Look into my seeing EYE ball

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    Look into my seeing EYE ball

    THE EYE EXAM

    • Keep it basic…
      • APD
      • Intra-ocular Pressures: Tono-pen v Applanator (Goldmann)
      • Visual Acuity
    • or be a Slit Lamp KWEEN
      • Move outside in: Lids → Eyeball
      • Lids: ducts, eyelashes, orbital lesions or findings
      • EYE: Full EOM assessment and conjunctival assessment
        • Anterior:
          • Cornea for opacity, irregularities, fluericin staining for abrasions/ulcerations.
          • Anterior chamber assessment for “cell and flare” or hypopyon.
          • Lens for opacities.
          • Assess for extrusion of IOC contents.
        • Posterior: the dilated exam. Save that for your optho friends — but Ocular US for optic nerve measurements is a neat trick that we can do.
          • Visualize the posterior eye indirectly to assess for retinal detachment vs vitreous hemorrhage
          • Visualize & measure the optic nerve (3mm deep, with 5mm as your upper limit of normal)
      • Applanation for pressure (Goldmann is the GOLD standard…hehehe)
        • Here’s a quick readable how-to: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2206330/
        • And these are youtube demonstrations:
          • https://www.youtube.com/watch?v=mS2HvAN4Uzg
          • https://www.youtube.com/watch?v=0b2Mv54mQcs (start at 07:48)
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