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DIFFERENT INVESTIGATION IN SPECIALTY CLINIC

DIFFERENT INVESTIGATION IN SPECIALTY CLINIC. DIFFERENT INVESTIGATION IN SPECIALTY CLINIC. DIFFERENT INVESTIGATION IN SPECIALTY CLINIC. Refraction Auto Refractor Machine -Rate -2, 00,000 Topcon uses : Check correct power, Correct Axis, Auto K –reading, Correct IPD

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DIFFERENT INVESTIGATION IN SPECIALTY CLINIC

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  1. DIFFERENT INVESTIGATION IN SPECIALTY CLINIC

  2. DIFFERENT INVESTIGATION IN SPECIALTY CLINIC

  3. DIFFERENT INVESTIGATION IN SPECIALTY CLINIC

  4. Refraction Auto Refractor Machine -Rate -2, 00,000 • Topcon uses : Check correct power, Correct Axis, Auto K –reading, Correct IPD • Fields : 1. Bjerums screen method 2. Confrontation method 3. HFA method

  5. A-Scan : • To measuring eye ball length • Distance between cornea and retina • To find out IOL power calculation • K – Reading: • To find out corneal curvature • To find out the correct cylinder axis verified to measure the calculation

  6. OPD: • NCT: Non Contact Tonometry Rate – 3, 00, 000 • To measuring the Tension.

  7. Slitlamp Uses : • Anterior segment examination (Ex. Trauma, mangnification of Conjunctiva, Tra.Cat, IMC,MC) • Vitreous (with lens) (Ex: Cells, Vit. Opacity) • Retina pathology (with lens) Slitlamp with Applanation : • To measuring intra ocular pressure

  8. Direct Ophthalmoscope : • High magnification (around 15 times) • Less field of view • Central parts only seen • Cost is less

  9. Indirect Ophthalmoscope: • Less magnification (around 5 times) • More field of view • Inverted image • All cases seen periphery • Cost is more • Need good practice • Myopic cased need periphery examination

  10. RETINA CLINIC FFA : (Fundus Fluorescein Angiography) - USES : To detect leakage, bleeding,NVD, NVE in retina and macular area.

  11. INJ. Used :Inj. Fluorescien -20% - 3ml. Patient eligible are : Diabetic Hypertensive Retinopathy, CSCR, CNVM, ARMD, Eales disease.

  12. RETINA CLINIC FFA : (Fundus Fluorescein Angiography) - USES : To detect leakage, bleeding,NVD, NVE in retina and macular area.

  13. USG : (Ultra Sono Grapy) – • USG Uses : • It is used for detected examination of inner coats of retina which are not detected by I/O. • It is also used for detecting vitreous abnormalities.

  14. Procedure: All age group Bellow 5yrs if need GA Painless test Immediate result given. Patient eligible are: a)   Mature cataract b)   IOFB cases c)   Retinoblastoma d)   Orbit tumor e)   VIT. haemorrhage (PVD )

  15. LASER : ( Light Amplification by Stimulated Emission of Radiation) • USES: • It is used in peripheral Iridotomy to open PCO as YAG capsulotomy. • In posterior segment it is used to do barrage in sealing holes and to create adhesion. Between retina and choroid. • It is also used to photocoagulate tissue in NVD and NVE.

  16. Laser machine types: a)  Argon laser – Rate – 13,00,000 b)  ND YAG Laser c)  DF YAG Laser d) Diode Laser

  17. Laser Procedure: • Laser out patient procedure • Need pupil full dilate • S/L method using mainster & three mirror lens with viscomet. • L/O method using 20 D lens

  18. Laser delivery : • S/L (contact lens method) • L/O (non contact method) Cases : • Diabetic & Hypertensive retinopathy. • Myopic cases. • Vein occlusion. • CSCR • Vasculitis • ARMD • SRNVM

  19. Types of laser Focal laser : (CSME, CSCR, CNVM, ARMD) It is used to seal focal leak in macula. Grid laser : (Diabetic Retinopathy case) This is applied all over macular area expect fovea.

  20. Peripheral PRP : (PRP 1 SITTING) • In vacuities case when there is NVD, NVE Peripheral PRP is done. • In diabetic Retinopathy cases additional laser is done.

  21. Sector PRP : BRVO case to seal small NVE, NVD and new vessels. Scatter PRP : (PRP I SITTTING) This is done for small NVD, NVE.

  22. Full scatter PRP : (PRP 2nd SITTTING) PRP 2nd is done for • Large NVD • NVE • Pre Retinal Hemorrhage • Sub Hyloid Hamaarge • Fibrous Vascular Proliferation • Old CRVO.

