1 / 85

Slit Lamp Exam Findings

Slit Lamp Exam Findings. Components: Lids Adnexa Conjunctiva Cornea Anterior Chamber Iris Lens. Lids. Lids. Lids. Normal. Lids. Ectropion Eyelid turning outward Document with location (I.e. “ectropion LLL”). Lids. Entropion Eyelid turning inward

moral
Télécharger la présentation

Slit Lamp Exam Findings

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Slit Lamp Exam Findings

  2. Components: • Lids • Adnexa • Conjunctiva • Cornea • Anterior Chamber • Iris • Lens

  3. Lids Lids

  4. Lids Normal

  5. Lids Ectropion • Eyelid turning outward • Document with location (I.e. “ectropion LLL”)

  6. Lids Entropion • Eyelid turning inward • Document with location (I.e. “entropion LLL”)

  7. Lids Dermatochalasis (D’chalasis) • Redundancy of skin in eyelids • Atrophy of elastic tissue

  8. Lids Upper Lid Folds • Increased amount of folds • Document as: “high UL folds”

  9. Lids Hooding • When upper lid comes over lid margin • Document as: “Hooding”

  10. Lids Ptosis • Drooping of the upper eyelids • Document with location (I.e. “Ptosis RUL”)

  11. Lids Papilloma • Growth on eyelid • Document with location (I.e. “papilloma RUL”)

  12. Lids Trichiasis • Inward growth of eyelashes • Document with location (I.e. “trichiasis RLL”)

  13. Lids Chalazion • Inflamed lump in meibomian gland

  14. Lids Blepharitis • Inflammation of eyelid margins • Redness, swelling, itching, crusting

  15. Lids Ecchymosis • Bruising • Document with location (I.e. “ecchymosis RUL”)

  16. Adnexa

  17. Adnexa Normal

  18. Adnexa Decreased Tear Lake • Tear lake not smooth • Also can have increased break up time • Document as: “decreased tear lake” • Misc – TBUT = 10 sec

  19. Conjunctiva

  20. Conjunctiva Quiet

  21. Conjunctiva Injection • Tissue redness and swelling

  22. Conjunctiva Sub-Conjunctival Hemorrhage (SCH) • Blood below conjunctiva and above sclera • Document as: “SCH” with location (i.e. “SCH OD temp, inf, nas”)

  23. Conjunctiva Hyperemia • Congestion of blood vessels • Causes redness

  24. Conjunctiva Bleb • S/P trabeculectomy for glaucoma • Document if flat or formed

  25. Cornea

  26. Cornea Normal

  27. Cornea Arcus • White deposit of cholesterol

  28. Cornea Edema • Swelling of tissue from fluid accumulation

  29. Cornea Superficial Punctate Keratitis (SPK) • Small superficial corneal lesions • Often due to dryness • Usually seen with staining

  30. Cornea Anterior Stromal Scarring • Scarring on the Stroma (middle layer of the cornea)

  31. Cornea Amiodarone Whorls • Deposits from long-term use of Amiodarone

  32. Cornea Abrasion • Scraped area of corneal surface • Accompanied by loss of epithelium • Usually seen with staining

  33. Cornea Astigmatic & Radial Keratomtery (AK / RK) cuts • S/P AK or RK • Document with location (I.e. “AK cuts OU”)

  34. Cornea Keratic Precipitates (KP) • Inflammatory cells and white blood cells that enter aqueous and adhere to corneal endothelium

  35. Cornea Guttata • Small whitish hyaline deposits on inner surface of cornea

  36. Cornea Lasik Flaps • S/P Lasik • Location = direction of flap opening • Document with location (I.e. “Lasik flap inf. – healed”)

  37. Cornea Neovascularization • New blood vessel growth • Document location (I.e. “OD inf.”)

  38. Cornea Pinguecula • Benign yellowish-brown elevation of sub-conjuntival tissue on either side of cornea

  39. Cornea Pterygium • Wedge-shaped growth in bulbar conjunctiva • May advance over the cornea

  40. Cornea PK • S/P corneal transplant • Note sutures: • None • 360* • Running 360*

  41. Cornea Suture • occ. used S/P PEIOL • Document with location (I.e. “suture temp.”)

  42. Cornea Descemets Folds • Folds in the Descemet’s membrane

  43. Cornea Ulcer • Area of epithelial loss • Associated with inflammatory cells in cornea & AC

  44. Cornea Band Keratopathy • Horizontal band of calcium deposits • In superficial layer of cornea

  45. Cornea Haab’s Striae • Breaks or tears in Descemet’s membrane • Usually from forceps use during delivery

  46. Anterior Chamber

  47. Anterior Chamber Deep & Quiet • Deep = Large distance between both beams • Quiet = No abnormal matter in AC • Document as “D&Q”

  48. Anterior Chamber Shallow • Minimal distance between both beams • Document as “shallow”

  49. Anterior Chamber Moderate Depth • Moderate distance between both beams • Document as “moderate depth”

  50. Anterior Chamber Closed • Irido-Corneal touch • Document as “Closed”

More Related