Work Sheet And Course Hand Out

Size: px
Start display at page:

Download "Work Sheet And Course Hand Out"

Transcription

1 Work Sheet And Course Hand Out This course provides the primary care health professional with a basic understanding of the eye, its function and the assessment of common sight- and non-sight threatening eye problems. WELCOME TO ipduk Author: Margaret Gurney MSc, BSc (Hons) ENB346 INP - Worked in Ophthalmology for 23 years and trained at Moorfields Eye Hospital. Understanding The Human Eye: UNDERSTANDING THE EYE Eye Exterior: EYE EXTERIOR Eye Exterior: Transforms light into a picture Cornea bends the light Cones and rods send images to the brain EYE EXTERIOR 1

2 The Anterior Segment: Iris Crystalline Lens Aqueous Humour Cornea ANTERIOR SEGMENT Suspensory Ligament Posterior Segment: Vitreous Retina Optic Nerve Macula POSTERIOR SEGMENT Choroid Optic Disc Vision and Visual Acuity: VISION AND VISUAL ACUITY Normal Vision: Both eyes are aligned Clear cornea and ocular Intact retina optic nerve and visual pathway NORMAL VISION 2

3 The Snellen Chart: Standardised for size and contrast Important if wish to refer patient THE SNELLEN CHART The Snellen Chart: Test one eye at a time Continue until letters cannot be read clearly Note visual acuity (VA) and pinholes (PH) THE SNELLEN CHART Types of Vision: Myopia Hyperopia Presbyopia VISION TYPES: NORMAL, MYOPIA, HYPEROPIA AND PRESBYOPIA Types of Vision: Difficulty seeing some objects Cornea not perfectly spherical VISION TYPES: ASTIGMATISM 3

4 Ophthalmic Triage: OPHTHALMIC TRIAGE Ophthalmic Triage: Definition OPHTHALMIC TRIAGE Ophthalmic Triage: OPHTHALMIC TRIAGE History Taking: Helps allocate triage category Be systemic in your approach HISTORY TAKING 4

5 ipduk Ophthalmic Challenging Assessment Behaviour History Taking Normal Vision: Determine what their vision is like normally NORMAL VISION History Taking Presenting Problem: Understand the reason for their visit Be reassuring PRESENTING PROBLEM History Taking Eye and Family History: Note previous eye problems Note any other medical conditions Note their family s eye history EYE AND FAMILY HISTORY The Presenting Problem: These questions help to identify if the condition is serious PRESENTING PROBLEMS 5

6 Eye and Family History General Health: Many health problems can manifest in the eye Note inflammatory or vascular conditions EYE AND FAMILY HISTORY Eye and Family History Medications and Allergies: Document all medications and allergies EYE AND FAMILY HISTORY Triage and Red Flags: Definition TRIAGE AND RED FLAGS Sight Threatening Conditions: SIGHT THREATENING CONDITIONS 6

7 What Cases Are Considered a Red Flag?: RED FLAGS Penetrating Eye Injury: Cover and transfer to A&E PENETRATING EYE INJURY Alkaline Burn: Irrigate with saline Send to eye casualty unit ALKALINE BURN Acute Glaucoma: Blockage has occurred Pressure rises ACUTE GLAUCOMA 7

8 Acute Glaucoma: Needs urgent attention and referral ACUTE GLAUCOMA Central Retinal Artery Occlusion: Blood flow blocked CENTRAL RETINAL ARTERY OCCULUSION Central Retinal Artery Occlusion: Patient may be panicked Needs urgent attention and referral CENTRAL RETINAL ARTERY OCCULUSION Acute Anterior Uveitis: Also known as Iritis Inflammation of uveal tract UVEITIS 8

9 Acute Anterior Uveitis: Look for underlying condition e.g. Ankylosing Spondylosis Needs attention and referral within 24 hours UVEITIS Orbital and Preseptal Cellulitis: Orbital Cellulitis: Preseptal Cellulitis: ORBITAL AND PRESEPTAL CELLULITIS Orbital and Preseptal Cellulitis: Algorithm ORBITAL AND PRESEPTAL CELLULITIS Herpes Simplex Keratitis: Viral infection History taking and visual acuity important HERPES SIMPLEX KERATITIS 9

10 Herpes Simplex Keratitis: Infection may be superficial: Infection may involve the deeper layers of the cornea: HERPES SIMPLEX KERATITIS Needs attention and referral within 24 hours Herpes Zoster Ophthalmicus: Also known as Ophthalmic Shingles Herpes zoster affects the first branch of the trigeminal nerve HERPES ZOSTER OPHTHALMICUS Herpes Zoster Ophthalmicus: Needs attention and referral within 24 hours HERPES ZOSTER OPHTHALMICUS Flashes and Floaters: Can signal both red flags and minor conditions FLASHES AND FLOATERS 10

11 Flashes and Floaters: Can be Retinal Detachment or the less serious Posterior Vitreous Detachment FLOATERS AND FLASHERS Non-Sight Threatening Conditions: NON-SIGHT THREATENING CONDITIONS Non-Red Flag Conditions: Definition NON-RED FLAGS Sub-Conjunctival Haemorrhage: Will normally heal without intervention Determine the cause SUB-CONJUNCTIVAL HAEMORRHAGE 11

12 Serious Sub-Conjunctival Haemorrhages: Bruising may be evident If no demarcation line, then refer to A&E SEIOUS SUB-CONJUNCTIVAL HAEMORRHAGES Non-Red Flag Conditions Game: A: B: C: D: ANSWERS BELOW: PLEASE COMPLETE ONLINE EXERCISE BEFORE CONTINUING WITH HAND-OUT Blepharitis: Inflammation of the eyelids Usually affects both eyes BLEPHARITIS Blepharitis: May block meibomian glands BLEPHARITIS 12

