Vitreo-Retinal Examination Flashcards

(55 cards)

1
Q

We would not dilate the eye in bio under what circumstances?

A

Narrow angles, closed angles, need for near acuity, Iris fixed IOL

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2
Q

The mirrored system in BIO allows ___-axis light to ___ reflections.

A

Off-axis light

decrease reflections

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3
Q

What type of image does a BIO produce?

A

A real, inverted image between the lens and examiner

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4
Q

The prism system in the BIO decreases the examiner’s Pd to ___mm.

A

15 mm

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5
Q

The pupils of the examiner must project into the patient’s pupil to provide what?

A

Maximal view and stereopsis

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6
Q

A Method of observation in which a converging lens forms an image in the plane of the entrance pupil of the observer is called what?

A

Maxwellian View

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7
Q

Name all the components that fit into the pts pupil. What’s the exception?

A

Examiner’s eyes and light source

Exception = peripheral fundus views

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8
Q

What are the 2 stages of linear magnification?

A
  • Patient to Aerial Image

- Aerial Image to Observer

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9
Q

What is the calculation for patient to aerial image linear magnification?

A

Mag = Deye/Dlens

ex.) 60D/20D lens = 3x mag

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10
Q

Aerial Image to Observer linear magnification is proportional to what?

A

Proportional to the distance the examiner views the image

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11
Q

What’s the calculation for aerial image to observer linear mag?

A

Mag = (Deye/Dlens)(25/d)

d= distance image is viewed (usually 40cm)

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12
Q

Axial Magnification is the same as depth magnification. What is the calculation for this?

A

Axial Mag = (linear mag)^2

use pt to aerial image linear mag

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13
Q

A higher powered condensing lens results in ____ axial depth?

A

less. (think of calculation, higher lens = less mag)

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14
Q

What limits the FOV of BIO?

A

Limited by edge of the condensing lens

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15
Q

In peripheral views, the pts pupil is ____. The view will be limited with vignetting.

A

elliptical

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16
Q

The higher the power of the condensing lens, the ____ the view and the ____ the mag.

A

The larger the view and lower the mag

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17
Q

How many disc diopters does a 20D lens allow in one view?

A

8-9

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18
Q

How many vortex veins do we have? In what region are they found? Where do they drain?

A

4 Vortex veins found in equator region

drain to ophthalmic vein

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19
Q

Long ciliary nerves are found where in equator?

A

around 3 and 9o’clock

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20
Q

Scleral depression is used to evaluate the peripheral lesions on profile to determine if there is a ____ or _____.

A

break or risk of a break..

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21
Q

Nasal and temporal scleral depression is harder due to____.

A

Lateral Canthi

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22
Q

What 4 things must be aligned for a sucessful scleral depression?

A

Eyes of examiner, lesion, light of bio, tip of depressor

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23
Q

When depressing, it is important to position the depressor _________the limbus

A

7-14mm from the limbus (mound will be under the peripheral retina)

24
Q

When performing scleral depression, it is important to have a common axis of what 4 things?

A

Condensing lens, the depressor, pupil (pt looks away from depressor), the BI)

NOT MACULA. that means pt is looking at you

25
Light red of an EO drawing means what?
attached retina
26
Dark Red of an EO drawing means:
retinal arteries, pre-retinal or intraretinal hemorrhages
27
Light Blue of an EO drawing means:
retinal detachment
28
Dark Blue of an EO drawing means:
retinal veins, margins of retinal breaks, lattice with crisscrossed lines inside
29
Black of an EO drawing means:
chorioretinal pigment
30
Yellow of an EO drawingmeans:
intraretinal or subretinal exudates/drusen
31
Brown of an EO drawing means:
nevi, melanomas, choroidal detachments
32
Green of an EO drawing means:
vitreous opacities, vitreous hemorrhage
33
What are the 3 methods for fundus biomicroscopy?
Aspheric lens (90D, 78D, etc) Hurby Lens, Goldmann 3 mirror lens
34
What are the 3 reasons to do fundus biomicroscopy?
ONH assessment, Macular assessment, exam the vitreous
35
What type of image does a 90D fundus exam produce?
real, magnified, inverted and reversed
36
Magnification and FOV are dependent on 2hat 2 things in a fundus biomicroscopy exam?
Pupil diameter and dioptric power of the lens
37
To measure size of the ON while doing 90, what 2 things should you do?
Decrease size of beam to determine mm size, then multiply by 1.32x to get true size
38
What is the average size of the ON and fovea?
1500um
39
What is the expected C/D ratio for a 2.4mm ON?
0.8
40
What is the expected ratio of a 2.2mm ON?
0.6
41
What is the expected C/D ratio for a 2.0 mm ON?
0.4
42
What is the expected C/D ratio for a 1.8mm ON?
0.2
43
What is the expected C/D ratio for a 1.6mm ON?
0.0
44
The best way to view the fundus is using what lens? Specifically for what disease?
Goldmann 3 mirror, Macular Edema
45
The equatorial mirror is at what degree?
73 degrees
46
The peripheral mirror is at what degree?
67 degrees
47
The anterior retina mirror is at what degree?
59
48
A goldmann 3 mirror produces an image that is?
virtual, inverted image
49
In a PVD, Syneresis is ...
the shrinkage of the vitreous
50
In a PVD, Synkesis is..
the liquefaction of the vitreous (appears black, no more strands)
51
A weiss ring is found in what ocular issue?
PVD
52
Vitreous buckling at the macula is what stage PVD?
Stage 1
53
Detachment of the vitreous of the macula is what stage in PVD?
Stage 2
54
Full detachment of the vitreous from the ON is what stage PVD?
Stage 4
55
Using a yellow filter will extend the safe exposure time by how much?
20-fold