4 - Biomicroscopy (Exam 1) Flashcards
What 3 relationships do the microscope system and illumination system share in slit lamp optics?
- Parfocal
- Copivotal
- Isocentric
What is meant by parfocal?
Systems are focused to the same plane
What is meant by copivotal?
Systems pivot around the same point
What is meant by isocentric?
Systems are optically centered on the same point
How are the Haag-Streit and Zeiss styles of slit lamps different?
HS- Tower style, lamp/filter/aperture controls at top
only width/inclination controls at the bottom
Z - All controls at the bottom
What are the 7 slit lamp illumination variables?
- Width
- Height
- Angular orientation
- Inclination
- Filters
- Isocentricity
- Voltage
How thick is a Grade 1 anterior chamber angle relative to corneal thickness?
less than 1/4 thickness
How thick is a Grade 2 anterior chamber angle relative to corneal thickness?
1/4 thickness
How thick is a Grade 3 anterior chamber angle relative to corneal thickness?
1/4 to 1/2 thickness
How thick is a Grade 4 anterior chamber angle relative to corneal thickness?
Equal to or greater than
What grade of anterior chamber angles are likely to close with pupillary dilation?
Grade 1 and Grade 2
What grade of anterior chamber angles are unlikely to close with pupillary dilation?
Grade 3 and Grade 4
What are 4 important things for viewing the anterior chamber?
- Dim room illumination
- High magnification (25x)
- Parallelepiped width, height of pupil or smaller
- Focused in the the anterior chamber (behind cornea, in front of iris)
What type of illumination is used to examine optical surfaces of the eye?
Direct, specular reflection
What are 4 examples of structures that are best viewed with specular reflection?
- Tear film
- Corneal endothelium
- Anterior lens capsule
- Posterior lens capsule