13 Chalazion: Also known as a Meibomian Cyst Inflamed meibomian gland CHALAZION Chalazion: Treat or refer if infected or deemed serious CHALAZION Conjunctivitis: Bacterial Conjunctivitis: Viral Conjunctivitis: Allergic Conjunctivitis: CONJUNCTIVITIS Episcleritis: Inflammation of the conjunctiva and episcleral vessels Refer to local eye casualty unit if condition does not improve EPISCLERITIS 13

14 Remember : Better to be safe than sorry if in doubt, ask REMEMBER Summary: Know the appearance and functions of a healthy eye Be thorough with history taking and your examinations Know common sight-threatening conditions Know the difference between sight and non-sight SUMMARY threatening conditions If in doubt, ask 14

OPHTHALMOLOGY REFERRAL GUIDE FOR GPS

OPHTHALMOLOGY REFERRAL GUIDE FOR GPS OPHTHALMOLOGY REFERRAL GUIDE FOR GPS A guidebook to support general practitioners in the management and referral of a range of common eye problems. Contents 3 Introduction 4 Ophthalmic Workup 6 Acute Visual

More information

Chapter 7, Section 1 Review Questions. Directions: Place the letter of the best definition next to each key term. Name PER Date

Chapter 7, Section 1 Review Questions. Directions: Place the letter of the best definition next to each key term. Name PER Date Name PER Date Chapter 7, Section 1 Review Questions Directions: Place the letter of the best definition next to each key term. A. the middle layer of the wall of the eye B. the structure between the choroid

More information

Scrub In. What is the function of vitreous humor? What does the pupil do when exposed to bright light? a. Maintain eye shape and provide color vision

Scrub In. What is the function of vitreous humor? What does the pupil do when exposed to bright light? a. Maintain eye shape and provide color vision Scrub In What is the function of vitreous humor? a. Maintain eye shape and provide color vision b. Maintain eye shape and refract light rays c. Provide night vision and color vision d. Provide night vision

More information

Test Bank for Medical Surgical Nursing An Integrated Approach 3rd Edition by White

Test Bank for Medical Surgical Nursing An Integrated Approach 3rd Edition by White Test Bank for Medical Surgical Nursing An Integrated Approach 3rd Edition by White Link full download : http://testbankair.com/download/test-bank-for-medical-surgical-nursing-anintegrated-approach-3rd-edition-by-white/

More information

Dr Jo-Anne Pon. Dr Sean Every. 8:30-9:25 WS #70: Eye Essentials for GPs 9:35-10:30 WS #80: Eye Essentials for GPs (Repeated)

Dr Jo-Anne Pon. Dr Sean Every. 8:30-9:25 WS #70: Eye Essentials for GPs 9:35-10:30 WS #80: Eye Essentials for GPs (Repeated) Dr Sean Every Ophthalmologist Southern Eye Specialists Christchurch Dr Jo-Anne Pon Ophthalmologist Southern Eye Specialists, Christchurch Hospital, Christchurch 8:30-9:25 WS #70: Eye Essentials for GPs

More information

Differential diagnosis of the red eye. Carol Slight Nurse Practitioner Ophthalmology

Differential diagnosis of the red eye. Carol Slight Nurse Practitioner Ophthalmology Differential diagnosis of the red eye Carol Slight Nurse Practitioner Ophthalmology The red eye Conjunctivitis HSV Keratitis Acute angle closure glaucoma Anterior Uveitis Red eye Scleritis Subconjunctival

More information

Acute Eyes for ED. Enis Kocak. The Alfred Ophthalmology

Acute Eyes for ED. Enis Kocak. The Alfred Ophthalmology Acute Eyes for ED Enis Kocak The Alfred Ophthalmology The problem with eyes Things to cover Ocular anatomy Basic assessment Common presentations Eye first aid and procedures Ophthalmic emergencies What

More information

For details on measurement and recording of visual acuity, refer to Annex 1. VISION INTERPRETING RESULTS ABSTRACT

For details on measurement and recording of visual acuity, refer to Annex 1. VISION INTERPRETING RESULTS ABSTRACT management update on functional decline in older adults 2012 Unit No. 5 VISION Dr Au Eong Kah Guan, Ms Yulianti, Ms Fifiana ABSTRACT Among Singaporean adults of Chinese origin aged 40 to 79 years old,

More information

Phone Triage for Optometric Staff ???????? CHEMICAL BURN CHEMICAL BURN

Phone Triage for Optometric Staff ???????? CHEMICAL BURN CHEMICAL BURN Phone Triage for Optometric Staff There are very few ocular emergencies that you will have to deal with in practice, but it is imperative that you be able to Michelle Welch, O.D. NSU Oklahoma College of

More information

Focusing on A&E. By Sandy Cooper, (Ophthalmic Nurse Practitioner), Tel

Focusing on A&E. By Sandy Cooper, (Ophthalmic Nurse Practitioner), Tel Focusing on A&E By Sandy Cooper, (Ophthalmic Nurse Practitioner), Tel 01752 439331 Email sandra.cooper5@nhs.net sandracooper041@btinternet.com THINGS TO WORRY ABOUT WITH ANY EYE PROBLEM CHANGES IN VISION

More information

UNDERSTAND MORE ABOUT UVEITIS UVEITIS

UNDERSTAND MORE ABOUT UVEITIS UVEITIS UNDERSTAND MORE ABOUT UVEITIS UVEITIS Uveitis What is uveitis? Uveitis is inflammation of the uvea, the middle layer of your eye. The eye is shaped much like a tennis ball, with three different layers

More information

Aristotle University Thessaloniki Medical School I. & II. Departments of Ophthalmology 90 DIAGNOSTIC & THERAPEUTIC APPROACHES IN OPHTHALMOLOGY

Aristotle University Thessaloniki Medical School I. & II. Departments of Ophthalmology 90 DIAGNOSTIC & THERAPEUTIC APPROACHES IN OPHTHALMOLOGY Aristotle University Thessaloniki Medical School I. & II. Departments of Ophthalmology 90 DIAGNOSTIC & THERAPEUTIC APPROACHES IN OPHTHALMOLOGY The medical student should be able to... I. Pathophysiology

More information

Assisting in Ophthalmology. Copyright 2011, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved.

