NaVaiD’$.VeR$iON.of.EyE-EXaM.NQ. My ORiGiNAL TELE-TEXT::EYE-EDU*

• APPLIED..OPTiC$• APPLIED..ORGANiC$• *****• Applied Optics= 1- Emmetropia• 2-Ametropias=Refractive Errors:• *Myopia• *Hyperopia• *Astigmatism

Kerato-Refractive Surgery:KCS:

Accommodation.Presbyopia.

SPHERiCAL..ERROR$SPHERO-

CYLiNDERiC..ERROR$ASTiGMATiC ERRORS.

CORNEAL ASTiGMATiSM with the RULE=^& against

the RULE>.

VARIANTS of REFR.ERROR$:1.CURVATURE Type

2.INDEX3.AXiAL

4.POSiTiONAL

VARIANTS of ASTIGMATISM$:*REGULAR^*IRREGULAR*SIMPLE=M^H

*COMPOUND = M^H*MiXeD^^STURM’S CONOiD

0RGANiC$:-************

A-FACIAL.ASYMMETRY& BELL’S PALSY

B- NECK.0CULAR T0RTiC0LLi$

INiTiAL.EYE-EVALUATiON*C0RNEAL.LiGHT.REFLEX.

*COVER TEST$=COVER^UNCOVER*EOMs=DUCTIONS^VERSIONS

PURSUiTS^SACCADE$*PURKiNJE-iMAGE$

*PUPiLLARY LiGHT-REFLEX=DiRECT+ CONSEN$UAL + RAPD.

EYE$=RE[OD=0culus

Dexter]^LE[OS=0culus Sinister]+Rx=“Eye of

Horus”!

ORBiT$ = R^L*THYROiD.EYE.DiSEA$E

*EX0PHTHALM0S*PROPT0Si$

*EN0PHTHALM0S*ORBiTAL CELLULITi$

LACRiMAL$= R^L1.LAC.GL.. 2.LAC.SAC..3.NLD

4.WATERiNG.. 5.LACRiMATiON6.EPiPH0RA..7. REGURGiTATiON

TEST.. 8.DACRYO-ADENiTiS^ DACRY0-CYSTiTi$.. 9.CONG.NLD.

0CCLU$iON.. 10.TEAR FiLM!

LiD$*$TRUCTURE=SKiN+M+T+P.Conj

**PT0Si$^P0SiTiONAL DEFECT$:ENTROPiON;ECTR0PiON***LiD-LE$iON$=CHALAZI0N+ $TYE+BLEPHARITIS+TRICHIASIS

CONJUNCTIVA1.Ac.CONJUNCTIVITI$

2.PTERYGIUM3.PHLYCTEN

4.PINGUECULA5.BiT0T’$ SP0T6.TRACHOMA

EPiSCLERA^SCLERA

1.Epi$CLERITiS2.Ant:SCLERITIS

3.SCLEROMALACIA4.E^S=N0DULAR. SECTORAL. DiFFUSE

5.P0STERiOR SCLERITIS

CORNEA=+43D1.ANATOMY; 2.STRUCTURE; 3.OPTiC$;

4.DYSTR0PHY; 5.DEGENERATiON$; 6.DiSEASE$; 7.C0RNEAL ULCER;

8.DENDRiTiC ULCER; 9.CFT’s=i.CLR; ii.C.Sensitivity.test; iii=KERAT0SCOPY;

iv.KERAT0METRY; v.SPECULAR MiCR0SCOPY; vi.C0RNEAL MAPPiNG!

ANTERiOR SEGMENT=ANTERiOR CHAMBER + P0STERiOR

CHAMBER.>.{B/W the TWO}LENS

>P0STERiOR $EGMENT { Filled with ViTREOU$ GEL.}.

ANTERIOR CHAMBER:-*AQUEOUS FLARE**AQUEOUS CELL$

***HYPOPYON****HYPHAEMA

*****IRi$-B0MBE*****PUP.BL0CK!

PUPIL$::R^L*1.PHYSICAL SHAPES=Normally ROUND ;

*P0ST.SYNECHiAE;*FEST00NED-PUPiL!*0CCLUSi0-PUPiLLAE;*SECLUSi0-PUPiLLAE..

*2.PUPILLARY-REFLEXES:- 2a.NEAR-SYNKINESiS=C0NVERGENCE+MI0SIS+ACC0M

. 2b.PLR=.DiRECT^CON$EN$UAL^ RAPD.*PPP=PHYSIOLOGICAL + PHARMAC0L0GICAL

PATHOL0GICAL Causes of MIOSIS Vs. MYDRIASi$.

*NATURAL LEN$ FUNCTIONS=+17D=OPTICAL=

REFRACTION+ REFLECTION=PURKiNJE-

iMAGE$=III^IV+ ACC0MM0DATiON= CHANGiNG

CONVEXITY of ANT.CURVATURE+ UVP!

ViTRE0-RETiNAL WORK-UP:-*SLE=Ant.1/3rd ViTREOU$

*ViT.FLU0R0-PH0T0METRY*ViTREiTi$=ViT.FLARE!

*$PECiAL AUXiLiARY LENSE$:+20D/28D/78D/+90D

*DDO+D.0ph.+iN-DiR 0ph.

