Lec 1: Tissue Evaluation of Posterior Segment

Question 1

What is the role of anesthetic?

Answer 1

loosen junctions so drops get in better

Question 2

If patient looks to their left where do you move?

Answer 2

I move to my left. (opposite)

Question 3

how do we know we tromboned to the right spot?

Answer 3

spot is in the pupil

Question 4

if pinpoint light is too low, where do we need to move our hand?

Answer 4

up

Question 5

each time you have the pt move their fixation, you should be moving yourself to maintain a position _________________________________.

Answer 5

as close to 180 from the pt’s fixation as possible

Question 6

Visualizing superior retina, how does the doctor position themselves?

Answer 6

sitting

Question 7

Visualizing the inferior retina, how does the doctor position themselves?

Answer 7

standing up or sitting with stool raised up;

hand is one width above hand or
45 degree angle

Question 8

keep surface of lens approximately _______ to the light/sight path (by aligning front and back surface reflections)

Answer 8

perpendicular

Question 9

keep sight-path and light-beam on a straight line through the ___________ of lens and __________ of entrance pupil of pt eye

Answer 9

center and center

Question 10

How many peripheral views are there?

Answer 10

8

counterclock wise

Question 11

How many posterior/midperipheral views are there?

Answer 11

4

Question 12

Which poles when viewed gives the most glare?

How do we fix the glare?

Answer 12

posterior pole

wiggle lens and work on tromboning

Question 13

What if pt is looking above head and we see no ON in view?

Answer 13

they looked too far up

Question 14

if we are looking at left eye and want to see superior temporal, where are we?

Answer 14

inferior nasal (opposite); we are to the right of pt knee

Question 15

if we want to look at inferior nasal right eye, where are we?

Answer 15

superior temporal; move to my left

Question 16

if we can see ON in our view, are we still looking in mid periphery?

Answer 16

no! she might need to be moved up, or look higher

Question 17

What do you see in the condensing lens?

Answer 17

upside down and reversed left to right

Question 18

You are studying where the patient looks. T/F

Answer 18

true

Question 19

if pt is looking to their left, how do u examine inferior nasal OD?

Answer 19

standing and looking down on the retina

Question 20

when pt looks down, if cornea is buried into lower lid, what do we do?

Answer 20

pull gently enough to get lids and lashes out of the way,

or tell pt to look at stomach instead of the floor

Question 21

if you lose your view when tromboning, how do we fix it?

Answer 21

we drifted out of the pupil, so we need to start over

Question 22

if we are on pt for left side, and run into their nose, where do we turn pt face?

Answer 22

turn their face towards you

Question 23

for brown eyes, what color is red reflex?

how do we adjust light for that?

Answer 23

dark orange due to darker fundus

brighter illumination

Question 24

why are you seeing double vertically with BIO?

Answer 24

BIO is tilted sideways

Question 25

why are u seeing double horizontally with BIO?

Answer 25

incorrect PD

Question 26

how do u fix excessive reflections?

Answer 26

tilt lens slightly from perpendicular

Question 27

first inner ring in retinal mapping

Answer 27

equator

Question 28

second middle right in retinal mapping

Answer 28

ora serrata

Question 29

outer third ring in retinal mapping

Answer 29

ciliary process

Question 30

where is the macula located?

Answer 30

temporal and inferior to ON

Question 31

where are dentate processes?

Answer 31

nasal

Question 32

if patient is looking up, and we are viewing Superior OS, where is it in the lens?

Answer 32

bottom of lens