Assisting in Ophthalmology. Copyright 2011, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved. Assisting in Ophthalmology Learning Objectives Define, spell, and pronounce the terms listed in the vocabulary. Apply critical thinking skills in performing patient assessment and care. Explain the differences

More information

Ocular Lecture. Sue Bednar NP Ali Atwater PA-C

Ocular Lecture. Sue Bednar NP Ali Atwater PA-C Ocular Lecture Sue Bednar NP Ali Atwater PA-C Triaging Ocular Complaints Painful Eye/Red eye +/-blurry vision +/-visual loss +/-floaters +/-fevers If any of the above findings exist, pt is likely to have

More information

CENTRAL MERSEY LOCAL OPTICAL COMMITTEE

CENTRAL MERSEY LOCAL OPTICAL COMMITTEE CENTRAL MERSEY LOCAL OPTICAL COMMITTEE OPTOMETRIC REFERRAL GUIDELINES The ocular conditions listed in this document are intended to reflect those that might be encountered in optometric practice and this

More information

What you can expect with OZURDEX

What you can expect with OZURDEX Important Information About Noninfectious Uveitis Affecting the Back Segment of the Eye and Treatment What you can expect with OZURDEX Approved Use OZURDEX (dexamethasone intravitreal implant) is a prescription

More information

JINNAH SINDH MEDICAL UNIVERSITY STUDY GUIDE- OPHTHALMOLOGY YEAR 4,

JINNAH SINDH MEDICAL UNIVERSITY STUDY GUIDE- OPHTHALMOLOGY YEAR 4, INTRODUCTION Pakistan, the 7th most populous country in the world, has an urban population of 38.8% and rural dwellers of 61.2%. The country has faced challenges with vision impairment and blindness as

More information

OUR EYES & HOW WE SEE

OUR EYES & HOW WE SEE OUR EYES & HOW WE SEE UNDERSTAND MORE ABOUT OUR EYES & HOW WE SEE Our Eyes & How We See The eye is our visual gateway to the world. Within it, an array of delicate components labour away to give us the

More information

Index. C Canalicular system, 4 Carbonic anhydrase inhibitors, 29 30

Index. C Canalicular system, 4 Carbonic anhydrase inhibitors, 29 30 A Acanthamoeba keratitis (AK), 82, 83 Acute angle-closure crisis, 156 Acute angle-closure glaucoma (AACG), 121, 141, 284 causes of, 122 clinical presentation, 153 evaluation, 156 157 management/treatment,

More information

The Orbit. The Orbit OCULAR ANATOMY AND DISSECTION 9/25/2014. The eye is a 23 mm organ...how difficult can this be? Openings in the orbit

The Orbit. The Orbit OCULAR ANATOMY AND DISSECTION 9/25/2014. The eye is a 23 mm organ...how difficult can this be? Openings in the orbit The eye is a 23 mm organ...how difficult can this be? OCULAR ANATOMY AND DISSECTION JEFFREY M. GAMBLE, OD COLUMBIA EYE CONSULTANTS OPTOMETRY & UNIVERSITY OF MISSOURI DEPARTMENT OF OPHTHALMOLOGY CLINICAL

More information

10 EYE EMERGENCIES. Who goes, who you better not send! Brant Slomovic, MD, FRCPC University Health Network

10 EYE EMERGENCIES. Who goes, who you better not send! Brant Slomovic, MD, FRCPC University Health Network 10 EYE EMERGENCIES Who goes, who you better not send! Brant Slomovic, MD, FRCPC University Health Network DISCLOSURES I have none PVD CASE 1 WHAT IS A PVD? a process of aging (45-55) liquefaction of vitreous

More information

Vision I. Steven McLoon Department of Neuroscience University of Minnesota

Vision I. Steven McLoon Department of Neuroscience University of Minnesota Vision I Steven McLoon Department of Neuroscience University of Minnesota 1 Eye Cornea Sclera Conjunctiva 2 Eye The conjunctiva lines the inner surface of the eyelids and outer surface of the sclera. 3

More information

Dr. D. Y. Patil Medical College, Pimpri, Pune

Dr. D. Y. Patil Medical College, Pimpri, Pune Dr. D. Y. Patil Medical College, Pimpri, Pune - 411 018 Period : 04/July/16 to 22/September/16 Semester : 7 th Semester Department : Ophthalmology Lecture Lesson Plan Sr No Date Topic Learning objectives

More information

Paediatric acute ophthalmology. Harry Bradshaw

Paediatric acute ophthalmology. Harry Bradshaw Paediatric acute ophthalmology Harry Bradshaw Approach Red eye Leukocoria Neurological Trauma Visual loss Red eye Orbital Eyelid Conjunctiva Cornea Uvea Orbital Orbit fixed volume Contiguous with sinuses,

More information

Special Senses: Vision

Special Senses: Vision ighapmlre24pg223_230 5/12/04 2:27 PM Page 223 impos03 302:bjighapmL:ighapmLrevshts:layouts: NAME LAB TIME/DATE Special Senses: Vision REVIEW SHEET exercise 24 Anatomy of the Eye 1. Name five accessory

More information

Department of Ophthalmology

Department of Ophthalmology Department of Ophthalmology Period : 02/July/18 to 30/August/18 Semester : 7 th Semester Lecture Lesson Plan Sr. Date Topic Lesson plan Name of Faculty No. 1 02.07.18 Lens- Lens-Anatomy, Classification

