Enviar pesquisa
Carregar
Opthalmoscopy
•
10 gostaram
•
1,339 visualizações
M
meducationdotnet
Seguir
Denunciar
Compartilhar
Denunciar
Compartilhar
1 de 17
Baixar agora
Baixar para ler offline
Recomendados
Indirect ophthalmoscopy
Indirect ophthalmoscopy
Shruti Laddha
Retinal diagram dr sabin sahu
Retinal diagram dr sabin sahu
voveran312
Nw2012 cataract surgery11
Nw2012 cataract surgery11
Nawat Watanachai
Direct ophthalmoscope
Direct ophthalmoscope
Rasika Walpitagamage
Binocular Indirect OPHTHALMOSCOPY
Binocular Indirect OPHTHALMOSCOPY
Kh.Towkir-Ul- Islam
Squint surgeries
Squint surgeries
Gauree Gattani
Proptosis
Proptosis
Niwar Ameen
Tests done to assess patency of lacrimal drainage
Tests done to assess patency of lacrimal drainage
Sachin Patne
Recomendados
Indirect ophthalmoscopy
Indirect ophthalmoscopy
Shruti Laddha
Retinal diagram dr sabin sahu
Retinal diagram dr sabin sahu
voveran312
Nw2012 cataract surgery11
Nw2012 cataract surgery11
Nawat Watanachai
Direct ophthalmoscope
Direct ophthalmoscope
Rasika Walpitagamage
Binocular Indirect OPHTHALMOSCOPY
Binocular Indirect OPHTHALMOSCOPY
Kh.Towkir-Ul- Islam
Squint surgeries
Squint surgeries
Gauree Gattani
Proptosis
Proptosis
Niwar Ameen
Tests done to assess patency of lacrimal drainage
Tests done to assess patency of lacrimal drainage
Sachin Patne
Biometry
Biometry
Jagdish Dukre
Fundus Fluoroscein Angiography
Fundus Fluoroscein Angiography
Rashmi Ranjan
A quick guide to Ophthalmic Ultrasound/ B-Scan interpretation
A quick guide to Ophthalmic Ultrasound/ B-Scan interpretation
Mero Eye
Just SMILE (small incision lenticule extraction )
Just SMILE (small incision lenticule extraction )
DiyarAlzubaidy
Real ptosis evaluation.pptx
Real ptosis evaluation.pptx
Bipin Koirala
Direct & indirect ophthalmoscopy
Direct & indirect ophthalmoscopy
DR. ROHIT AGRAWAL
Goldman applanation tonometry
Goldman applanation tonometry
Hossein Mirzaie
Prof Bron lecture. The A-Z of MGD
Prof Bron lecture. The A-Z of MGD
oxfordshireloc
B scan
B scan
Samuel Ponraj
Bruckner test
Bruckner test
Azizul Islam
Slit lamp biomicroscopy.
Slit lamp biomicroscopy.
Chibuzor Emereole
Looking deep into retina : indirect ophthalmoscopy and fundus drawing
Looking deep into retina : indirect ophthalmoscopy and fundus drawing
Prachir Agarwal
Evaluation of ptosis
Evaluation of ptosis
Nikita Jaiswal
Dry eye diagnosis and management
Dry eye diagnosis and management
NIKHIL GOTMARE
Exophthalmometry
Exophthalmometry
Raju Kaiti
Maddox rod and double maddox rod
Maddox rod and double maddox rod
AnuMusyakhwo7
Amsler grid chart
Amsler grid chart
vivek parmar
Hyphema, Basic Information
Hyphema, Basic Information
Nina Ko
FFA Dr Md Afzal Mahfuzullah
FFA Dr Md Afzal Mahfuzullah
Md Afzal Mahfuzullah
Indirect ophthalmoscopy and fundus drawing
Indirect ophthalmoscopy and fundus drawing
Sonali Singh
Continuation of Cranial Nerve Exam
Continuation of Cranial Nerve Exam
meducationdotnet
Opthalmoscopy
Opthalmoscopy
Dr. Muhammad Awais
Mais conteúdo relacionado
Mais procurados
Biometry
Biometry
Jagdish Dukre
Fundus Fluoroscein Angiography
Fundus Fluoroscein Angiography
Rashmi Ranjan
A quick guide to Ophthalmic Ultrasound/ B-Scan interpretation
A quick guide to Ophthalmic Ultrasound/ B-Scan interpretation
Mero Eye
Just SMILE (small incision lenticule extraction )
Just SMILE (small incision lenticule extraction )
DiyarAlzubaidy
Real ptosis evaluation.pptx
Real ptosis evaluation.pptx
Bipin Koirala
Direct & indirect ophthalmoscopy
Direct & indirect ophthalmoscopy
DR. ROHIT AGRAWAL
Goldman applanation tonometry
Goldman applanation tonometry
Hossein Mirzaie
Prof Bron lecture. The A-Z of MGD
Prof Bron lecture. The A-Z of MGD
oxfordshireloc
B scan
B scan
Samuel Ponraj
Bruckner test
Bruckner test
Azizul Islam
Slit lamp biomicroscopy.
