{"id":1637,"date":"2010-12-06T12:50:09","date_gmt":"2010-12-06T12:50:09","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/examination-with-a-slit-lamp\/"},"modified":"2023-09-28T13:51:39","modified_gmt":"2023-09-28T12:51:39","slug":"examination-with-a-slit-lamp","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-examination-of-the-eyes-and-vision\/the-anterior-eye-segment-and-the-eye-globe\/examination-with-a-slit-lamp\/","title":{"rendered":"Examination With A Slit Lamp"},"content":{"rendered":"<hr \/>\n<h3><span style=\"color: #003366;\"><strong>Required Materials<\/strong><\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">Slit lamp.<\/span><\/li>\n<li><span style=\"color: #003366;\">Special tissues for over the chin support.<\/span><\/li>\n<\/ul>\n<hr \/>\n<h3><span style=\"color: #003366;\"><strong>The Slit Lamp<\/strong><\/span><\/h3>\n<p><span style=\"color: #003366;\">This instrument <em><strong>[Figure 61]<\/strong><\/em> stands on a <span style=\"color: #33cccc;\"><strong>height-adjustable rest<\/strong><\/span> <strong>[1]<\/strong>. It consists of a support piece for the patient\u2019s head and an optical section.<\/span><\/p>\n<p><span style=\"color: #003366;\">The support consists of a height-adjustable <span style=\"color: #33cccc;\"><strong>chin rest<\/strong><\/span> <strong>[2]<\/strong> and a <span style=\"color: #33cccc;\"><strong>forehead rest<\/strong><\/span> <strong>[3]<\/strong>.<\/span><\/p>\n<p><span style=\"color: #003366;\">The <span style=\"color: #33cccc;\"><strong>slide rod<\/strong><\/span> <strong>[4]<\/strong> of the chin rest will often have a <span style=\"color: #33cccc;\"><strong>mark<\/strong><\/span> <strong>[5]<\/strong> that indicates the height at which the patient\u2019s eyes should be for the examination.<\/span><\/p>\n<p><span style=\"color: #003366;\">The <strong><span style=\"color: #33cccc;\">optical section<\/span> [6]<\/strong> is also height-adjustable, allowing <span style=\"text-decoration: underline;\">optimal positioning of the light<\/span> in relation to the eye of the patient.<\/span><\/p>\n<p><span style=\"color: #003366;\">By using the <strong><span style=\"color: #33cccc;\">handle<\/span> [7]<\/strong>, you can facilitate a millimetre by millimetre scan of the eye globe with the slit-shaped light beam. In the optical section, there is a light source that can be adjusted from diffuse to slit-shaped. With the diffuse light, the <span style=\"color: #33cccc;\"><strong>cornea<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>sclera<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>conjunctiva<\/strong><\/span> can be inspected. Various colour filters (<em>green, blue<\/em>) can be placed in front of this light source, depending on the indication for the examination. <\/span><\/p>\n<p><span style=\"color: #003366;\">Examine the eye by looking through <span style=\"color: #33cccc;\"><strong>two oculars<\/strong><\/span> <strong>[8]<\/strong>. These oculars can be adjusted depending on the eye distance (<em>PD<\/em>) of the examiner. If needed, the plus or minus correction of the examiner can also be adjusted. <\/span><\/p>\n<p><span style=\"color: #003366;\">There is also the option of looking at the patient\u2019s eye at different <\/span><span style=\"color: #003366;\"><strong><span style=\"color: #33cccc;\">magnifications<\/span> [9]<\/strong>.<\/span><\/p>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1634\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-61.jpg\" alt=\"\" width=\"400\" height=\"300\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-61.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-61-300x225.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 61<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/123324212?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\"><\/iframe><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">Prepare the patient for the examination based on their <span style=\"color: #33cccc;\"><strong>symptoms<\/strong><\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Position the patient in front of the <span style=\"color: #33cccc;\"><strong>slit lamp<\/strong><\/span>. The chin and forehead should slot into the <span style=\"color: #33cccc;\"><strong>rest pieces<\/strong><\/span>. If necessary, adjust the height of the rest to accommodate the length of the patient\u2019s face. The <span style=\"text-decoration: underline;\">corner of the eye<\/span> should be at approximately the same height as the <span style=\"color: #33cccc;\"><strong>marking<\/strong><\/span> on the <span style=\"color: #33cccc;\"><strong>slide rod<\/strong><\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Switch on the <span style=\"color: #33cccc;\"><strong>light<\/strong><\/span> and aim it next to the <span style=\"text-decoration: underline;\">outer corner<\/span> of the patient\u2019s eye. This will avoid blinding the patient when adjusting the width and height of the light beam.<\/span><\/li>\n<li><span style=\"color: #003366;\">Move the <span style=\"color: #33cccc;\"><strong>optical part<\/strong><\/span> so that the width of the light beam that shines on the eye is minimal.<\/span><\/li>\n<li><span style=\"color: #003366;\">Use the <span style=\"text-decoration: underline;\">smallest opening<\/span> at the start.<\/span><\/li>\n<li><span style=\"color: #003366;\">Illuminate the eye at an angle of approximately <span style=\"color: #33cccc;\"><strong>45\u00b0<\/strong><\/span> and start the examination in the <span style=\"text-decoration: underline;\">lateral corner<\/span> of the eye. Move the <span style=\"color: #33cccc;\"><strong>narrow light beam<\/strong><\/span> in the <span style=\"text-decoration: underline;\">medial direction<\/span> across the eye globe <em><strong>[Figures 62, 63]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Change to a <span style=\"color: #33cccc;\"><strong>stronger magnification<\/strong><\/span> when looking at certain <span style=\"text-decoration: underline;\">structures<\/span> or <span style=\"text-decoration: underline;\">abnormalities<\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Use the <span style=\"color: #33cccc;\"><strong>blue filter<\/strong><\/span> when the eye has been stained with <span style=\"color: #33cccc;\"><strong>fluorescein<\/strong><\/span>.\u00a0<\/span><\/li>\n<li><span style=\"color: #003366;\">Examine the eye once more, whilst moving the light beam from the <span style=\"text-decoration: underline;\">medial to the lateral<\/span> side across the eye globe.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1635\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-62.jpg\" alt=\"\" width=\"400\" height=\"300\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-62.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-62-300x225.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 62<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1636\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-63.jpg\" alt=\"\" width=\"400\" height=\"301\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-63.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/EyeVision_ey-fig-63-300x226.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 63<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Required Materials Slit lamp. Special tissues for over the chin support. The Slit Lamp This instrument [Figure 61] stands on a height-adjustable rest [1]. It consists of a support piece for the patient\u2019s head and an optical section. The support consists of a height-adjustable chin rest [2] and a forehead rest [3]. The slide rod [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[134],"class_list":["post-1637","post","type-post","status-publish","format-standard","hentry","category-the-anterior-eye-segment-and-the-eye-globe","tag-the-examination-of-the-eyes-and-vision"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Examination With A Slit Lamp - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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