More information

Department of Ophthalmology

Department of Ophthalmology Period : 03/July/17 to 07/September/17 Semester : 7 th Semester Department of Ophthalmology Lecture Lesson Plan Sr 1 03.07.17 Uvea-Anatomy, Uvea-Anatomy, Classification of Uveitis Dr R Paranjpe Classification

More information

Ophthalmology. Ophthalmology Services

Ophthalmology. Ophthalmology Services Ophthalmology Ophthalmology Services The Ophthalmology service offers the latest and most comprehensive eye care for patients. With a dedicated team of eye surgeons and consultants, we treat vision problems

More information

Table of Contents 1 Orbit 3 2 Eyelids 7

Table of Contents 1 Orbit 3 2 Eyelids 7 Table of Contents Preface, x List of abbreviations xi Glossary xii Section I Atlas 1 1 Orbit 3 Clinical signs associated with orbital neoplasia 3 Clinical signs associated with orbital cellulitis 3 Enophthalmos

More information

Faculty Financial Disclosure. Learning Objectives: Office Ophthalmology. Basic Eye Exam: What s in your pocket/office? Office Ophthalmology

Faculty Financial Disclosure. Learning Objectives: Office Ophthalmology. Basic Eye Exam: What s in your pocket/office? Office Ophthalmology Faculty Financial Disclosure Office Ophthalmology Lynn K. Gordon, MD, PhD, has no financial relationships to disclose. Lynn K. Gordon, MD, PhD Professor and Vernon O Underwood Family Chair Department of

More information

5/2/2016 EYE EMERGENCIES. Nathaniel Pelsor, O.D., FAAO Talley Medical-Surgical Eye Care Associates. Anatomy. Tools

5/2/2016 EYE EMERGENCIES. Nathaniel Pelsor, O.D., FAAO Talley Medical-Surgical Eye Care Associates. Anatomy. Tools EYE EMERGENCIES Nathaniel Pelsor, O.D., FAAO Talley Medical-Surgical Eye Care Associates Anatomy Tools 1 Contact dermatitis Blepharitis HSV Preseptal Cellulitis Anterior Chamber Subconjunctival hemorrhage

More information

CURRICULUM FOR THE 2nd SEMESTER

CURRICULUM FOR THE 2nd SEMESTER CURRICULUM FOR THE 2nd SEMESTER SEMESTER- 2 S.No Subject Credits 1 Anatomy of the Eye 2 Physiology of the Eye 3 Islamiyat 4 English 1: ANTOMY OF THE EYE 1. Anatomy of the orbit and the ocular adnexa 1.1

More information

10/4/2013. Bruce K.Williams, MSN, RN,ACNP-BC Sisters of Charity Providence Hospitals. What is the worst thing that can go wrong with an eye?

10/4/2013. Bruce K.Williams, MSN, RN,ACNP-BC Sisters of Charity Providence Hospitals. What is the worst thing that can go wrong with an eye? Red Eyes, Red Alert! Bruce K.Williams, MSN, RN,ACNP-BC Sisters of Charity Providence Hospitals Red Eyes, Red Alert! Red Eyes, Red Alert! What is the worst thing that can go wrong with an eye? 1 Red Eyes,

More information

EYE TRAUMA: INCIDENCE

EYE TRAUMA: INCIDENCE Introduction EYE TRAUMA: INCIDENCE 2.5 million eye injuries per year in U.S. 40,000 60,000 of eye injuries lead to visual loss Introduction Final visual outcome of many ocular emergencies depends on prompt,

More information

REFERRAL GUIDELINES: OPHTHALMOLOGY

REFERRAL GUIDELINES: OPHTHALMOLOGY Outpatient Referral Guidelines Page 1 1 REFERRAL GUIDELINES: OPHTHALMOLOGY Date of birth Demographic Contact details (including mobile phone) Clinical Reason for referral Duration of symptoms Essential

More information

Accident & Emergency/ General Ophthalmology/ Primary Care/ Urgent Care Clinic Protocol for Optometrists

Accident & Emergency/ General Ophthalmology/ Primary Care/ Urgent Care Clinic Protocol for Optometrists Accident & Emergency/ General Ophthalmology/ Primary Care/ Urgent Care Clinic Protocol for Optometrists Protocol Summary Protocol for optometrists working in the Accident & Emergency, General Ophthalmology

More information

CORNEAL CONDITIONS CORNEAL TRANSPLANTATION

CORNEAL CONDITIONS CORNEAL TRANSPLANTATION GENERAL INFORMATION CORNEAL CONDITIONS CORNEAL TRANSPLANTATION WHAT ARE CORNEAL CONDITIONS? The cornea is the clear outer layer of the eye. Shaped like a dome, it helps to protect the eye from foreign

More information

Sense of Vision. Chapter 8. The Eye and Vision. The Eye Orbit. Eyebrows, Eyelids, Eyelashes. Accessory Organs 5/3/2016.

