Test & Tools Flashcards

1
Q

What are indications for tonometry?

A
  • to measure IOP (gold standard)
  • glaucoma screening
  • pre/post eye surgery
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2
Q

What is normal IOP?

A

12-20mmHG

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3
Q

what does Applanation/goldmann tonometry measure?

A

force to flatten area of the cornea

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4
Q

risks of application/goldmann tomometry?

A
  • corneal abrasions

- allergic rxn to ggts

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5
Q

what is non contact tonometry?

A

puff of air used to flatten cornea; senses corneal deflection

(not gold standard/good for mass screening of population)

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6
Q

what is electronic indentation tonometry?

A

pencil like tool sits on cornea

reads IOP

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7
Q

risks of indentation tonometry?

A

corneal abrasions and rxn to ggts

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8
Q

indication for snellen chart?

A

far sighted visual acuity; gold standard; don’t use glasses

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9
Q

indications for rosenbaum chart?

A

near sighted visual acuity; best corrected vision

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10
Q

what are ishihara test plates used for? indications?

A

testing color blindness for R/G deficiencies

commonly used in screening

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11
Q

what are the 3 types of color blindness?

A
  1. deuteranopia (R/G)

2. protanopia (

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12
Q

what is an anomaloscope used for?

A

definitive Dx of R/G deficiencies

gold standard

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13
Q

how is an anomaloscope used?

A

look into scope and try to match the colors of two plates together

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14
Q

what is the farnsworth D-15 dichotomous test (aka color arrangement test)?

A

arrange colors in order
determines type of deficiency and severity

gold standard for type and severity

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15
Q

what is fluorescein angiography used for?

A

to determine the integrity of retinal circulation

to diagnose diseases affecting the posterior eye (retina, choroid, optic nerve)
- DR, vein occlusion, retinal aa occlusion, edema of optic disc, tumors

monitor previously diagnosed disease progression and tx

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16
Q

how is fluorescein angiography used?

A

inject sodium florescein

camera records the light/color emitted at specified times after injection

17
Q

risks of fluorescein angiography?

A

anaphylaxis, cardiac arrest, bronchospasms, urticaria, pyrexia, thrombophlebitis, syncope, local tissue necrosis, pain, redness, nausea, vomiting, pruritis

18
Q

pupillary dilation indications?

A

better view eye’s internal structures; gold standard

19
Q

what ggts are used for dilation of eye?

A

cyclopentolate or tropicamide

20
Q

risks of pupillary dilation?

A

light sensitivity, blurry vision, eyelid swelling, red eyes

21
Q

what is the slit lamp test used for?

A

examining structures of anterior and posterior eye

diagnose ophthalmic diseases: MD, detached retina, cataracts, corneal injuries, retinal artery occlusions

gold standard

22
Q

how is the slit lamp used?

A

administer dilation ggts

steady head on rest

microscope with high intensity light to visualize the eye

23
Q

what are the risks of slit lamp?

A

nausea, vomiting, dryness of mouth, flushing, dizziness, allergic run, increased IOP, loss of vision