Unit-7-Eye Examination.ppt
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Eye Examination Prepared by Tesfa D. (B.Sc., M.Sc.) February ebruary,, 2!2
1
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Objective
Describe the normal position of the eye lids.
Identify the external external anatomical structure of the eye. Demonstrate complete history taking for a patient with eye complaints.
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"e#ie$ of Eye %natomy and P&ysio'oy The
eye is the sensory organ of vision.
It is well protected by the bony orbital orb ital cavity surrounded surrounded with a cushion of fat.
The
eyelids further protect the eye from injury, strong light and dust.
The
eyelashes curve outward ltering
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ont*d The
palpebral ssure is the open space between the eyelids.
!hen
closed, the lid margins approximate completely comp letely.. !hen !hen open op en the upper lid covers the part of the iris.
The
lower lid margin is just at the
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ont*d The
canthus is the corner corner of the eye, the angle where the lids meet. "t the inner canthus, the carnucle is a small #esh mass containing sebaceous glands. !ithin the upper lid, there are tarsal plates that contain the meibomian
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ont*d
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ont*d The
exposed part of the eye has a transparent protective covering.
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ont*d The
bulbar conjunctiva overlays the eyeball with the white sclera showing
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ont*d
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ont*d The
lacrimal apparatus provides provides constant irrigation to keep the
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ont*d "bnormal&: The
larger the denominator the poorer poorer the vision.
4efer
vision poorer than (39)3 impaired vision may be due du e to refractive error, error, opacity in the refractory media $cornea,
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ont*d
If the person is unable to see even the largest letters, shorten the distance to the chart until it is seen and record record that distance. 7x 6'39(338.
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ont*d +isual elds examination* examination*
?alled confrontation test.
This
is a gross measure measure of peripheral vision.
It compares the person/s peripheral vision with your own, assuming yours is
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ont*d
It needs to be performed performed with a client suspected of having a visual problem, problem, on the older adult who is at higher risk for glaucoma, and on the client with neurologic symptoms. 2rocedure*
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ont*d
Direct the person to cover one eye with an opaue card and with the other eye to look straight at you.
0old your ngers midline between you and the other person and slowly advance it in from the periphery in
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ont*d "sk
the person to say 6now8 6now8 as the object is rst seen* this should be just
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ont*d 5ormal&: The
hori1ontal eld of vision is smaller
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ont*d "bnormal&:
If the person is unable to see the object
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ont*d
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ont*d ?onjunctiva and sclera "sk the person to look up. =sing your thumbs, slide the lower lids down along the body orbital rim. C Inspect the sclera and palpebral conjunctiva for color and note
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ont*d Eook for any nodules, lesion, or swelling. 5ormal&: The eyeball looks moist and glossy glossy.. lood vessels seen through the transparent conjunctive. The conjunctivas are clear pink over the lower lids and white over the sclera. -clera is gray blue or 6muddy $white, in
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ont*d "bnormal&: Jeneral reddening, cyanosis of the lower lids, pallor near the outer canthus $less pigmented% of the lower lid may indicate anemia. -clera icterus is a yellowing of the
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ont*d
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ont*d "nterior eye ball structure Inspection* ?ornea and lens -hine a light from the side across the cornea and check for smoothness smoothness and clarity clarity.
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ont*d 5ormal&: There
should be no opacities
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ont*d "bnormal
" corneal abrasion causes irregular
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ont*d Iris and pupils The iris normally appears appea rs #at with a
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ont*d Papi''ary 'i&t re-ex To To test the papillary light re#ex, re#ex,
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ont*d Then
look for $normal%*
'. ?onstriction of the same:sided pupil $
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