Sense of Vision. Chapter 8. The Eye and Vision. The Eye Orbit. Eyebrows, Eyelids, Eyelashes. Accessory Organs 5/3/2016. Sense of Vision Chapter 8 Special Senses The Eye and Vision 70 percent of all sensory receptors are in the eyes Each eye has over 1 million nerve fibers Protection for the eye Most of the eye is enclosed

More information

PREAMBLE TO MSC PAYMENT SCHEDULE: OPTOMETRY SERVICES

PREAMBLE TO MSC PAYMENT SCHEDULE: OPTOMETRY SERVICES PREAMBLE TO MSC PAYMENT SCHEDULE: OPTOMETRY SERVICES A. GENERAL PROVISIONS 1. Eye Examination Benefits Optometric benefits are services defined in Section 23 of the Medical and Health Care Services Regulations,

More information

Eye infections. Hossain Jabbari, MD, MPH, ID & TM Infectious Diseases Dept., Digestive Diseases Research Institute (DDRI) TUMS

Eye infections. Hossain Jabbari, MD, MPH, ID & TM Infectious Diseases Dept., Digestive Diseases Research Institute (DDRI) TUMS Eye infections Hossain Jabbari, MD, MPH, ID & TM Infectious Diseases Dept., Digestive Diseases Research Institute (DDRI) TUMS Eye: An overview Eye: An overview The eye is one of the most complex parts

More information

Herpes Zoster Ophtalmicus in a HIV positive patient: A Case Report

Herpes Zoster Ophtalmicus in a HIV positive patient: A Case Report ISPUB.COM The Internet Journal of Neurology Volume 9 Number 2 Herpes Zoster Ophtalmicus in a HIV positive patient: A Case Report G Lopez Bejerano, Y Graza Fernandez Citation G Lopez Bejerano, Y Graza Fernandez..

More information

What you can expect with OZURDEX

What you can expect with OZURDEX Important Information About Macular Edema Following Branch or Central Retinal Vein Occlusion (RVO) and Treatment For patients with RVO What you can expect with OZURDEX Approved Use OZURDEX (dexamethasone

More information

Special Senses: The Eye

Special Senses: The Eye Unit 4 Special Senses: The Eye ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Senses General senses of touch Temperature Pressure Pain Special senses Smell Taste Sight Hearing Equilibrium The Eye and Vision

More information

The Emergent Eye in the Acute Setting

The Emergent Eye in the Acute Setting The Emergent Eye in the Acute Setting Todd P. Margolis MD, PhD Professor of Ophthalmology & Director of the F.I. Proctor Foundation UCSF Physical Exam-- Visual Acuity Essential Corrected visual acuity

More information

PRECISION PROGRAM. Injection Technique Quick-Reference Guide. Companion booklet for the Video Guide to Injection Technique

PRECISION PROGRAM. Injection Technique Quick-Reference Guide. Companion booklet for the Video Guide to Injection Technique Injection Technique Quick-Reference Guide PRECISION PROGRAM Companion booklet for the Video Guide to Injection Technique Available at www.ozurdexprecisionprogram.com Provides step-by-step directions with

More information

Screening for Uveitis in Children

Screening for Uveitis in Children Information for patients and parents Manchester Royal Eye Hospital Paediatric Uveitis Service Screening for Uveitis in Children What is uveitis? Uveitis is inflammation of a layer of the eye, called the

More information

PAINFUL PAINLESS Contact lens user BOV

PAINFUL PAINLESS Contact lens user BOV Common Causes Allergies Infections Ocular Cornea, uveitis, endophthalmitis Orbital Orbital cellulitis Inflammation Uveitis Scleritis / episcleritis Glaucomas Trauma Foreign bodies Chemical injuries History

More information

HEALERS WHO SHARE. SUMMARY OF REMEDIES (with range of bottles needed) JUNE, 2016 RESEARCH Page 1 of 7

HEALERS WHO SHARE. SUMMARY OF REMEDIES (with range of bottles needed) JUNE, 2016 RESEARCH Page 1 of 7 JUNE, 2016 RESEARCH Page 1 of 7 In 2016 in the field of eyesight we have proven remedies plus remedies in early test stages. The early results are promising, but too few reports to rely on. We have therefore

More information

Ophthalmic Trauma Update

Ophthalmic Trauma Update Ophthalmic Trauma Update Richard S. Davidson, M.D. Professor of Ophthalmology Vice Chair for Quality and Clinical Affairs UCHealth Eye Center University of Colorado School of Medicine August 5, 2017 Financial

More information

4/22/16. Eye. External Anatomy of Eye. Accessory Structures. Bio 40B Dr. Kandula

4/22/16. Eye. External Anatomy of Eye. Accessory Structures. Bio 40B Dr. Kandula Eye Bio 40B Dr. Kandula External Anatomy of Eye Accessory Structures l Eyebrows l Levator Palpebrae Superioris - opens eye l Eyelashes l Ciliary glands modified sweat glands l Small sebaceous glands l

More information

Condition: Herpes Zoster Ophthalmicus (HZO)

Condition: Herpes Zoster Ophthalmicus (HZO) Condition: Herpes Zoster Ophthalmicus (HZO) Description: Herpes zoster represents a reactivation of the varicella zoster virus (VZV) which leads to characteristic skin lesions and, in many cases, ocular

More information

Rapid Visual Loss. Dr Michael Johnson PhD FCOptom DipOrth DipGlauc DipTp(IP) Independent Prescribing Optometrist

Rapid Visual Loss. Dr Michael Johnson PhD FCOptom DipOrth DipGlauc DipTp(IP) Independent Prescribing Optometrist Rapid Visual Loss Dr Michael Johnson PhD FCOptom DipOrth DipGlauc DipTp(IP) Independent Prescribing Optometrist Outline Pathophysiology Differential diagnosis. Patient scenarios in community practice:

More information

Patient Symptoms- What They Might Mean. Sarah Dougherty Wood, OD, MS, FAAO Heart of America, February 2011 Paraoptometric Lecture

Patient Symptoms- What They Might Mean. Sarah Dougherty Wood, OD, MS, FAAO Heart of America, February 2011 Paraoptometric Lecture Patient Symptoms- What They Might Mean Sarah Dougherty Wood, OD, MS, FAAO Heart of America, February 2011 Paraoptometric Lecture Basic ocular anatomy and physiology Movie projector analogy Blur at near/eye

More information

Identify the choice that best completes the statement or answers the question.

