Tuesday, 18 April 2017

Methods of examination of glaucoma

Perimetry: 

Perimetry is the way toward graphing or recording the visual field. Visual field is characterized as an island of vision encompassed via ocean of obscurity. The visual field stretches out to 60 degrees nasally, 50 degrees superiorly, 90 degrees transiently and 70 degrees poorly.

Methods of examination glaucoma

Gonioscopy: 

It's a procedure of analyzing the perspective of a foremost chamber point. Foremost chamber point is not noticeable through the cornea because of aggregate corneal reflection. Gonioscope disposes of the aggregate interior reflection and perspectives the point structure.

Methods of examination of glaucoma

Gonioscopy: 

It's a procedure of analyzing the perspective of a foremost chamber point. Foremost chamber point is not noticeable through the cornea because of aggregate corneal reflection. Gonioscope disposes of the aggregate interior reflection and perspectives the point structure.

Classification of glaucoma

Glaucoma is arranged into essential glaucoma and auxiliary glaucoma. Essential glaucoma is additionally characterized into essential open edge glaucoma and essential conclusion glaucoma. Open edge glaucoma is brought on because of expanded resistance in the trabecular meshwork. Edge conclusion glaucoma is brought about because of blockage of watery funniness surge because of mechanical conclusion of front chamber edge by the fringe iris.

Angle Structure

The range in the front chamber where the cornea and Iris joins is called as point. It's made of a few structures and aides in the waste of fluid diversion. The watery funniness is water like fluid that fills the space amongst cornea and iris in the front chamber. It's framed in the ciliary body, courses through the pupillary space into the front chamber and exists out of the eye through the edge structure. It offers sustenance to cornea and crystalline focal point. Nearness of watery amusingness in foremost chamber offers shape to the front segment of the eye. The creation and seepage of watery liquid decides the eyes intra visual pressure(IOP).

Glaucoma

Glaucoma is an ailment in which intra visual weight is raised which make harm visual field and optic circle. At the point when eye weight expands it obstruct the trabecular meshwork and edge structure winds up noticeably shut where fluid diversion exists.

Saturday, 15 April 2017

Measures of corneal reflex

1 mm decentration of corneal reflex =7degrees=15 crystal degrees.

2 mm decentration of corneal reflex on pupillary edge = 15 degrees = 30 crystal diopter.

4 mm decentration of corneal reflex on mid iris = 30 degrees = 60 crystal diopter.

6 mm decentration of corneal reflex on limbus = 45 degrees = 90 crystal diopter.

Hirschberg Test

It's utilized to gauge eye misalignment in patients which can't coordinate for cover test or who have poor obsession. The analyst sparkles the light and looks at the corneal light reflex. Typically the corneal light reflex is somewhat nasal to the focal point of cornea. 

On the off chance that the corneal light reflex is seen transiently then that eye is veered off nasally (esotropia) and if corneal light reflex seen nasally that eye is digressed transiently (exotropia).

Wednesday, 5 April 2017

Results of Cover-uncover and alternate cover test

Continuously watch the revealed eye in the cover-uncover test and dependably watch the eye being revealed amid the other cover test. 

Any development of the eyes to get obsession shows the patient has a deviation and the bearing of development demonstrates the kind of deviation eso, exo, hypo or hyper.

Observation of alternate cover test

*The development of revealed eye is noted as the cover is moved from one eye to the next 

* If the eye moves inwards to take up obsession as it is revealed, then patient has exotropia 

* If the eye moves outside to take up obsession as it is revealed, then patient has esotropia 

*If both eyes stayed settled on the objective amid this test then the patient has ortho.

Alternate cover test

The alternate cover test is useful to measure total deviation. It doesn't separate phoria from tropia. During alternate cover test, the cover is placed alternately infront of each eye rapidly in order to break the fusion.

Observation of Cover-uncover test

During this test the examiner covers one eye repeatedly observes for
* The movement of the uncovered eye
*The movement and position of the covered eye as the cover is removed
*Then test is done on the other eye
*If uncovered moves to take up fixation, then the patient has tropia.

Cover -Uncover test

Cover-reveal test is valuable for the nearness of show strabismus(squint) and furthermore separate phoria and tropia.