Slit lamp biomicroscopy.
Chibuzor Emereole
Looking deep into retina : indirect ophthalmoscopy and fundus drawing
Looking deep into retina : indirect ophthalmoscopy and fundus drawing
Prachir Agarwal
Evaluation of ptosis
Evaluation of ptosis
Nikita Jaiswal
Dry eye diagnosis and management
Dry eye diagnosis and management
NIKHIL GOTMARE
Exophthalmometry
Exophthalmometry
Raju Kaiti
Maddox rod and double maddox rod
Maddox rod and double maddox rod
AnuMusyakhwo7
Amsler grid chart
Amsler grid chart
vivek parmar
Hyphema, Basic Information
Hyphema, Basic Information
Nina Ko
FFA Dr Md Afzal Mahfuzullah
FFA Dr Md Afzal Mahfuzullah
Md Afzal Mahfuzullah
Indirect ophthalmoscopy and fundus drawing
Indirect ophthalmoscopy and fundus drawing
Sonali Singh
Mais procurados
(20)
Biometry
Biometry
Fundus Fluoroscein Angiography
Fundus Fluoroscein Angiography
A quick guide to Ophthalmic Ultrasound/ B-Scan interpretation
A quick guide to Ophthalmic Ultrasound/ B-Scan interpretation
Just SMILE (small incision lenticule extraction )
Just SMILE (small incision lenticule extraction )
Real ptosis evaluation.pptx
Real ptosis evaluation.pptx
Direct & indirect ophthalmoscopy
Direct & indirect ophthalmoscopy
Goldman applanation tonometry
Goldman applanation tonometry
Prof Bron lecture. The A-Z of MGD
Prof Bron lecture. The A-Z of MGD
B scan
B scan
Bruckner test
Bruckner test
Slit lamp biomicroscopy.
Slit lamp biomicroscopy.
Looking deep into retina : indirect ophthalmoscopy and fundus drawing
Looking deep into retina : indirect ophthalmoscopy and fundus drawing
Evaluation of ptosis
Evaluation of ptosis
Dry eye diagnosis and management
Dry eye diagnosis and management
Exophthalmometry
Exophthalmometry
Maddox rod and double maddox rod
Maddox rod and double maddox rod
Amsler grid chart
Amsler grid chart
Hyphema, Basic Information
Hyphema, Basic Information
FFA Dr Md Afzal Mahfuzullah
FFA Dr Md Afzal Mahfuzullah
Indirect ophthalmoscopy and fundus drawing
Indirect ophthalmoscopy and fundus drawing
Destaque
Continuation of Cranial Nerve Exam
Continuation of Cranial Nerve Exam
meducationdotnet
Opthalmoscopy
Opthalmoscopy
Dr. Muhammad Awais
Ophthalmoscopy
Ophthalmoscopy
shweta goyal
Musculoskeletal Exam
Musculoskeletal Exam
meducationdotnet
Conducting a musculoskeletal examination
Conducting a musculoskeletal examination
Medical Educator
direct ophthalmoscope
direct ophthalmoscope
Mohammad Khabbaz
Ophthalmoscopy
Ophthalmoscopy
AIMS Education
Ophthalmoscopy
Ophthalmoscopy
guest027bea2
Direct ophthalmoscopy
Direct ophthalmoscopy
chodup thinley
Direct opthalmoscopy~@Farhana.Islam
Direct opthalmoscopy~@Farhana.Islam
Farhana Islam
Opthalmoscopy Uploaded by Parash
Opthalmoscopy Uploaded by Parash
Parash39
Ophthamology Revision
Ophthamology Revision
meducationdotnet
examination of Musculoskeletal system
examination of Musculoskeletal system
AIIMS, Rishikesh
Lenses of slit lamp biomicroscope & indirect ophthalmoscope.
