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Ocular PE :eye: (:melon:Intraocular examination (Iris:leaves: (Abn.,…
Ocular PE
:eye:
:golfer::skin-tone-3:
Concept
:
Look
-
Palpate
- percussion -
Auscultate
:sunflower:
Visual func assessment
:watermelon:
External eyes
examination
Ocular adnexa
:bee:
Eyebrow
Func: protect Orbit
Location @ Orbital rim
:!: Noted: Eyebrow ptosis, It’s landmark to approximate wound around eyebrow area
:bee:
Eyelids
Func
Lacrimal systems
:bee:
Protect eyeballs
Normal position
Look at Palpebral aperture/fissure during open or close eyes
Abnormalities
Ptosis
: หนังตาตกsignificant ปิดบัง pupil
Lagophthalmos
: หลับตาแล้วยังเห็นตาขาว พอนานไปทำให้ตาแห้ง
Lid lag
: มองล่างละ eye lid ไม่คลุม
Lid retraction
Margins
~
3 landmarks
Lash line
~ black color
➭ 2-3 rows & Direction to outside
Gray line
~ grey color
➭ Mucocutaneous
Meibomian gland opening
~ white color
➭ Lipid glands
Structures
(outside to inside)
Skin
Orbicularis oculi
Tarsus
Orbital septum
Levator palpebrae superioris
Conjunctiva
Abnormalities
:grapes:
:bee:
Lacrimal apparatus
Secretion
system
Major:
Lacrimal gland
Minor:
Gland of Krause & Wolfring
Excretion
system
Along the pathway
:!:Cause ที่ทำให้คนไข้ขมคอ เพราะว่าน้ำตามันไหลลงคอทู
Lacrimal duct obstruction
Dacryocystitis
Epiphora
Lacrimal sac irrigation
:bee:
Orbit
Anatomical subsections
Preseptal
Postseptal
Extraconal
Intraconal
Ocular
Orbital bone
EOM
Ocular alignment
:bee:
Conjunctiva
3 parts
:dango:
Bulbar
conjunctiva
:dango:
Fornical
conjunctiva
:dango:
Palpebral
conjunctiva
Eversion of eyelids
To look for Foreign bodies that cause constant irritation
:warning:
C/I in Suspected of ruptured globe
(as its already leaking content fr eye)
Func
Lubricate eye by producing mucus & tears & involving in immune surveillance
Abnormalities
Subconjunctival hemorrhage
Chemosis
conjunc บวมน้ำ
Pinguecular
ต้อลม
Pterygium
ต้อเนื้อ
:bee:
Eyelash
Normal position: โค้งไปด้านนอก
Abnormality
Districhiasis
: extra rows of eyelash
Trichiasis
: ขนตางุ้ม ➭ โดน cornea ➭ can irritate
Poliosis
: ขนขาว
Madarosis
: ขนตาหาย
Tear film
:grapes:
Cornea
4 layers
Func
Smooth surface
Refractive power
Transparent
Abnormalities
:grapes:
Corneal sensation test for Ophthalmic division of CN V
เขี่ย cornea
Esthesiometer
:melon:
Intraocular
examination
Segments
:leaves:
Anterior segments :apple:
Anterior chamber
Ant. Chamber depth accessment
For checking
Glaucoma (แยก open and close ได้)
Head trauma (by look for leaking)
Depth grading
Abn
Hypopyon
Hyphema
Angle assessment
by
Gonioscopy
Posterior chamber
Posterior segments
:apple:
Vitreous
Background fundus
Macular
Vss
Optic disc
Iris
:leaves:
Abn
.
Color
Surface
Shadow~
Pupillary exam
:leaves:
:one:
Shapes
round
:two:
Size
Symmetry
Miosis (< 2mm)
Mydriasis (>7mm)
A
symmetry
Anisocoria
:three:
Reaction
Light
Accomodation
(near reflex)
3 components
5 Cs
Lens
:leaves:
Abn
:eight_pointed_black_star:
Cataracts
clouding of lens/ opacification
Position
Anterior dislocation
Posterior dislocation
Subluxation
:musical_note:
Listen
Orbital bruit
Caused by Carotid-carvenous fistula
Swooshing sound within their skull