A 25 yo Hispanic male complains of 2 day onset of red right eye with foreign body sensation.

A 65 yo Asian female has acute onset of headache, eye pain and blurry vision.

Ophthalmic Exam

Instruments for Ophthalmic Exam

Visual Acuity Chart

Distant Chart

Near Vision Chart

Occluder

Pen Light

+/- Woods Lamp

Direct Ophthalmoscope

Dyes and Drops

Fluorescein Dye

Rose Bengal or Lissamine Green

Dilating Drops

Mydriacyl 1%

Neosynepherine 2.5%

Visual Acuity

Without correctionWith correctionPinhole

Check Motility

Confrontational Visual Fields

PupilsPupils

Direct Response

Consensual Response

Swinging Light Test (APD)

External Exam

Peri-orbital TissuePeri-orbital Tissue

Lids

Lashes

Lymph Nodes

Intra-ocular Pressure

Tonopen

Digital

Anterior Segment Exam

ConjunctivaConjunctiva

Direct Ophthalmoscope

Woods Lamp

Fluorescein Dye

Cornea

Pen Light

Woods Lamp

Direct Ophthalmoscope

Dyes

Fluorescein

Rose Bengal

Anterior Chamber

Oblique Flashlight Test

IrisIris

LensLens

Direct Ophthalmoscope

Set at zero, looking for the red reflex

Posterior SegmentPosterior Segment

Direct OphthalmoscopeDirect Ophthalmoscope

Set ophthalmoscope to + 10 or +20

VitreousVitreous

Optic DiscOptic Disc

Circumference

Color

Cup

VesselsVessels

Caliber

A/V ratio

Crossing Changes

MaculaMacula