Identify the choice that best completes the statement or answers the question. Chapter 5. The Eye Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The most common type of eye disorder is: A. Refractive errors B. Macular conditions

More information

By Darlene Jones, Nurse. May 2017

By Darlene Jones, Nurse. May 2017 By Darlene Jones, Nurse May 2017 Disclosure of potential conflict of interest Darlene Jones, Nurse I have no conflict of interest Course objectives Become familiar with the different pathologies in ophthalmology

More information

EYE INJURIES OBJECTIVES COMMON EYE EMERGENCIES 7/19/2017 IMPROVE ASSESSMENT OF EYE INJURIES

EYE INJURIES OBJECTIVES COMMON EYE EMERGENCIES 7/19/2017 IMPROVE ASSESSMENT OF EYE INJURIES EYE INJURIES BRITTA ANDERSON D.O. DMC PRIMARY CARE SPORTS MEDICINE ASSOCIATE TEAM PHYSICIAN DETROIT TIGERS OBJECTIVES IMPROVE ASSESSMENT OF EYE INJURIES UNDERSTAND WHAT IS CONSIDERED AN EMERGENCY DEVELOP

More information

A Case of Carotid-Cavernous Fistula

A Case of Carotid-Cavernous Fistula A Case of Carotid-Cavernous Fistula By : Mohamed Elkhawaga 2 nd Year Resident of Ophthalmology Alexandria University A 19 year old male patient came to our outpatient clinic, complaining of : -Severe conjunctival

More information

What's hot and current in ophthalmology. ... and what is missing?

What's hot and current in ophthalmology. ... and what is missing? What's hot and current in ophthalmology... and what is missing? 30 April 2014 Cross-sectional review of ophthalmology clinical trials 2 Sources Online searches, BioPharmClinica, clinicaltrials.gov, EU

More information

UC SF. g h. Eye Trauma. Martha Neighbor, MD Emergency Services San Francisco General Hospital University of California

UC SF. g h. Eye Trauma. Martha Neighbor, MD Emergency Services San Francisco General Hospital University of California UC SF Eye Trauma sf g h Martha Neighbor, MD Emergency Services San Francisco General Hospital University of California Goals Recognize vision threatening eye emergencies Treat them when we can Know when

More information

Special Senses PART A

Special Senses PART A 8 Special Senses PART A PowerPoint Lecture Slide Presentation by Jerry L. Cook, Sam Houston University ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY EIGHTH EDITION ELAINE N. MARIEB The Senses General senses

More information

Ophthalmology for Primary Care: Do I Really Need to See It? Jennifer R. Olbum, DO

Ophthalmology for Primary Care: Do I Really Need to See It? Jennifer R. Olbum, DO Ophthalmology for Primary Care Jennifer Olbum, DO CCOM 1988 (Midwestern U.) Medical Retina subspecialist jenolbum@aol.com Daniel J. Nadler, MD LLC Beaver, PA Everett & Hurite Ophthalmic Assoc. Belle Vernon,

More information

THE 35 GOLDEN EYE RULES

THE 35 GOLDEN EYE RULES THE 35 GOLDEN EYE RULES The Sense of Sight, from La Dame a la Licorne, The Lady and the Unicorn Tapestries, Late 15th Century Flemish Tapestry in wool and silk, Musée Nationale du Moyen Age, Paris. 1.

More information

Eye and Ocular Adnexa, Auditory Systems

Eye and Ocular Adnexa, Auditory Systems Eye and Ocular Adnexa, Auditory Systems CPT copyright 2011 American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned

More information

Looking after Your Eyesight

Looking after Your Eyesight Slide 1 GORING AND WOODCOTE MEDICAL PRACTICE PATIENT PARTICIPATION GROUP (PPG) Open Meeting Looking after Your Eyesight 14 April 2018 Slide 2 Agenda The New Practice Website Julia Beasley Ophthalmology

More information

Ophthalmology. Juliette Stenz, MD

Ophthalmology. Juliette Stenz, MD Ophthalmology Juliette Stenz, MD Required Slide Disclosures NO SIGNIFICANT FINANCIAL, GENERAL, OR OBLIGATION INTERESTS TO REPORT Required Slide At the end of this session, students will be able to: 1.

More information

JOB DESCRIPTION ENT/Ophthalmology with General Practice post GP+1

JOB DESCRIPTION ENT/Ophthalmology with General Practice post GP+1 JOB DESCRIPTION ENT/Ophthalmology with General Practice post GP+1 Job Title: Base: Responsible to: Working Hours: On-call: ST 1/2 ENT/Ophthalmology and GP Hospital Trust and GP practice Clinical Supervising

More information

A Curious Case of Bilateral Optic Disc Edema Brittney Dautremont, DO, MPH

A Curious Case of Bilateral Optic Disc Edema Brittney Dautremont, DO, MPH A Curious Case of Bilateral Optic Disc Edema Brittney Dautremont, DO, MPH PGY2 Ophthalmology Resident Grandview Medical Center Dayton, OH CASE PRESENTATION 51 year old white female presenting with blurred

More information

Unit VIII Problem 8 Anatomy: Orbit and Eyeball

Unit VIII Problem 8 Anatomy: Orbit and Eyeball Unit VIII Problem 8 Anatomy: Orbit and Eyeball - The bony orbit: it is protecting our eyeball and resembling a pyramid: With a base directed: anterolaterally. And an apex directed: posteromedially. Notes:

More information

GENERAL INFORMATION CORNEAL TRANSPLANTATION

GENERAL INFORMATION CORNEAL TRANSPLANTATION GENERAL INFORMATION CORNEAL TRANSPLANTATION WHAT IS CORNEAL TRANSPLANTATION? A corneal transplant is an operation where a damaged or diseased cornea is replaced with donated, healthy tissue. Also called

More information

Measure #191: Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

Measure #191: Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Measure #191: Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery 2012 PHYSICIAN QUALITY REPORTING OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY DESCRIPTION: Percentage

More information

Common Eye Problems. Claudia U. Richter, M.D. Ophthalmic Consultants of Boston, Inc.

