Clinical Procedures for Ocular Examination

Clinical Procedures for Ocular Examination

by Nancy B. Carlson
     
 

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ISBN-10: 083851328X

ISBN-13: 9780838513286

Pub. Date: 04/01/1990

Publisher: McGraw-Hill Professional Publishing

Clinical Procedures for Ocular Examination, Third Edition, is a must-have resource for students and practitioners involved in eye care. This concise handbook provides detailed, step-by-step procedures for performing each examination technique. Each technique is then described by purpose, indication, equipment, set-up, recording, and examples -- all accompanied by

Overview

Clinical Procedures for Ocular Examination, Third Edition, is a must-have resource for students and practitioners involved in eye care. This concise handbook provides detailed, step-by-step procedures for performing each examination technique. Each technique is then described by purpose, indication, equipment, set-up, recording, and examples -- all accompanied by updated graphics and photographs. The latest technologies and techniques in the field of vision care are covered in this comprehensive guide.

Product Details

ISBN-13:
9780838513286
Publisher:
McGraw-Hill Professional Publishing
Publication date:
04/01/1990
Edition description:
SPIRAL
Pages:
251
Product dimensions:
5.51(w) x 8.27(h) x (d)

Related Subjects

Table of Contents

Contributorsx
Prefacexi
Introductionxiii
Acknowledgmentsxvi
1.Case History1
Case History Script3
2.Entrance Tests7
Introduction to the Entrance Tests9
External Observation13
Visual Acuity (VA): Minimum Legible14
Visual Acuity (VA): Minimum Legible Using a LogMAR Chart18
Visual Acuity (VA): Minimum Legible Using the Massachusetts Visual Acuity Test with Lea Symbols24
Pinhole Visual Acuity29
Amplitude of Accommodation: Push-Up Method31
Color Vision33
Cover Test35
Stereopsis42
Screening Stereopsis Using the Random Dot E44
Worth 4 Dot47
Near Point of Convergence (NPC)50
Hirschberg Test52
Bruckner Test55
Extraocular Motilities (EOM)57
Pupils59
Screening Visual Fields61
Finger Counting Visual Fields64
Interpupillary Distance (PD)67
Summary of Expected Findings70
3.Refraction71
Introduction to Refraction73
Lensometry76
Keratometry81
Introduction to the Phoropter87
Static Retinoscopy90
Routine Distance Subjective Refraction With the Phoropter95
Step-by-Step Procedure for the Routine Distance Subjective Refraction with the Phoropter97
I.Monocular Distance Subjective Refraction98
Initial MPMVA (Maximum Plus to Maximum Visual Acuity)98
Initial Duochrome (Bichrome, Red-Green Test)99
The Jackson Cross Cylinder (JCC) Test101
Second Monocular MPMVA104
II.Binocular Balance106
Binocular MPMVA109
Use of the Trial Frame to Modify a Prescription112
III.Side Trips from the Routine Distance Subjective Refraction115
Clock Chart (Sunburst Dial)115
Jackson Cross Cylinder (JCC) Check Test for Uncorrected Astigmatism117
Prism-Dissociated Duochrome Test118
Sighting-Dominance Check120
Trial Frame Refraction121
Stenopaic Slit Refraction126
Cycloplegic Refraction128
Delayed Subjective Refraction131
Convergence Controlled Refraction133
Binocular Refraction With the Vectographic Slide135
Humphriss Immediate Contrast Method139
Infinity Balance142
Mohindra's Near Retinoscopy144
Determining the Add for the Presbyope146
Septum Near Balance151
Near Refinement of Cylinder Axis and Power Using the Borish Binocular Near Point Card156
Modified Humphriss for Near Refinement of Cylinder Axis and Power158
4.Functional Tests161