Wednesday, 29 March 2017

About phoria and tropia

If a patient has phoria, the eyes will straight before and after test.
If a patient has tropia, one of eye will be deviated before the test and ends up with deviation in the same eye after the test.
If a patient has intermittent deviation, the eyes will be straight before test but get deviated for sometime after the test.

Pre requisites for performing cover test

The essential things that requires for performing cover test are :
Good central fixation and patient should not miss the target as he have shown by observer.
Patient should be good cooperative.
No ocular motility restrictions.

Cover Test

Cover test is helpful to discover visual misalignment. It ought to be accomplished for both separation and close with obsession with an accommodative target.The test ought to be performed with and without remedy.

Sunday, 19 March 2017

Visual Acuity Assessment in Children

Testing neonates (new conceived): 

Obsession , support and inclination (burn light). 

1 year old: 

Optokinetic Nystagmus Drum 

Outwardly Evoked Potentials 

2 years of age: 

Teller keenness cards and Lea gratings graphs. 

3 years of age: 

Beacon streak card test 

4 years of age: 

Broken wheel sharpness test 

Sjogren hand test and HOTV test 

5 years of age: 

Snellen graph, Logmar diagram, Allen picture outline, Lea image graph, Tumbling "E" graph and Landolt "C" graph.

Vision Charts

Vision outlines are communicated in different documentations in light of the sort of graph utilized. These incorporates M documentation, P documentation, N documentation, and Reduced Snellen division. Decreased Snellen portion documentation is likewise used to survey close vision particularly where the patient is not educated.

Near Vision

Close vision is measure at separation of 30 to 40 cms. It is communicated in different documentations in light of the sort of graph utilized. Close vision can likewise be surveyed as a point measure at a predefined testing separation. 

Close vision recorded as N taken after by a number alongside the test remove. The N shows the extent of the Times New Roman text style. For instance, N6 at 40cms implies that the littlest print estimate that the patient read was 6 point Times New Roman text style tried at 40cm.

Why vision chart is kept at 6 mtrs.

Vision graph is kept at 6 meters on the grounds that more often than not 6 meters is thought to be sufficiently close to optical infinity.The beams of light from a separation question are for all intents and purposes parallel and little settlement is required.

Factors influencing visual acuity

Visual Acuity relies on upon various components are: 

Refractive mistakes, size of the student, enlightenment, time of presentation of the objective, range of retina empowers, eye developments.

Vision and Visual Acuity

The capacity of the unaided (without glasses) eye to separate fine points of interest is called vision. 

The capacity of a refractively remedial eye to separate the fine points of interest is called visual keenness.

Friday, 17 March 2017

Advantages and disadvantages of logmar chart

Preferences: 

Similarly quantities of letters per line. 

Consistently separating amongst lines and letters. 

Uniform movement in letter estimate. 

Inconveniences: 

Time taking 

Challenges for scoring

Advantages and disadvantages of snellens chart

Advantages:
The chart is familiar
Inexpensive, quick and easy to use and interpret
Disadvantages:
Snellen chart has only one 6/60 letter and an increasing number of letters increase as we go down the lines.
Patients with poor acuity are required to read less number of letters than those with good visual acuity .
The letters are lower lines are more crowded than those on the top on the chart.
There is no standard relationships between the width or height of the letters and spacing between each letters.

Thursday, 16 March 2017

Interpretation of Snellen's Fraction

The numerator in the Snellen part demonstrates the separation at which outline is kept from the patient or a separation at which the patient can read the letters, the denominator means the separation at which this letter can be perused by a man having ordinary visual sharpness. 

In the event that visual sharpness is 6/9 

6 signifies the separation at which the graph is kept and 9 means the separation at which an ordinary individual would read this letter.

Visual Acuity and pinhole

Pinhole is utilized while introducing visual sharpness is under 6/6. Pinhole will build the depfth of center of the eye and increment the visual sharpness if there should be an occurrence of the uncorrected refractive mistakes upto - 5D to +5D. 

Ideal pinhole size is 1.0 to 1.5 mm distance across. In the event that visual keenness enhances with pinhole it shows uncorrected refractive blunder and if visual sharpness unaltered with pinhole it demonstrates not optical cause (illness).