Common Eye Problems. Claudia U. Richter, M.D. Ophthalmic Consultants of Boston, Inc. Common Eye Problems for Subspecialists 2018 Claudia U. Richter, M.D. Ophthalmic Consultants of Boston, Inc. I have no financial disclosures to make. Goals of Course Evaluation and management of the red

More information

VN 122 MODULE F EYE AND VISION DISORDERS OCULAR HISTORY 1. PATIENT PERCEPTION OF PROBLEM 2. DECREASED VISION? 3. BLURRED, DOUBLE, DISTORTED?

VN 122 MODULE F EYE AND VISION DISORDERS OCULAR HISTORY 1. PATIENT PERCEPTION OF PROBLEM 2. DECREASED VISION? 3. BLURRED, DOUBLE, DISTORTED? VN 122 MODULE F EYE AND VISION DISORDERS OCULAR HISTORY 1. PATIENT PERCEPTION OF PROBLEM 2. DECREASED VISION? 3. BLURRED, DOUBLE, DISTORTED? 4. PAIN? QUALITY OF PAIN? 5. ITCHING, DRY? 6. BOTH EYES? 7.

More information

Frequently Asked Questions about General Ophthalmology:

Frequently Asked Questions about General Ophthalmology: 1. Normal Eye Structure The eye is a slightly asymmetrical globe, about an inch in diameter. The parts of the eye include: Cornea (a clear dome over the iris), Iris (the pigmented part); Pupil (the black

More information

DNB Question Paper. December

DNB Question Paper. December DNB Question Paper December PAPER - I 1. Discuss clinical features, pathogenesis and management of normal tension glaucoma. (3+3+4) 2. Describe clinical manifestations, pathology, differential diagnosis

More information

Disclosure Ocular Anatomy and Motility

Disclosure Ocular Anatomy and Motility Disclosure Ocular Anatomy and Motility Jenean Carlton BA, ABOC, NCLC President, Carlton & Associates, LLC Carlton and Associates, LLC provides communications and educational materials for the optical industry

More information

Around The Globe in 60 Minutes

Around The Globe in 60 Minutes Around The Globe in 60 Minutes Around the GLOBE in Sixty Minutes Basic Ocular Anatomy, Examination, and Diagnostic Techniques Introduction Focusing on canine and feline ocular anatomy and basic examination

More information

Telephone Triage Urgency or Emergency? Mary E. Schmidt, ABOC, CPO

Telephone Triage Urgency or Emergency?  Mary E. Schmidt, ABOC, CPO Telephone Triage Urgency or Emergency? www.eyesystems.info Mary E. Schmidt, ABOC, CPO mary@eyesystems.info Definition of Triage The sorting of patient and allocation of care or treatment according to the

More information

The Special Senses: Part A

The Special Senses: Part A PowerPoint Lecture Slides prepared by Janice Meeking, Mount Royal College CHAPTER 15 The Special Senses: Part A Warm Up What is the function of the eyeball? List any structures of the eyeball that you

More information

THE RED EYE Cynthia McNamara, MD Week 25

THE RED EYE Cynthia McNamara, MD Week 25 THE RED EYE Cynthia McNamara, MD Week 25 Educational Objectives: 1. Know the differential diagnosis and presentation of specific etiologies of the red eye 2. Be able to evaluate patients presenting with

More information

OPHTHALMOLOGY DEPARTMENT Primary care referral guidelines

OPHTHALMOLOGY DEPARTMENT Primary care referral guidelines OPHTHALMOLOGY DEPARTMENT Primary care referral guidelines Contents REFERRAL CATEGIES... 2 Emergency... 2 Urgent... 2 Semi urgent/routine... 2 Not accepted... 2 OPHTHALMOLOGY CONDITIONS NOT ACCEPTED...

More information

The Anterior Segment & Glaucoma Visual Recognition & Interpretation of Clinical Signs

The Anterior Segment & Glaucoma Visual Recognition & Interpretation of Clinical Signs The Anterior Segment & Glaucoma Visual Recognition & Interpretation of Clinical Signs Quiz created by Jane Macnaughton MCOptom & Peter Chapman BSc MCOptom FBDO CET Accreditation C19095 2 CET Points (General)

More information

Vanderbilt Eye Institute Clinical Trials

Vanderbilt Eye Institute Clinical Trials April, 2010 Vanderbilt Eye Institute Clinical Trials Ophthalmology Actively Recruiting Studies For information on our clinical trials and other studies, please contact: Sandy Owings, COA, CCRP Clinic Director

More information

LECTURE # 7 EYECARE REVIEW: PART III

LECTURE # 7 EYECARE REVIEW: PART III LECTURE # 7 EYECARE REVIEW: PART III HOW TO TRIAGE EYE EMERGENCIES STEVE BUTZON, O.D. EYECARE REVIEW: HOW TO TRIAGE EYE EMERGENCIES FOR PRIMARY CARE PHYSICIANS Steve Butzon, O.D. Member Director IDOC President

More information

Management of specific eye problems in the ED

Management of specific eye problems in the ED of specific eye problems in the ED CORNEAL ABRASION Causes Foreign bodies Tangential shearing injuries, e.g. poking finger into eye Exact cause of injury (Remember to exclude possibility of intraocular

More information

Fast Facts. Fast Facts: Ophthalmology. Peter Simcock and Andre Burger. Second edition

Fast Facts. Fast Facts: Ophthalmology. Peter Simcock and Andre Burger. Second edition Fast Facts Fast Facts: Ophthalmology Peter Simcock and Andre Burger Second edition A fantastic companion for all clinicians involved in primary eye care. Dr Amit Jinabhai, Lecturer in Optometry, University