Lenses of slit lamp biomicroscope & indirect ophthalmoscope.
Ayat AbuJazar
Principles of Ophthalmoscopy
Principles of Ophthalmoscopy
Prof. Dr. Aswinikumar Surendran
Ophthalmoscopy
Ophthalmoscopy
Patel telecom
Direct Ophthalmoscopy
Direct Ophthalmoscopy
joemdas
Ophthalmoscopic slides
Ophthalmoscopic slides
scorpio_80
Destaque
(18)
Continuation of Cranial Nerve Exam
Continuation of Cranial Nerve Exam
Opthalmoscopy
Opthalmoscopy
Ophthalmoscopy
Ophthalmoscopy
Musculoskeletal Exam
Musculoskeletal Exam
Conducting a musculoskeletal examination
Conducting a musculoskeletal examination
direct ophthalmoscope
direct ophthalmoscope
Ophthalmoscopy
Ophthalmoscopy
Ophthalmoscopy
Ophthalmoscopy
Direct ophthalmoscopy
Direct ophthalmoscopy
Direct opthalmoscopy~@Farhana.Islam
Direct opthalmoscopy~@Farhana.Islam
Opthalmoscopy Uploaded by Parash
Opthalmoscopy Uploaded by Parash
Ophthamology Revision
Ophthamology Revision
examination of Musculoskeletal system
examination of Musculoskeletal system
Lenses of slit lamp biomicroscope & indirect ophthalmoscope.
Lenses of slit lamp biomicroscope & indirect ophthalmoscope.
Principles of Ophthalmoscopy
Principles of Ophthalmoscopy
Ophthalmoscopy
Ophthalmoscopy
Direct Ophthalmoscopy
Direct Ophthalmoscopy
Ophthalmoscopic slides
Ophthalmoscopic slides
Semelhante a Opthalmoscopy
Otoscopy
Otoscopy
meducationdotnet
ECG Interpretation
ECG Interpretation
meducationdotnet
Venepuncture
Venepuncture
meducationdotnet
corrected version of Ophthalmoscopy by proffessor Samia..pptx
corrected version of Ophthalmoscopy by proffessor Samia..pptx
WallerianDegenration
Fundoscopy ppt 2012
Fundoscopy ppt 2012
Reina Ramesh
Rectal Examination
Rectal Examination
meducationdotnet
Lecture on Clinical Methods; Visual Field & Pupillary Reflexes For 4th Year M...
Lecture on Clinical Methods; Visual Field & Pupillary Reflexes For 4th Year M...
DrHussainAhmadKhaqan
Coordination Exam
Coordination Exam
meducationdotnet
Male Genital Exam
Male Genital Exam
meducationdotnet
Basics of a Clinical Exam
Basics of a Clinical Exam
meducationdotnet
Muscle Power and Tone Examination
Muscle Power and Tone Examination
meducationdotnet
ENT Examination
ENT Examination
meducationdotnet
eye assessment.docx
eye assessment.docx
Puviyarasi1
Ophthalmoscopy
Ophthalmoscopy
AIMS Education
Direct Ophthalmoscopy/Fundoscopy
Direct Ophthalmoscopy/Fundoscopy
Robert Ferris
Behind The Scenes
Behind The Scenes
bpark27950
OPTHALMOSCOPY.pdf
OPTHALMOSCOPY.pdf
shamsudheenpp1
Breast Exam
Breast Exam
meducationdotnet
Eye examination.pdf
Eye examination.pdf
YoussefSrour5
EYE EXAMINATION(Linda).pptx
EYE EXAMINATION(Linda).pptx
NeharikaKumari5
Semelhante a Opthalmoscopy
(20)
Otoscopy
Otoscopy
ECG Interpretation
ECG Interpretation
Venepuncture
Venepuncture
corrected version of Ophthalmoscopy by proffessor Samia..pptx
corrected version of Ophthalmoscopy by proffessor Samia..pptx
Fundoscopy ppt 2012
Fundoscopy ppt 2012
Rectal Examination
Rectal Examination
Lecture on Clinical Methods; Visual Field & Pupillary Reflexes For 4th Year M...