Importance of visual acuity (VA)

It gives a thought regarding the respectability of the visual framework. 

Helps in determination and observing of eye maladies. 

Visual sharpness criteria are utilized by certain permitting experts and bosses as qualification criteria for specific occupations (e.g. carrier pilot, cops) and exercises e.g. driving.

Tuesday, 14 March 2017

Tear Break-Up Time

Fluorescein shading is associated with the tear film and the patient is asked for that not squint rapidly, and a short time later the time taken for dry spots to occur on the corneal surface is noted. This between time of the time is known as the TBUT., and the break is lessened in patients with dry eyes.

Schirmer Test

Schirmers strips is placed inside the lower fornix for a given period of time (usually 5 minutes) with or without topical anesthesia. The strip is then removed and the length of strip that is wet is measured and compared to standard. Patients with dry eye will have less wetting of the strip than normal individuals.Schirmers strips is set inside the lower fornix for a given timeframe (for the most part 5 minutes) with or without topical anesthesia. The strip is then evacuated and the length of strip that is wet is measured and contrasted with standard. Patients with dry eye will have less wetting of the strip than ordinary people

Cyclophotocoagulation

Trans-scleral cyclophotocoagulation is a methodology for glaucoma in which the ciliary body which secretes watery silliness is treated with laser to lessening creation of fluid. This will decrease the Intra Ocular Pressure. Cyclophotocoagulatio is utilized as a treatment when different methods for glaucoma treatment have neglected to legitimately control high weights.

Corneal Topography

Corneal geography is a strategy for measuring corneal ebb and flow helped by PC investigation. This technique is basic for patients before any refrective surgical methodology like LASIK, Corneal geology is likewise be utilized as a part of fitting RGP contact focal points..

Thursday, 9 March 2017

Palpebral and bulber conjunctiva

Palpebral conjunctiva is begins from back top edge to the sulcus and contains more veins while bulber conjunctiva is a free mucous layer covering the sclera anteriorly.

Chlamydial conjunctivitis

It is the most common type of neonatal conjunctivitis, occurring 7-14 days after birth. The presentation of chlamydial conjunctivitis may range from mild congestion with mucous discharge, eyelids swelling. Most cases are mild and self limited. It occasionally may lead to corneal involvement and scarring.
Treatment is using erythromycin ointment.

Gonococcal conjunctivitis

Gonococcal conjunctivitis is the most serious condition, usually occuring 24-48 hours following the birth. The child is presented with bilateral accute conjunctivitis, associated with lid edema, chemosis and purulent discharge. Corneal ulcer and perforation may occur, if treatment is delayed.

Neonatal conjunctivitis

Neonatal conjunctivitis occurs during the first month after birth. It is caused by Bacteria, Chlamydia or virus. Infants acquire the infection as they passes through the birth canal during the birth process.
Treatment is 2.5% povidone-iodine solution is useful in preventing neonatal conjunctivitis.

Bacterial conjunctivitis

Bacterial conjunctivitis happens in those patients who have complained of mucopurelent discharge, diffuse congestion, watering, irritation and usually effect one eye first but may spread easily to the fellow eye.
Treatment is only antibiotic eye drops.

Allergic Conjunctivitis

The causes of allergic conjunctivitis can be diagnosed clinically based on signs and symptoms.
Signs and symptoms are :
Ropy discharge
Diffuse congestion
Itching
Watering
Lid edema
Papillae may be present on palpebral conjunctiva.
Treatment :
Cool compresses and artificial tears. Non-steriodal anti-inflammatory medication, steroids and antihistamines are advised in severe condition.

Tuesday, 7 March 2017

Contrast sensitivity

Contrast sensitivity is the ability of eye to see a given object against a background. The closer the levels of target illumination and background illumination, the more difficult it becomes to resolve the target. The reduction in contrast sensitivity occurs in corneal disease, cataract and retinal degenerations.

Color vision

Color vision is a function of cones of the retina. The most common test of color vision is the Ishihara pseudo-isochromatic color plate exam. It consists of a series of test plates with colored dots forming a number. The numbers are visible to individuals with normal color vision but appear differently or invisible to the individuals who are red green color deficient.

