glasses, or systemic diseases (DM, HT) etc
Physical examination
1. Inspection anterior segment of the eye
2. Obliq illumination anterior segment of the eye
3. Palpation finger tension
pain (uveitis)
mass
adenopathy
4. Intra ocular pressure
5. Visual fiield
6. Ophthalmoscopy
7. Visus
8. Refraction
1. Inspection
No instrument
Point of inspection :
Eyelids : supercilia, cilia, skin, fissura, plica,
canthus, konjunctiva Right and left eyes ?
Anterior segment :
1. Bulbus konjunctiva : injeksio konj.,
Inj.perikorneal, hiperemis, chemosis,
hemorrhagic, laseration, corpus alienum, etc
2. Obliq illumination
Instruments : light.
Technique : illuminating light 450 from
medial and lateral. In dim light room.
Identified structure : more than inspection.
(Can be added with loupe + 1.00D- +5.00D)
Evaluated structures :
1. Eyelids = inspection
2. Anterior segments:
a. Cornea : Cikatriks nebula, CA, blood stain
b. Iris : Cripte, sinechia
c. Anterior chamber : contents (hifema,
hipopion)
d. Pupil : light reflex (direct & indirect), pupil
margin
e. Lens : iris shadow & pseudo iris shadow
3. Palpation
Instrument : no instrument .... Only finger.
Purpose, to evaluate :
1. Tumor Mass
2. Preauricular gland enlargement
3. Pain (iridocyclitis/uveitis)
4. Finger tension (TIO palpation)
Results :
Tn ..TIO normal
Tn 1 TIO hypotoni
Tn 2 . ..TIO hypotoni ++
Tn + 1.TIO high
Tn + 2.TIO hugh ++
Tonometer Schiotz
Technique :
1.
Patient ..... supination
2.
Topical anasthesia instillation (R/ Pantocain 0,5%, 2%)
3.
Desinfection of tonometri schiotz.
4.
Ask patient to look at above.
5.
Indent the tonometri to cornea of patient.
6.
Read tonometri scale
Examination :
1. Confrontation
2. Amsler grid
3. Perimetri
4. Tangent Screen (campimeter)
Amsler Grid
Perimetri
Distance vision :
= central vision
Instrument :
1. Reading chart
a. Snellen chart
b. E chart (E)
c. Allen chart
2. Five (5) metre ....
minimal
3. Room illumination.
Pemeriksaan Khusus
1. SLITLAMP BIOMIKROSKOP
2. EKSOFTALMOMETER HERTEL
3. USG MATA
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