Lecture on Clinical Methods; Visual Field & Pupillary Reflexes For 4th Year M...
Coordination Exam
Coordination Exam
Male Genital Exam
Male Genital Exam
Basics of a Clinical Exam
Basics of a Clinical Exam
Muscle Power and Tone Examination
Muscle Power and Tone Examination
ENT Examination
ENT Examination
eye assessment.docx
eye assessment.docx
Ophthalmoscopy
Ophthalmoscopy
Direct Ophthalmoscopy/Fundoscopy
Direct Ophthalmoscopy/Fundoscopy
Behind The Scenes
Behind The Scenes
OPTHALMOSCOPY.pdf
OPTHALMOSCOPY.pdf
Breast Exam
Breast Exam
Eye examination.pdf
Eye examination.pdf
EYE EXAMINATION(Linda).pptx
EYE EXAMINATION(Linda).pptx
Mais de meducationdotnet
No Title
No Title
meducationdotnet
Spondylarthropathy
Spondylarthropathy
meducationdotnet
Diagnosing Lung cancer
Diagnosing Lung cancer
meducationdotnet
Eczema Herpeticum
Eczema Herpeticum
meducationdotnet
The Vagus Nerve
The Vagus Nerve
meducationdotnet
Water and sanitation and their impact on health
Water and sanitation and their impact on health
meducationdotnet
The ethics of electives
The ethics of electives
meducationdotnet
Intro to Global Health
Intro to Global Health
meducationdotnet
WTO and Health
WTO and Health
meducationdotnet
Globalisation and Health
Globalisation and Health
meducationdotnet
Health Care Worker Migration
Health Care Worker Migration
meducationdotnet
International Institutions
International Institutions
meducationdotnet
Haemochromotosis brief overview
Haemochromotosis brief overview
meducationdotnet
Ascities overview
Ascities overview
meducationdotnet
Overview of the Liver
Overview of the Liver
meducationdotnet
Overview of Antidepressants
Overview of Antidepressants
meducationdotnet
Gout Presentation
Gout Presentation
meducationdotnet
Review of orthopaedic services: Prepared for the Auditor General for Scotland...
Review of orthopaedic services: Prepared for the Auditor General for Scotland...
meducationdotnet
Sugammadex - a revolution in anaesthesia?
Sugammadex - a revolution in anaesthesia?
meducationdotnet
Dermatology Atlas
Dermatology Atlas
meducationdotnet
Mais de meducationdotnet
(20)
No Title
No Title
Spondylarthropathy
Spondylarthropathy
Diagnosing Lung cancer
Diagnosing Lung cancer
Eczema Herpeticum
Eczema Herpeticum
The Vagus Nerve
The Vagus Nerve
Water and sanitation and their impact on health
Water and sanitation and their impact on health
The ethics of electives
The ethics of electives
Intro to Global Health
Intro to Global Health
WTO and Health
WTO and Health
Globalisation and Health
Globalisation and Health
Health Care Worker Migration
Health Care Worker Migration
International Institutions
International Institutions
Haemochromotosis brief overview
Haemochromotosis brief overview
Ascities overview
Ascities overview
Overview of the Liver
Overview of the Liver
Overview of Antidepressants
Overview of Antidepressants
Gout Presentation
Gout Presentation
Review of orthopaedic services: Prepared for the Auditor General for Scotland...
Review of orthopaedic services: Prepared for the Auditor General for Scotland...
Sugammadex - a revolution in anaesthesia?
Sugammadex - a revolution in anaesthesia?
Dermatology Atlas
Dermatology Atlas
Opthalmoscopy
1.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 1 Ophthalmoscopy
2.
