530 likes | 941 Views
26 April 2012. Slit Lamp Examination - IC. 2. M.P. STATE OPHTHALMIC CONFERENCE UJJAIN . 26 April 2012. Slit Lamp Examination - IC. 3. Presented by . Dr. Sanjay ShrivastavaDr. Nikhilesh Trivedi Dr. Kavita Kumar. 26 April 2012. Slit Lamp Examination - IC. 4. The science of examination with a slit la
E N D
1. 26 April 2012 Slit Lamp Examination - IC 1
2. 26 April 2012 Slit Lamp Examination - IC 2 M.P. STATE OPHTHALMIC CONFERENCEUJJAIN
3. 26 April 2012 Slit Lamp Examination - IC 3 Presented by Dr. Sanjay Shrivastava
Dr. Nikhilesh Trivedi
Dr. Kavita Kumar
4. 26 April 2012 Slit Lamp Examination - IC 4
5. 26 April 2012 Slit Lamp Examination - IC 5 SET UP Prerequisites Preferably a dark room and slit lamp biomicroscope
Position Patient is seated comfortably on an adjustable stool, with chin resting against chin rest and forehead against head rest bar.
6. 26 April 2012 Slit Lamp Examination - IC 6 Examination of Various Ocular Structures
7. 26 April 2012 Slit Lamp Examination - IC 7
8. 26 April 2012 Slit Lamp Examination - IC 8
9. 26 April 2012 Slit Lamp Examination - IC 9
10. 26 April 2012 Slit Lamp Examination - IC 10 Diffuse Illumination - Cysts
- Concretions
- Tumours
- Nodules
- Conjunctival pigmentation
- Staining of tear film.
- Staining of any conjunctival defect.
11. 26 April 2012 Slit Lamp Examination - IC 11
12. 26 April 2012 Slit Lamp Examination - IC 12
13. 26 April 2012 Slit Lamp Examination - IC 13
14. 26 April 2012 Slit Lamp Examination - IC 14
15. 26 April 2012 Slit Lamp Examination - IC 15 Hypopyon Ulcer seen in Direct Focal Illumination
16. 26 April 2012 Slit Lamp Examination - IC 16 Direct Focal Illumination Keratic precipitates can be seen in high power
Opacity in anterior part of cornea.
Degenerations
Dystrophies
Pigmentation
KF ring
Argyrosis
Precorneal tear film
17. 26 April 2012 Slit Lamp Examination - IC 17
18. 26 April 2012 Slit Lamp Examination - IC 18
19. 26 April 2012 Slit Lamp Examination - IC 19 Retro Illumination
- Dystrophies of Descemet's membrane
- Vacuoles
- Keratic Precipitates (Stellate)
- Oedema of epithelium
- Bullae
- Ghost Vessels
20. 26 April 2012 Slit Lamp Examination - IC 20
21. 26 April 2012 Slit Lamp Examination - IC 21
22. 26 April 2012 Slit Lamp Examination - IC 22
23. 26 April 2012 Slit Lamp Examination - IC 23
24. 26 April 2012 Slit Lamp Examination - IC 24
25. 26 April 2012 Slit Lamp Examination - IC 25 AQUEOS FLARE It is seen in 2 mm x 1 mm slit beam with maximum light intensity.
- It is seen against the iris plane.
- It can be seen in conical beam by direct focal illumination technique.
26. 26 April 2012 Slit Lamp Examination - IC 26 Grading of flare 0 Absent
1+ Faint Barely detectable
2+ Moderate Iris and lens details clear
3+ Marked, iris and lens details hazy
4+ Intense fibrinous aqueous
27. 26 April 2012 Slit Lamp Examination - IC 27
28. 26 April 2012 Slit Lamp Examination - IC 28
29. 26 April 2012 Slit Lamp Examination - IC 29 ANTERIOR CHAMBER An optical section of peripheral cornea and anterior chamber is made on slit lamp with illumination and viewing arms at 60° to each other.
Viewing arm is perpendicular to cornea. Magnification is 15 X.
30. 26 April 2012 Slit Lamp Examination - IC 30
31. 26 April 2012 Slit Lamp Examination - IC 31
32. 26 April 2012 Slit Lamp Examination - IC 32
33. 26 April 2012 Slit Lamp Examination - IC 33
34. 26 April 2012 Slit Lamp Examination - IC 34
35. 26 April 2012 Slit Lamp Examination - IC 35 Iris Scatter - Beam is focused on corneoscleral junction.
- Magnification is kept low or medium.
- Used to see
- Iris contour, depression, discontinuities
- Any tumour
- Holes and other defects
36. 26 April 2012 Slit Lamp Examination - IC 36
37. 26 April 2012 Slit Lamp Examination - IC 37
38. 26 April 2012 Slit Lamp Examination - IC 38 Lens under direct focal illumination
39. 26 April 2012 Slit Lamp Examination - IC 39
40. 26 April 2012 Slit Lamp Examination - IC 40 Examination of Lens 3. Direct Retro Illumination Obstructive Lesion
Indirect Retro Illumination Refractile and Respersive
41. 26 April 2012 Slit Lamp Examination - IC 41
42. 26 April 2012 Slit Lamp Examination - IC 42
43. 26 April 2012 Slit Lamp Examination - IC 43
44. 26 April 2012 Slit Lamp Examination - IC 44
45. 26 April 2012 Slit Lamp Examination - IC 45 Examination of Pupil Direct Focal Illumination
- Direct Reflex
- Consensual reflex
- Accomodation reflex
- Neovascularisation at pupillary margin
- Exfoliative changes.
46. 26 April 2012 Slit Lamp Examination - IC 46
47. 26 April 2012 Slit Lamp Examination - IC 47
48. 26 April 2012 Slit Lamp Examination - IC 48 Slit lamp biomicroscopy can be used is combination with various lenses and mirrors for a magnified stereoscopic evaluation of retina and vitreous by vertical tilting of a slit 10° - 20°.
49. 26 April 2012 Slit Lamp Examination - IC 49
50. 26 April 2012 Slit Lamp Examination - IC 50
51. 26 April 2012 Slit Lamp Examination - IC 51
52. 26 April 2012 Slit Lamp Examination - IC 52
53. 26 April 2012 Slit Lamp Examination - IC 53 Auxillary Devices 6. Corneal Thickness Pachymetry
7. AC Depth Van Hericks Method.
8. Ophthalmodynamometry Pulsations of blood vessels.
Slit Lamp Photography
Delivery of Argon, Diode and Nd YAG laser
11. Laser Interferometry
12. Potential Acuity Meter Test.
54. 26 April 2012 Slit Lamp Examination - IC 54