  23. Barrage laser: PAY-750/-, FREE -375/- • Done for: • High myopic • Lattice • Lattice with hole • One eye RD surgery done other eye having lattice case • Post operative RD surgery with any fluid leakage.

  24. Xenon laser: • Retinal Tumor (small) Retinoblastoma case • In case with cataract changes, media haziness, VIT-haemorrhage. • Immediate post operative cases slit lamp is not used. In such cases laser delivered via I/O.

  25. YAG PI : In this procedure a free thickness hole is made in iris. Done in cases : • Angel closure glaucoma • PACG • POAG Non opthalomas, • SOAG (PXF), • Pupillary black

  26. YAG Capsulotomy: This laser is used to clear posterior capsular opacity. Cases: Cataract + PCIOL + PCO Done: After 3 months.

  27. ALS :( Argon laser suturoysis): • Hoskins lens • Post operative IOP high, Bleb not forming, and high astigmatism cases. • No charges

  28. ALT: (Argon laser Trabeculoplasty): • Glaucoma last stage. • When patient us non compliant to drugs, • ALT is done. It reduces to the IOP but there is no improvement in vision.

  29. Cryopexy: • Cryopexy is used when the hole is in peripheral retina. • The hole is sealed used N2O Gas.

  30. ARC : ( Anterior Retinal Cryopexy) : • Cases: • Pain full • blind eye, • NOPL, • Absolute glaucoma cases. (3600 angel) It is done to relieve pain and not for improvement of vision.

  31. ERG :( Electro Retino Gram) : • It is not theraptic but only diagnostic use. • It is used to diagnose all retinal diseases especially RP case.

  32. TTT : ( Trans pupillary Thermo Theraohy) : • This is done in cases of SRNVM in macular area.

  33. PDT :( Photo Dynamic Therapy): • It leaves no scar. It is done in dark room. • Should not be exposed to sun light for 3 days.

  34. GLACOMA CLIIC HFA : ( Humphrey Field Analyzer): • To check for Field of vision. • Glaucoma - All cases • Neuro - AION.

  35. OCT :( Optical Coherent Tomography): - To measure the macular thickness and cupping changes. Glaucoma - POAG, PACG, POAG Suspect. Retina - ARMD, Diabetic macular edema, CME, CSR, Macular Hole. - - Pay with out print (BE)

  36. GDX: Rate- 18, 00,000 • Same OCT • Only glaucoma cases. • Can be done undilate eyes.

  37. CCT :( Central Corneal Thickness): - RATE:2O,OO,OOO - To measure central corneal thickness. - All glaucoma and cornea cases - Especially in Lasik case. • 5. Fundus Photo: Glaucoma - Comparisons of Optic Nerve Head. - Mainly use in Retina cases if laser need.

  38. CORNEA CLINIC Orbscan: • Cases: • High myopia • Kerato conus, • Hypermetropia, Pterygium (Study purpose) cases. • It is used to diagnose corneal thickness and K-reading.

  39. ORBIT CLINIC • Exophthalmometry: Proptois case. • Diplopia charting: TRO Case. • X-ray Orbit : Proptosis, Sinusitis, IOFB, Ocular Tumors • B-SCAN : TRO, Inflammation of orbit (Proptosis).

  40. CT-SCAN Orbit :-RATE-2,000 • Orbital Tumors • Injures of Orbit • IOFB.

  41. NEURO OPHTHAL CLINIC Fields : • Drivers • Medical Fitness • Optic atrophy • Temporal pallor, • Cortical blindness • Lesions in visual pathways • CSCR • RD

  42. RP • Post PRP • Hereditary Fundus Dystrophy • Optic Neuritis • AION • Traumatic Optic Neuropathy • Diabetic Pappilopathy • Pappioedema • Cranial Nerve Palsies

  43. Colour vision: • Drivers, • Medical fitness, • Optic atrophy, Temporal Pallor, • Optic Neuritis, • AION, • Traumatic Optic Neuropathy, • Congenital colour blindness, • Diabetic Papillopathy, • Papilloedema, • Cranial Nerve Palsies.

  44. Hess Chacting & Diplopia Charting: • Cranial Nerve Palsies (2nd, 3rd, 4th) • Myastheniagrnins, Ocularmyopathy.

  45. CT-Scan & CT-Angiography: • Chronic Head ache, • Optic Neuritis • Papilloedema • Bergin ICT high (BIH) Field defect • Traumatic Optic Neuropathy • Tumors of brain • Head Injury • Nerve Palsies • Aneurysms • Intra Cranial Bleedings • CVA

  46. MRI: • Unexplained Neurological defects, • Cartico - Cavernonsfistula. MRI & MRA: • Optic Neuritis (Demyelization) • Aneurysms and Vascular abnormalities

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