Why? Ophthalmoscopy is
performed: Trauma around or of the eye itself Routine diabetic check As part of a neurological examination Deteriorating vision Symptoms associated with visual problems Headaches Dizziness 9/19/2011 © Clinical Skills Resource Centre, University of Liverpool, UK 2
3.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 3 The ophthalmoscope Viewing aperture Lens wheel Lens indicator Rheostat Mask dial interposes various sized and shaped masks, use large for general viewing small for fovea/macula coloured filters may also be included
4.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 4 Holding the ophthalmoscope 1 Have the lens value(s) set to “0” Select a wide white light filter Hold instrument in right hand, held to right eye to look in patient’s right eye Hold the instrument with the index finger resting on the focusing wheel and the thumb on the rheostat Limit the brightness of the beam using thumb - too bright a beam is uncomfortable
5.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 5 Preliminaries Explain the procedure to the patient Inspect the external eye for any abnormalities Use a mydriatic or dim the lights to dilate the pupils Ask the person to fix their gaze on a distant object Place your free hand on the forehead of the patient - this sets the distance from which to approach and avoids clashes of head as you get nearer. Also the thumb can be used to hold the upper eyelid open
6.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 6 Holding the ophthalmoscope 2 The instrument MUST be held close to the examiner’s eye nestled against the supraorbital ridge or against glasses if worn Look through the aperture with one eye and close the other, or leave open if you prefer
7.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 7 Direction of approach Use the viewing eye to direct the beam of light onto the patient’s eye from 0.5 - 1 metre (arms length) Approach from an angle of 15-20° to the line of gaze Approach on the same level as the equator of the patient’s eye This approach directs the beam towards the optic disc, an important landmark Fixed gaze Angle of approach Optic disc
8.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 8 15 to 20 degrees from point of gaze Your eyes should be at the same level as the patients Ophthalmoscope light beam
9.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 9 Ophthalmoscopy Note the appearance of the external eye structures Note the red reflex - use this to guide you in closer to the pupil When close to the eye, use the focusing wheel to fine tune your focus on the retinal structures
10.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 10 Correct approach should bring you on or near to the optic disc Patient’s right eye Patient’s left eye Superior nasal Inferior nasal Superior temporal Inferior temporal Superior temporal Inferior temporal
11.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 11 The view of retina The circled area opposite shows the likely area that is illuminated on first visualising the retina To view the rest of the structures move the area of illumination by adjusting head-eye-instrument inclination If you still have difficulty seeing structures, try and find a blood vessel and turn the focus wheel until the lines of the vessel become clear LEFT MEDIAL LATERAL
12.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 12 Examination of the vessels Once a vessel is found you should follow the length of the vessel as far as possible to look for abnormalities Vessels branch into the four quadrants of the eye: superior nasal and temporal and inferior nasal and temporal. The quadrants can be used to describe where an abnormality lies Inferior Nasal Inferior Temporal Superior TemporalSuperior Nasal Optic Disk LEFT EYE
13.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 13 The retinal vessels If you miss or lose the optic disc: any branching of vessels form a “V”, the point of the “V” always points towards the optic disc The main vessels branch out in four directions (see arrows) Veins are uniform and burgundy in colour Arteries have a central pale line and two outer red walls
14.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 14 The macula The macula is lateral to the optic disc (about 11/2 disc diameters away) Few blood vessels are seen here To view the macula move your light beam in the direction of the temples
15.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 15 Viewing the fovea The fovea is a depression in the centre of the macula and is the point of central vision, with maximum concentration of cones. This is best viewed at the end of the examination Reduce the intensity of the light and ask the person to look directly into the light Now examine the other eye, remember to swap ophthalmoscope to the other hand
16.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 16 The retina - what to note Optic disc Sharpness Colour Optic cup appearance Arteries and veins tortuous or straight width and colour the light reflex along the arterioles appearance of the AV crossing Peripheral fundus follow each of the 4 main retinal vessels out for 3-4 disc diameters haemorrhages exudates choroidal changes scarring new vessel formation Culturally based variability in the colour of the iris and in retinal pigmentation = darker irises are correlated with darker retinas.
17.
9/19/2011 © Clinical
Skills Resource Centre, University of Liverpool, UK 17 Ophthalmoscopy - summary Introduce yourself Explain procedure Wash hands Check identity of patient Gain informed consent Ask subject to fix vision on distant object Dim lights, warn patient you will be close to the face Hold instrument to eye with index finger on lens dial Approach from shallow angle (15-20 degrees) Approach on the same level as the equator of subject’s eye Note & comment on red reflex Note & comment on anterior structures of the eye Focus on retina and Identify optic disc Follow blood vessels into 4 quadrants observe macula and fovea
Baixar agora