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16 Cards in this Set

  • Front
  • Back
what chronic diseases should you ask about when doing an eye examination
diabetes - causes exudates, hemorrhage, neovasculization

hypertension - av nicking, retinal hemorrhage, papilledema, arteriole narrowing
what family history is pertinent in eye examination
cataracts
color blindness
diabetes
glaucoma
macular degeneration
when should the visual acuity test be performed
before any palpation or examination with bright light sources
how far away should the pt be from the snellen chart when doing the visual acuity test
20 feet
what should the pt cover their eyes with while doing visual acuity test
opaque card NOT HAND
what cranial nerve is the optic nerve
CN2
extraocular movement is controlled by what cranial nerves
3, 4, 6
what are the steps in testing extraocular movements
place finger 12-18 inches in front of eyes
follow finger with eyes w/o turning head
what disease state can cause lid lag
hyperthyroidism
WHAT IS A NORMAL AND ABNORMAL finding in the lid lag test
normal - upper lid continues to cover top of iris

abnormal - white of sclera can be seen b/t upper lid and iris
how large should pupils be in ordinary room light
3-5 mm in size
what is strabismus
misallignment of eyes
puppillary light reflex is not symmetrical

WANDERING OR LAZY EYE
what is strabismus classified by
direction the affected eye turns
when doing pupil response what is a direct light reflex
advance light from one side and note the pupil response of that eye
when doing pupil response what is consensual light reflex
advance light from same side and note the response of the contralateral pupil
what is accommodation
hold finger 3 inches from nose
ask pt to focus on distant object
as pt to focus on finger
note constriction of the pupil which is normal finding