Professional Documents
Culture Documents
I- By Charts
If Visual Angle < 1minute the 2 points seen as 1-point with closure of broken ring
3-Types : a - Landolt`s chart. b – Snellen`s chart c – Emarah Arabic chart
A- Landolt`s Chart
* Consist of 7-rows of broken rings ( C ) whose openings are in various directions
٢
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
Center of retina
(Testing of function of Cones)
٣
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
ﻧﻮر ﻟﻠﻌﯿﻦ
٤
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
٥
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
By little finger: ﺷﺪ اﻟﺠﻔﻦ )اﻟﻠﻲ ﻓﻮق اﻟﻐﺪة( ﻷﻋﻠﻲ وﻟﻠﺨﺎرج ﺗﻠﺤﻆ ﺟﺰء ﻇﮭﺮ أﻣﺎﻣﻚ ﻓﻠﯿﺸﻲ أﺣﻤﺮ-
٦
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
- If Pt could not elevate his lid Ptosis (complete absence of levator action)
٨
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
ﻗﻠﺐ اﻟﺠﻔﻦ
Importance:
- FB impacted in sulcus subtarsalis.
- PTDs, PTCs, Arlet`s line of Trachoma
- Follicles and Papillae.
- Membrane either true or pseudo
- Presence of Hge
How: To do the test
1- Ask Pt. to look down
2- Evert Lid by:
. Glass rod with thumb + index finger, or Only
. Your thumb + index finger
3- Index is put behind tarsus
4- Thumb holds up lashes or lid margin (the best) pull lid Forward evert it over your
index finger, acting as axis.
إوﻋﻰPress with your index on tarsus, being hard lid can’t be everted
* Normally: in Egyptians PTDs, PTCs and Arlet`s line: being line of fibrosis along sulcus subtarsalis 2- mm from lid margin
Q- Why Arlet’s line is present in sulcus subtarsalis: Because it is grooved, rich in BVs
Q- What is the difference () papillae of spring catarrh and trachoma
- Here we measure Tension and not Pressure, measured via introducing needle of apparatus in the eye
١١
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
Blinking Reflex
١٢
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
Definition: abnormal ocular deviation so that the 2-visual axes are not directed towards
fixation object, one of them being deviated.
Clinical classification of Squint:- رؤف اﻟﻨﻔﯿﺲ/ھﺬه اﻟﺘﻘﺴﯿﻤﺔ ﻣﻦ أد
١٣
ﺳﺒﺤﺎن اﷲ و ﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ ٠١٦ ٥٧٠ ١٩١٤ : ﻣـــــﺎ س/ د
١٥
Dr / M. Abd Ulghaffar (MASS) / 016 570 1914 ﺳﺒﺤﺎن اﷲ وﺑﺤﻤﺪه ﺳﺒﺤﺎن اﷲ اﻟﻌﻈﯿﻢ
Eye Lid
Anterior Chamber