Amsler Grid Test

The Amsler Grid is a test is used to evaluate a patient for macular edema, Age related macular degeneration (ARMD) or central serous retinopathy. The patient is asked to look at the center of the grid where a dot is present and to mark any distortion or disappearance or wavy appearance of lines on the grid.(Metamorphosis).

Retinal Angiography

Fluorescein/Indocyanine green dye (ICG) is injected into a vein in the arm of the patient. The dye then circulates throughout the body, including the eye and the fundus camera is used for taking pictures of the circulation of the eye.

Monday, 6 March 2017

Visual Acuity

Visual acuity is the measure of vision. It can be defined as the resolving power of the eye. It indicates the smallest detail that can be seen. Visual acuity is a function of the dioptric apparatus, the retina, visual pathway and the central nervous system.

Optical Power

The optical power of a lens is measured diopters. Diopter is defined as the reciprocal of the focal length in meters. The greater the optical power, the shorter the focal length. The focal length of a plus lens will be the same as focal length of a minus lens with the same power.

Friday, 3 March 2017

Accommodation

It's a process by which the refractive power of the eye is changed by the shape of its crystalline lens to ensure a clear retinal image or the lens changes its shape and power to adjust for near and distance vision.

Ammetropia

It is a refractive condition where the parallel beams originating from endlessness after the refraction through the eyes won't frames a point concentrate on the retina when settlement is very still.

Emmetropia

It is a refractive condition where the parallel rays coming from infinity after the refraction through the eyes forms a point focus on the retina when accommodation is at rest.

Saturday, 25 February 2017

Glass Prescriptions

The prescription in attached media below reads, Right eye , +2.50 Dsphere with -1.0Dcylinder at 180 degrees axis.
Left eye ,+1.50 Dsphere with -1.0 Dcylinder at 180 degrees axis.
With ADD of +2.0Dsphere for near.

Types of Bifocals lens

1.Kryptok_fused bifocals lens are most popular, less expensive and dividing line isn't seen easily.
2.Executive_one piece bifocals lens are mono centric, minimal or no prismatic effect, wide field of view for reading and no chromatic aberration.
3. 'D' fused bifocals lens are minimal prismatic effect, technically the most advanced bifocals and inconspicuous dividing line and are more expensive lenses.

ADD Power

Include is the in addition to power given for the amendment of presbyopia for performing close errand like perusing. Include power can go from +0.75 to +3.50 diopters. While composing solution , the add power is arithmetically added to the round part of the medicine. Tube shaped power and hub remains un changed.

Find out cylindrical lenses

To see whether a specific focal point is round and hollow, hold the glasses at 50_55 cm and take a gander at a straight line through the viewpoint. Move the focal point and watch the snapshot of the focal point. In the event that the lines seem to move in same heading as the focal point, then it's a sunken focal point. In the event that the lines seem to move in inverse heading then it's curved focal point. These round and hollow focal points are utilized to right astigmatism, are generally present alongside hyperopia and nearsightedness.

Cylindrical Lenses

These lenses are curved more in one direction than other. All the cylindrical lenses have axis. The axis refers to the orientation of the cylindrical area of the lens.The axis can be anywhere from 0 to 180 degrees, with 90 being the vertical meridian.

Concave Lenses

Concave Lenses are thinner in the center and thicker at the edges. Light rays are diverged. These lenses are used in correction of Myopia. These lenses are indicated with minus (-) sign on prescriptions.

Convex Lenses

Convex Lenses are thicker in the center and thinner at the edges. Light rays are converged towards a central point. These lenses are used in correction of hyperopia. These lenses are indicated with plus (+) sign on prescriptions.

Thursday, 23 February 2017

Types of Frames

There are many different types of frames. The variations in type are based on the material from which the frames are made, their style, and the purpose for which the frames are designed.

Half eye frames

The half eye or reading eyeglasses are commonly prescribed for prebyopic patients. They can focus on things at a distance by looking over the lens without having to remove their eyeglasses.

