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Objektivn

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Title: Objektivn vy et ovac metody Subject: V uka o n propedeutiky Author: MUDr. Stodulka Pavel Keywords: autorefraktometr, autokeratorefraktometr ... – PowerPoint PPT presentation

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Title: Objektivn


1
MOTHODS OF OBJECTIVE EXAMINATION
Pavel Stodulka
2
1. REFRACTION
  • skiascopy
  • autorefractometer

2. REFRACTION AND CORNEAL CURVATURE
  • autokeratorefractometer

3. CORNEAL CURVATURE
  • corneal topography

3
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5
EYE
  • ANTERIOR SEGMENT
  • conjunctiva, cornea, anterior chamber,
  • pupil, lens
  • POSTERIOR SEGMENT
  • vitreous body, retina

6
FOCAL LIGHTING
  • overall state of the eye
  • cornea - smoothness, brightness, transparency
  • colour disparities are more apparent

7
BIOMICROSCOPY
  • slit lamp
  • magnification up to 40x

8
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9
BIOMICROSCOPY
  • cross-section through the eye media
  • transparency
  • thickness
  • affection in the corneal layers

10
Additonal devices of the slit lamp
  • blue cobalt filter
  • aplanative tonometer

11
BIOMICROSCOPY
  • without lens anterior segment
  • (conjuctiva, cornea, anterior camera, pupil,
    lens)
  • with lens posterior segment
  • (vitrous body, retina)
  • use of investigative lens (contact or
    contactless)

12
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13
OPHTALMOSCOPY
examination of the retina and vitreous body
14
OPHTALMOSCOPY
  • DIRECT
  • magnification 14x, adjustable dioptries of
    the patient,
  • real (uninverted) image of the fundus
  • monocular
  • INDIRECT
  • magnification 3x, converging lens 20 to
    30D
  • inverted image of the fundus
  • binocular

15
DIRECT OPHTALMOSCOPE
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17
INDIRECT OPHTALMOSCOPE
18
GONIOSCOPY
assessment of the iridocorneal angle
19
GONIOSCOPY
slit lamp Goldmanns lens
20
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22
MEASUREMENT of the INTRAOCULAR PRESSURE
TONOMETRY 21 torr
23
MEASUREMENT of the INTRAOCULAR PRESSURE
  • contact
  • contactless

24
CONTACT TONOMETRY
  • SCHIÖTZS TONOMETER
  • APLANATIVE TONOMETER

25
CONTACTLESS TONOMETRY
  • pneumotonometer

26
EXOPHTALMOMETRY
  • Hertels exophtalmometer
  • transparent ruler

27
EXOPHTALMOMETRY
28
exophtalmometry with the use of ruler
Hertels exophtalmometer
29
RED REFLEX ASSESSMENT
  • mirror with a pin-hole
  • retinoscope
  • oftalmoscope
  • slit lamp

30
MUDr. Pavel Stodulka,PhD. stodulka_at_zln.cz www.LASI
K.cz
Thanks for Your attention
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