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Examination Of Eye�For CHO/SN

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COMPLAINTS OF EYE

Diminution of vision – for near and distance :

it can be :-Sudden or insidious painless or painful

Redness - can be a sign of infection, allergy, or foreign bodies

Watering or discharge

Swelling of lids – painful or painless

Foreign body sensation / grittiness/ itching

Headache /photophobia/ glare/ colours halos

Diplopia

Bulging or squinting

White reflex in the pupillary area

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HISTORY

    • Duration and progression of symptoms
    • Changes in vision
    • FBS in eye
    • Associated pain and photophobia
    • History of trauma- when, where, injuring object
    • Eye discharge/watering- degree, amount, and nature
    • Any systemic complaints – DM / HTN, etc.
    • Any recent of eye surgery

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Explain to the patient what are doing

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Get vision done and record it with glasses or contact lens if wearing

Examine eyelids for

    • Dropping
    • Swelling
    • Injury
    • Inflammation
    • Trichiasis
    • Entropion Or Ectropion
    • Follicles

TORCH LIGHT EXAMINATION

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LOOK FOR SQUINT CHECK

OCULAR MOVEMENTS

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Conjunctiva – redness, discharge, hemorrhage or fb, etc

Cornea – clarity , transparency look for any FB , ulceration or dryness etc.

Anterior chamber depth – look for any hypopyon,hyphema or keratitis precipitates

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Pupil whether round, size equal or not reactive to light

Crystalline lens : aphakia or pseudophakia or cataract

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ROPLAS – to check for patency of lacrimal apparatus

IOP check

Any other relevant examination depending upon the presentation

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Thank You