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DNYANESHWAR BHAGWAN
POTFODE
Examination of the Anterior Segment
Why?
Disturbed vision? Pain? Abnormal appearance?
Method of examination
๏‚— History
๏‚— Systematic exam
๏‚— Front to back of eye
๏‚— General health checks:
blood pressure
urine for sugar
๏‚— Record findings
๏‚— Magnification
๏‚— Light
๏‚— Tonometer for IOP
๏‚— Field test
๏‚— Drops
fluorescein
oxybuprocaine (LA)
tropicamide 1% or 0.5%
๏‚— Ophthalmoscope
Anterior segment examination
๏‚— Lids
๏‚— Lacrimal
๏‚— Orbit
๏‚— Eye movements and cover test
๏‚— Pupil reactions
๏‚— Conjunctiva and cornea
๏‚— Anterior chamber and iris
๏‚— Lens
๏‚— Anterior vitreous
๏‚— Refraction
Lids
Giant papillae
on inverted
upper lid in
allergic
conjunctivitis
Conjunctiva and cornea
corneal pannus and opacity Corneal staining with fluorescein dye
Flare & cells & KP in AC
(slit lamp only)
Rubeosis iridis
Anterior chamber & iris
Slit lamp with dilated pupil Transillumination of pupil
Lens

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EXAMINATION OF ANTERIOR SEGMENT OF EYE

  • 1. DNYANESHWAR BHAGWAN POTFODE Examination of the Anterior Segment Why? Disturbed vision? Pain? Abnormal appearance?
  • 2. Method of examination ๏‚— History ๏‚— Systematic exam ๏‚— Front to back of eye ๏‚— General health checks: blood pressure urine for sugar ๏‚— Record findings ๏‚— Magnification ๏‚— Light ๏‚— Tonometer for IOP ๏‚— Field test ๏‚— Drops fluorescein oxybuprocaine (LA) tropicamide 1% or 0.5% ๏‚— Ophthalmoscope
  • 3. Anterior segment examination ๏‚— Lids ๏‚— Lacrimal ๏‚— Orbit ๏‚— Eye movements and cover test ๏‚— Pupil reactions ๏‚— Conjunctiva and cornea ๏‚— Anterior chamber and iris ๏‚— Lens ๏‚— Anterior vitreous ๏‚— Refraction
  • 4. Lids Giant papillae on inverted upper lid in allergic conjunctivitis
  • 5. Conjunctiva and cornea corneal pannus and opacity Corneal staining with fluorescein dye
  • 6. Flare & cells & KP in AC (slit lamp only) Rubeosis iridis Anterior chamber & iris
  • 7. Slit lamp with dilated pupil Transillumination of pupil Lens