Introduction to Functional Tests162
Distance Lateral Phoria by von Graefe Technique164
Distance Vertical Phoria by von Graefe Technique167
Horizontal Vergences at Distance170
Vertical Vergences at Distance173
Near Lateral Phoria by von Graefe Technique176
Near Vertical Phoria by von Graefe Technique179
Horizontal Vergences at Near182
Vertical Vergences at Near185
Fusional Vergence Facility at Near187
Fused Cross Cylinder189
Negative Relative Accommodation/Positive Relative Accommodation (NRA/PRA)191
Accommodative Facility193
Dynamic Retinoscopy: Monocular Estimation Method (MEM)197
Dynamic Retinoscopy: Bell Retinoscopy199
Amplitude of Accommodation: Minus Lens to Blur202
Associated Phoria204
Maddox Rod Phoria208
Modified Thorington Phoria211
4 [Delta] Base Out Test214
5.Ocular Health Assessment219
Introduction to Ocular Health Assessment221
Biomicroscopy (Slit Lamp)225
Special Slit Lamp Procedures236
Examination of the Anterior Chamber237
Eversion of the Upper Lid239
Corneal or Conjunctival Staining241
Specular Reflection Technique244
Sclerotic Scatter Technique246
Instillation of Drops248
Gonioscopy251
Tear Break-Up Time258
Schirmer Tests: Schirmer #1 Test and Basic Lacrimation Test260
Cotton Thread Test263
Fluorescein Clearance Test (or "Dye Disappearance Test")265
Jones #1 (Primary Dye) Test267
Direct Ophthalmoscopy269
Binocular Indirect Ophthalmoscopy271
Scleral Depression277
Fundus Biomicroscopy280
Nerve Fiber Layer Evaluation283
Retinal Evaluation with the Goldmann 3-Mirror Lens285
Goldmann Applanation Tonometry289
Non-Contact Tonometry295
Amsler Grid301
Tangent Screen304
D-15 Color Test307
Brightness Comparison Test309
Photostress Recovery Time Test311
Red Desaturation Test314
Exophthalmometry317
6.Contact Lenses321
Introduction to the Contact Lens Examination323
Contact Lens Case History326
Contact Lens External Examination328
Inspection and Verification of Gas Permeable Contact Lenses332
Base Curve Radius: Radiuscope334
Base Curve Radius: Lensco-Meter337
Back Vertex Power and Optical Quality339
Lens Diameter and Optic Zone Diameter341
Center Thickness344
Edge Configuration346
Surface Quality349
Surface Wettability352
Insertion, Removal, and Recentering of Gas Permeable Contact Lenses354
Fit Assessment of Gas Permeable Contact Lenses: Biomicroscope358
Fit Assessment of Gas Permeable Contact Lenses: Burton (UV) Lamp363
Inspection and Verification of Soft Contact Lenses365
Back Vertex Power366
Surface Inspection: Films and Spots368
Surface Inspection: Discoloration372
Surface Inspection: Tears, Nicks, and Scratches373
Insertion and Removal of Soft Contact Lenses375
Fit Assessment of Soft Contact Lenses379
Over-Refraction: Phoropter385
Over-Refraction: Spectacle Trial Lenses387
Evaluation of the Monovision Patient390
7.Systemic Health Screening395
Introduction to Systemic Health Screening396
Blood Pressure Evaluation (Sphygmomanometry)397
Carotid Artery Evaluation402
Orbital Auscultation406
Lymph Node Evaluation409
Paranasal Sinus Evaluation413
Glucometry419
8.Cranial Nerve Screening423
Introduction to Cranial Nerve Screening424
Muscle Field With Red Lens, Ductions, and Saccades427
Test for a Paretic Horizontal Muscle430
Park's 3-Step Method432
Dim-Bright Pupillary Test434
Near (Accommodative) Response of the Pupil437
Pupil Cycle Time439
Pharmacological Tests of the Pupil441
Trigeminal Nerve Function Test444
Facial Nerve Function447
Screening Tests for Cranial Nerves I, VIII, XI, and XII449
References453
Index473

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