اﻟﺤﺎﻟﺔ ﻛﯿﻒ ﺗﻌﺮﻓﮭﺎ
اﻟﺤﺎﻟﺔ ﻛﯿﻒ ﺗﻌﺮﻓﮭﺎ
1- Chalazion ﻛﯿﺲ دھﻨﻰ ﻋﻨﺪه ﻣﻦ زﻣﺎن
1- Hypopyon Pus in AC
2- Stye دﻣﻞ ﻃﺎﻟﻊ ﻣﻨﮫ ﺷﻌﺮه
2-Hyphaema Blood in AC
ﻗﺸﺮ أﺑﯿﺾ ﺑﯿﻦ اﻟﺮﻣﻮش +ﺣﺎﻓﺔ اﻟﺠﻔﻦ ﺣﻤﺮاء +
3- Squamous Blepharitis 3- AC IOL In case of
وﻟﻮ ﺳﺄﻟﺖ اﻟﻤﺮﯾﺾ :ﺑﯿﻘﻄﻊ ﺟﻔﻨﮫ ﻣﻦ اﻟﮭﺮش
ICCE
4- Ptosis اﻟﺠﻔﻦ اﻟﻌﻠﻮى ﻣﺮﺗﺦٍ
1- Pterygium -ﻇﻔﺮة ﻣﻠﺘﺤﻤﺔ ﺷﻜﻠﮭﺎ ﻣﺜﻠﺚ رأﺳﮫ إﻟﻰ اﻟﻘﺮﻧﯿﺔ -إﻣﺎ1ry or 2ry (Recurrent) :
ﻣﻦ اﻵﺧﺮ :إﺳﺄ ل اﻟﻤﺮﯾﺾ
2- Pseudopterygium ﻣﻠﺘﺤﻤﺔ ﻣﺎﺳﻜﺔ ﻓﻰ ﻋﺘﺎﻣﺔ ﻋﻠﻲ اﻟﻘﺮﻧﯿﺔ ﯾﻤﻜﻨﻚ إﻣﺮار ..ﺗﺤﺘﮫ
3- Pinguecula ﻣﺜﻠﺚ أﺻﻔﺮ ﻗﺎﻋﺪﺗﮫ إﻟﻰ اﻟﻘﺮﻧﯿﺔ ،ﻟﯿﺲ ﻏﺸﺎء ﻣﺜﻞ اﻟﻈﻔﺮة
Lacrimal
4- )Diffuse Bleb (SST ﺣﺎﺟﮫ ﺑﺰه ،ﻟﻮ ﺳﺄﻟﺖ اﻟﻤﺮﯾﺾ ﻋﻦ ﻋﻤﻠﯿﺔ ﻣﯿﺔ زرﻛﮫ
Apparatus
5- Subconjunctival -ﯾﻤﯿﺰﻣﺎإذااﻟﺴﺒﺐ ﺧﺒﻄﺔ ﻟﻠﻌﯿﻦ أم ﻟﻠﺮأس... -دم ﺳﺎﯾﺢ ﺗﺤﺖ اﻟﻤﻠﺘﺤﻤﺔ
Hge *Dacryocystitis:
6- Symblepharon اﻟﺠﻔﻦ ﻣﺎﺳﻚ ﻓﻰ اﻟﻌﯿﻦ - epiphora
7- Conjunctival ﺳﯿﺌﺔ ﻓﻰ اﻟﻌﯿﻦ - red swelling Lac. Sac
- +ve Regurge Test
Naevus
- ttt: DCR
8- Red Conjunctiva إرھﺎق ،إﻟﺘﮭﺎب .... ،
9- Ciliary injection أوﻋﯿﺔ ﺣﻤﺮة و واﺿﺤﺔ ﻗﻮى ﺣﻮل اﻟـ Keratitis, Iridocyclitis, Glaucoma ←Limbus
10- Conjunctival أوﻋﯿﺔ ﺣﻤﺮة و واﺿﺤﺔ ﻗﻮى ﺧﺎﺻﺔ ﻓﻰ اﻟـ Conjunctivitis ←Fornices
injection
Cornea
اﻟﺤﺎﻟﺔ ﻛﯿﻒ ﺗﻌﺮﻓﮭﺎ
5- Keratoconus ﻗﺮﻧﯿﺔ ﻗﻤﻌﯿﺔ ﻣﺨﺮوﻃﯿﺔ ﻣﺒﻈﺒﻈﺔ ﺷﻔﺎﻓﺔ :ﻟﻮ ﻧﻈﺮ ﻷﺳﻔﻞ :
Angulation of LL on looking down ←Munson`s Sign
Iris
اﻟﺤﺎﻟﺔ ﻛﯿﻒ ﺗﻌﺮﻓﮭﺎ
ﻓﻮق-Part of iris is removed (near its root) Pupil
1- Peripheral iridectomy -Pupil remains round اﻟﺤﺎﻟﺔ ﻛﯿﻒ ﺗﻌﺮﻓﮭﺎ
7- Patches of iris atrophy أﺟﺰاء ﻣﯿﺘﮫ ﻣﺒﯿﻀﮫ ﻋﻠﻰ ﺳﻄﺢ اﻟﻘﺰﺣﯿﺔ- -Pupil isn`t
(central , round)
8- Anterior Synechia -iris + cornea: 4- Drawn up
( ﻗﺰﺣﯿﺔ ﻣﺎﺳﻜﺔ ﻓﻰ ﻇﮭﺮ ﻗﺮﻧﯿﺔ ﺷﻔﺎﻓﺔ ) اﻟﻨﯿﻨﻰ ﻏﯿﺮ ﻣﻨﺘﻈﻢ -Iris tissue is present all
Pupil
around pupil
9- Posterior Synechia -iris + lens ﻗﺰﺣﯿﺔ ﻣﺎﺳﻜﺔ ﻓﻰ اﻟﻌﺪﺳﺔ-
5- Irregular -Leucoma Adherent
- Traumatic
َ اﺗﺨﺒﻂ
(Blunt Tr. & Penetrating Tr.)
اﺳﺄﻟﮫ ﻋﻦ أﻣﺮاض ﯾﺸﺘﻜﻰ ﻣﻨﮭﺎ ﻣﺜﻞ اﻟﺴﻜﺮ واﻟﻀﻐﻂ-
- Complicated ﺳﻨﮫ٥٠ ﺳﻨﮫ ﺗﺤﺖ اﻟـ- َ ﻣﺎ اﺗﺨﺒﻂ-
ﺳﻨﺔ٥٠ ﺣﺎج ﻛﺒﯿﺮ اﻟﺴﻦ ﻓﻮق اﻟـ- Immature Iris shadow + اﻟﻌﺪﺳﺔ ﻓﯿﮭﺎﻋﺘﺎﻣﺔ
Hyper mature:
اﻟﻌﺪﺳﺔ ﻣﻨﻜﻤﺸﺔ و ﻣﻨﻘﻄﮫ أﺑﯿﺾ و أﺻﻔﺮ-
- Shrunken
ﻟﺒﻦ و اﻟﻨﻮاة اﻟﺒﻨﯿﺔ ﻏﺎرﻗﺔ ﺗﺤﺖ-
- Morgagnian
- Senile Nuclear - brownish yellow opacity at Center of lens
اﺳﺄل اﻟﻤﺮﯾﺾ ھﻞ ﻧﻈﺮه ﺑﯿﺘﺄﺛﺮ ﺑﺎﻟﻨﮭﺎر أﻛﺜﺮ-
- Aphakia ﺻﻮرة واﺣﺪة ﻓﻘﻂ ﻋﻠﻰ اﻟﻘﺮﻧﯿﺔ- ﻋﻤﻞ ﻋﻤﻠﯿﺔ ﻣﯿﺔ ﺑﯿﻀﮫ وﻣﺎ زرﻋﺶ: اﺳﺄﻟﮫ-
ﻋﻤﻞ ﻋﻤﻠﯿﺔ ﻣﯿﺔ ﺑﯿﻀﮫ وزرع ﻋﺪﺳﺔ-
AC IOL
- Pseudophakia اﻟﻌﺪﺳﺔ ﻛﻠﮭﺎ اﻣﺎﻣﻚ-
ﻋﻤﻞ ﻋﻤﻠﯿﺔ ﻣﯿﺔ ﺑﯿﻀﮫ وزرع ﻋﺪﺳﺔ-
PC IOL
ﻋﯿﻨﮫ ﺑﺘﺴﺮج وﺑﺘﺒﺮق: ﻣﺢ ﺣﺮﻛﺔ اﻟﻨﻮر-