DARK-ROOM TESTS IN CLINICAL OPHTHALMOLOGY:-

*.1.OBLIQUE iLLUMiNATiON=*PT= PEN-T0RCH; **PT+0PHTHALMiC

LOUPE; SLE=Slit-Lamp Examination via S/L Bio-Microscope; .2.DISTANT DIRECT OPH.;.3.DiR.0PH.;.4.iND.0;

5.Streak RETiN0SC0PY.

MEDiCAL OPHTHALM0L0GY:-1. THYROID EYE DISEASE2.DIABETIC EYE DISEASE

3. HYPERTENSIVE EYE DiSEA$E+4.HARD EXUDATES: 5.S0FT

EXUDATES: 6.DOTS.&.BLOTS; 7.FLAME-SHAPED H.8.NVE; 9.NVD;

10.R0TH SP0T${CML}!...

SQUINT$^STRABISMUS1.ORTHOPHORIA=STRAIGHT-EYE$

2.HETEROPHORIA=LATENT SQUINT3.HETEROTROPIA=MANIFEST SQUINT

4.DIAGN0STiC EVALUATiON$:-5.CLRCT=COVER-TEST$

6.EOMs=6=CARDiNAL P0SiTiONs7.PURSUiT$^SACCADE$

8.ESOTROPIA^9.EXOTROPIA10.CYCLOPHORIA^11.CYCLOTR0PIA

12.CONVERGENCE.^13.HYPER^HYPO. 14.HERING’$^&^SHERRiNGTON’$ LAW$..

ACTIONS 0F OCULAR MUSCLE$:EOM 6 MUSCLES’ MOVEMENT$:

1.SR=ELEVATION in Abduction2.IR=DEPRESSiON in Abduction

3.LR=ABDUCTION^4.MR=ADDUCTiON5.SO=DEPRESSiON in Adduction6.IO=ELEVATiON in Adduction+SO=Intorsion.^.IO=Extorsion

DUCTIONS.vs.VERSIONS+CONVERGENCE

LACRIMAL –SYSTEMLACRIMAL GL=INFLOW

TEAR M.STRiP$=INTER-FLOWLAC.SAC$>NLD>=OUTFLOW

TEARING=WATERING:-a-LACRiMATiON.^.B-EPiPHORA

PHAKIA.APHAKIA.PSEUDOPHAKIAAPHAKIA=ICCE 0R ECCE

1.SiGN$ of CAT.SURG.in.ICCE:-A.WOUND MARK>B.PI.>C.IRiD0D0NESiS>D.DEEP A/C

>E.JET-BLACK PUPiL.>F.ABSENT 3rd & 4th PURKiNJE-SANSON iMAGE$ .>

2.PLAiN^PLANNED ECCE=4th IMAGE SHALL BE PRESENT AS PC is INTACT!.3.PSEUD0-

PHAKIA = 3rd P-S img..Bright^Big”Glistening-Reflex”!

STEP$ 0f ACC0MM0DATiON:-{Alongwith Convergence^Miosis}

RECITE^READ1.CONTRACTION 0F CILARY M.2.L00SE^LAX Z0NULE 0F ZiNN3.CONTRACTiON 0F CAPSULE

4.^C0NVEX CURVATURE of LENS5.^C0NVERGENCE to F0CUS at 33 cm.

PRESBYOPIAAround 40 Yrs.”LENTAL SCLER0SiS”

PREVENTS THE CRYSTALLINE LENS T0 CONFORM T0 MORE CONVEX ANTERIOR SURFACE CURVATURE DUE TO LENS DE-NATURATION & CONVERSION 0F SOLUBLE

CRYSTALLINES =33%=PR0TEiN FRACTiON$ iNT0 INSOLUBLE ALBUMiN0iD PR0TEiN FRACTiON$ &

HENCE PERSONS^PATIENT$ NEED T0 WEAR ‘READiNG’ C0NVEX “GLASSES” T0 C0NVERGE M0RE WHiLE

READiNG AT NEAR WHERE THE RAY$ R DiVERGENT!

ADVANCED TREATMENT IN MYOPIA:-

A.MENISCUS CONCAVE SPECTACLE- LENSES

B.M.CONCAVE C0NTACT LENSESC.RADIAL KERAT0TOMY=“RK”D.EXCIMER LASER SURGERY:-

E-PRK->-F-LASIK->-LASEK! INTRA-C0RNEAL LENSES-Rx-KERAT0C0NU$!

LASER$ IN OPHTHALM0LOGY:-1.EXCIMER C0RNEAL UV PH0T0-

ABLATiON2.YAG LASER=PH0T0-

DiSRUPTiON=P0ST.CAPSUL0TOMY3.ARG0N GREEN & KRYPTON

LASER PH0T0-C0AGULATiON of RETiNA!

ADVANCED SUB-SPECIALIST UNITS 0F OPHTHALM0LOGY: 1.ORBiTAL SURGERY

1.0CULO-PLASTiC SURGERY 2.SQUINT-CORRECTiON SURG.

3.KERAT0-REFRACTIVE SURG.4.ANTERIOR SEGMENT SURG.

5.PHACO-EMULSIFICATION SURG.6.ViTRE0-RETiNAL SURGERY7.TRAUMATiC.EYE.SURGERY

*WELL-WISHER T0 ALL THE STUDENTS 0F OPHTHALMOLOGY WORLD-WIDE =UGs^PGs = DR.NAVAID QURESHI,MBBS,FCPS[Oph]=Inf0=dr_navaidq@hotmail.com=*NQ*NaVaiD

D