Eye OSCE Flashcards
Eyelid Eversion
- used to look for foreign bodies
- pt looks down and fingers pull lid down and finger placed on upper tarsal
- lid pulled over finger and everted
Pupillary Exam
- Direct: pupil exposed constricts
- Consensual: other eye constricts
- Convergence: pupil constriction as object becomes close to eyes
Red Reflex
- pt looks into light and should see red color bilaterally
- lighter colored eyes on different ethnic groups
Leukocoria
- white reflex instead of red
- congenital cataract or retinoblastoma, retinal detachment
Retinoblastoma
malignant cancer in retina
-common sign is leukocoria
Caloric reflex
cold water: eyes deviate towards ear
warm water: eyes deviate away from ear
Visual Field Confrontation using Kinetic Red Target Test
- when done with wiggle test, very sensitive and specific test for visual field abnormalities
- move red pin inward along line bisecting the horizontal and vertical medians and have pt tell you when pin appears to be red
Hordeolum
-painful and on eyelash line
Chalazion
-nonpainful on the lid
Xanthelasma
-benign, soft plaque filled with cholesterol
Bacterial conjunctivitis
- yellow discharge
- S. Aureus most common in adults, S. Pneumoniae, H. influenze, M. Catarrhalis most common in kids
Viral conjunctivitis
- gritty or sandy feeling
- unilateral and then bilateral quickly
- clear discharge and very red
Pterygium
- benign growth of fibroblastic tissue due to UV light
- on medial side
Hyphema
- blood in anterior chamber
- common from trauma
Subconjunctival hemorrhage
-painless, doesnt affect vision, resolves on own
