Slit Lamp Flashcards

1
Q

High power binocular microscope with a slit-shaped illumination source, specifically designed for viewing the different optically transparent or translucent tissues of the eye

A

Slit lamp biomicroscope

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2
Q

What is significant about the view you get in biomicroscopy

A

Depth perception

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3
Q

The science of examination with a slit lamp that allows in vivo study of living tissues at high mag

A

Biomicroscopy

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4
Q

Who invented the first slit lamp and when

A

Gullstrand

1911 (Zeiss)

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5
Q

What are the two industry standard slit lamps

A

Zeiss

Haag-streit

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6
Q

What is the main difference between the zeiss and the Haag-streit type

A

The illumination system

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7
Q

In the zeiss type, the illumination comes from

A

Below

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8
Q

In the haag streit type the illumination comes from

A

Above

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9
Q

Hand held slit lamps good for

A

Handicapped patients
Infants
Bed bound patients

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10
Q

What type of illumination used in both zeiss and Haag

A

Koehler illumination

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11
Q

What kind of system does eyepiece use

A

Astronomical telescope

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12
Q

What is used for even higher and changeable magnification

A

Galilean telescope

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13
Q

What is used to change mag

A

Galilean system

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14
Q

What do the telescope systems produce

A

Inverse image

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15
Q

What is used to produce a right way erect image

A

Porro-abbe

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16
Q

The point at which the microscope is focused corresponded to the point on which the light is focused

A

Parfocality

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17
Q

3 basic parts of slit lamp

A
  1. Motorized table
  2. Patient positioning frame
  3. Joystick
18
Q

What does high mag do to FOV

19
Q

What does low mag do to FOV

20
Q

Clinical uses of biomicroscopy

A
  • gold standard for assessment of the anteiror seg
  • exam of ocular structures
  • auxiliary lenses for post seg
21
Q

What are the most important illumination methods for biomicroscopy?

A
  • direct illumination
  • specular reflection
  • retro-illumination
22
Q

What type of illumination allows you to see the endothelium of cornea

A

Specular reflection

23
Q

What kind of retro illumination is most commonly used

A

Iris transillumination

24
Q

Types of direct illumination

A
  • direct diffuse illumination
  • direct focal illumination
    • parallelepiped
    • optic section
    • conical beam
25
What are the different types of retro illumination
- direct retro-illumination - indirect retro-illumination - iris tranillumintion
26
What is the most common direct focal illumination
Parallelepiped
27
What is the thinnest type of beam for direct focal illumination
Optic section
28
Applications of optic section in direct focal illumination
- van herrick - depth or elevation of ant seg - corneal depth and layers
29
Applications of conical beam (pinpoint) in direct focal illumination
Assessment of inflammatory cells, flare, and pigmented cells in anterior chamber
30
What kind of reflection does the angle of incidence have to equal angle of reflection
Specular reflection
31
Illumination and mag of specualr reflection
High
32
Applications of specular reflection
-only technique by whihc one is able to view the endothelial cells of the cornea or the epitheliual cells on the back of the lens
33
Applications of iris transillumiunation
Visualization of defects of the pigment layer of the iris
34
What kind of illumination utilizes total internal reflection
Sclerotic scatter
35
What is the most common filter used on the biomicroscope
Cobalt blue
36
Why do we use cobalt blue filter in slit lamp
For dry eyes and for GAT
37
What kind of drops are used with the cobalt blue filter
NaFl
38
What are the uses for cobalt blue filter
- corneal abrasion, ulcer - GAT - TBUT
39
What lighting technique do we used for van herrickes technique
The optic section
40
What grade of van herrick is an open angle
Grade 4
41
What grade of van herrick is a closed anterior chamber
0