More information

Eye Diseases: Recognize These Common Eye Conditions

Eye Diseases: Recognize These Common Eye Conditions Eye Diseases: Recognize These Common Eye Conditions Many Americans Miss the Mark on Eye Diseases and Conditions. A recent survey of 1,000 adults shows that nearly half -- 47% -- worry more about losing

More information

CROWN 85: Visual Perception: A Window to Brain and Behavior Lecture 4

CROWN 85: Visual Perception: A Window to Brain and Behavior Lecture 4 Crown 85: Visual Perception: lecture 4 outline Crown 85 Winter 2016 Visual Perception: - Light, the Eye, and : Visual Transduction Reading: Joy of Perception Master Eye Diagram Eye Brain and Vision Web

More information

Crown 85: Visual Perception: A Window to Brain and Behavior

Crown 85: Visual Perception: A Window to Brain and Behavior Crown 85: Visual Perception: : Light, the Eye, and Visual Transduction 1 lecture 4 outline Reading: Joy of Perception Master Eye Diagram Eye Brain and Vision Web Vision Looking: Structure and Working of

More information

Essential questions. What are the structures of the sensory system? 3.03 Remember the structures of the sensory system 2

Essential questions. What are the structures of the sensory system? 3.03 Remember the structures of the sensory system 2 Essential questions What are the structures of the sensory system? 3.03 Remember the structures of the sensory system 2 The Senses Eyes Sight Ears Hearing Nose Smell Tongue Taste Skin Touch 3.03 Remember

More information

NO DISCLOSURES THE RED EYE. Case 1/20/2017

NO DISCLOSURES THE RED EYE. Case 1/20/2017 THE RED EYE Richard A. Jacobs, M.D.,PhD* *Todd Margolis, M.D.,PhD, Prof of Ophthalmology and Director F. I. Proctor Foundation, UCSF (Now Chair of Ophthalmology at Washington University in St. Louis) Brian

More information

Ophthalmology. Corneal Abrasion. History

Ophthalmology. Corneal Abrasion. History Ophthalmology Corneal Abrasion - Usually clear history of very recent trauma - Foreign Body Sensation - Pain +++ - Lacrimation - Photophobia Fig. 1 Corneal Abrasion - Abrasion stains yellow / green with

More information

Sepideh Tara Rousta, MD FAAO Robert Wood Johnson University Hospital Saint Peter s University Hospital Wills Eye Hospital

Sepideh Tara Rousta, MD FAAO Robert Wood Johnson University Hospital Saint Peter s University Hospital Wills Eye Hospital Sepideh Tara Rousta, MD FAAO Robert Wood Johnson University Hospital Saint Peter s University Hospital Wills Eye Hospital 14 mo old w R eye cross (parents) 9 mo old R eye crossing getting worse for past

More information

Ocular Urgencies and Emergencies

Ocular Urgencies and Emergencies Ocular Urgencies and Emergencies Pam Boyce, O.D., F.A.A.O. Boyce Family Eye Care, Ltd. 528 Devon Ave. Park Ridge, IL 60068 847-518-0303 Somebody s going to lose an eye Epidemiology 2.4 million ocular and

More information

Ocular Anatomy for the Paraoptometric

Ocular Anatomy for the Paraoptometric Ocular Anatomy for the Paraoptometric Minnesota Optometric Association Paraoptometric CE Friday September 30, 2016 Lindsay A. Sicks, OD, FAAO Assistant Professor, Illinois College of Optometry lsicks@ico.edu

More information

Secondary Glaucomas. Mr Nick Strouthidis MBBS MD PhD FRCS FRCOphth FRANZCO Consultant Ophthalmologist, Glaucoma Service, Moorfields Eye Hospital

Secondary Glaucomas. Mr Nick Strouthidis MBBS MD PhD FRCS FRCOphth FRANZCO Consultant Ophthalmologist, Glaucoma Service, Moorfields Eye Hospital Secondary Glaucomas Mr Nick Strouthidis MBBS MD PhD FRCS FRCOphth FRANZCO Consultant Ophthalmologist, Glaucoma Service, Moorfields Eye Hospital Introduction: What is glaucoma? Glaucoma is the name given

More information

Note: This is an outcome measure and can be calculated solely using registry data.

Note: This is an outcome measure and can be calculated solely using registry data. Measure #191 (NQF 0565): Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery -- National Quality Strategy Domain: Effective Clinical Care DESCRIPTION: Percentage of patients

More information

Hong Kong College of Surgical Nursing

Hong Kong College of Surgical Nursing Hong Kong College of Surgical Nursing Surgical Nursing Training: Part B Specialty - Ophthalmological Nursing Curriculum 1 TABLE OF CONTENTS No. Contents Page 1. Introduction 3 2. Aims 3 3. Programme Intended

More information

THE SPECIAL SENSES. Introduction Vision

THE SPECIAL SENSES. Introduction Vision THE SPECIAL SENSES Introduction Vision RECEPTORS Structures designed to respond to stimuli Variable complexity RECEPTORS: GENERAL PROPERTIES Transducers Receptor Potential Generator Potential RECEPTORS

More information

HKU Department of Ophthalmology Seminar and Workshop 2017 Emergencies in Eye Care for Frontline Healthcare Professionals

HKU Department of Ophthalmology Seminar and Workshop 2017 Emergencies in Eye Care for Frontline Healthcare Professionals HKU Department of Ophthalmology Seminar and Workshop 2017 Emergencies in Eye Care for Frontline Healthcare Professionals Course Directors and Faculty Professor Jimmy Shiu-Ming Lai MBBS M.Med MD DO FRCOphth

More information