Rimless Frames

There are some frames which provide no, or only partial, peripheral support for the lenses. These are called rimless or semi rimless frames. These are constructed in several different ways. These frames consists of a shallow groove at the edge of lenses into which a nylon cord fits. Each end of nylon cord is attached to the frame. These frames are also called supra frames.

Metal Frames

In metal frames, the temples and the front are made of metal, except the portion of the temple that fits the skull. Metal frame is aquipped with adjustable nose pads.

Plastic Frames

For years, the most common frames were made from a cellulose acetate materials called zyl. Recently, new plastic material have been used for manufacture of frames. Each material has unique properties that enhance fabrication, safety, or colorization.

Riding Bow Temple

Riding Bow Temple has a thin, long plastic temple wrapping around the ears. It is usually thin and mostly used for children's frame. It is more difficult to remove.

Skull Temple

The most common type of temple is called skull temple. It has bent and unbent versions. The skull temple is most comfortable for those people who wear their glasses for long periods of time. It fits easily on the ear and bends slightly to fit the skull.

Library Temple

The library temple is straight and pressure in used to held them on. This type of temple was developed for people who need to remove and replace their glasses many times during the day like near vision reading glasses.

The Temple

The temple of the frame is the long portion that supports the frame on the ears. It is also known as earpiece. Temple length is measured in millimeters. There are a variety of different styles of temple.

Wednesday, 22 February 2017

Eye wires

Each frame has opening for two lenses.
A right lens and left lens. The frame that holds the lens is called a eye wire. And the temple of the frame is the long portion that supports the frame on the ears. It's also known as earpiece. Temple lens is measured in millimeters . There are a variety of different styles of temples.

Comfort fit bridge

It is a solid saddle type bridge used on metal frames. Adjustable pads are present to provide control over adjustments that are need on any of the solid bridge.

Saddle Bridge

The saddle bridge allows the nose to make continuous contact with the front of frame. It has smooth rounded curves. It rests on the top and sides of the nose.

Keyhole Bridge

Keyhole bridge looks like the keyhole in the door. The bridge out line isn't continuous, it has small cut out section on either side. This means the nose doesn't make continuous contact with the front of the frame in the area called nasal crest.

Tuesday, 21 February 2017

Bridge Type

There are different types of bridges . Adjustable nose pad may be attached to the bridge. A special bridge insert of molded plastic, some times known as a form fit bridge, may also be used.
In plastic frames, the bridge and nose rest area may be molded into the frame. The bridge in plastic frames may be further classified into the keyhole bridge and the saddle style bridge.

The Bridge

The Bridge of the frame front serves two function. First, it supports the glasses on the nose. Second, it connects the two lens holders.

Ophthalmic Frame Materials

Most plastic frames are made of Zylonite, cellulose propionate or polyamide. The Metal frames are usually made from nickel silver and Monel. Titanium frames have high tensile strength and ultra lightweight and impressive corrosion resistance . But it is expensive.

Monday, 20 February 2017

Hi-Index lenses

High index lenses polymers with an index higher than 1.58. High index lenses require flatter curve than their low index lens materials, resulting in thinner and lighter lenses. High index material tends to have a lower abbe value which results in chromatic aberration. AR Coating are usually recommended for high index lenses to eliminate these reflections.

Polycarbonate glasses

Polycarbonate is the same material used for bulletproof glasses. It is the most impact of lens material. Polycarbonate is the material of choice for safety glasses and for children. With an index of 1.59, polycarbonate also produces thinner, lighter lenses than glass or plastic. Polycarbonate has ability to give uv protection.

CR-39 lens

CR-39 (Columbia Resin) is also known as plastic or hard resin. Lens made of CR-39 are much lighter than  glass. But CR-39 is less scratch resistant and must be coated to improve index: 1.498.Advantages of these lenses are :
Lighter than glasses, readily tintable, less like to fog, suitable for children and one eyed patients.

Sunday, 19 February 2017

Ophthalmic Lenses

Glass is most stable, scratch resistant  material which provide the best optical quality of all lens materials. Glass is easy to break than  other lens materials and  hence the lenses made of glass must be tempered  or  heat treated to give them more strength and make them safer to wear. Glass is available in a number of indices of refraction.

Cataract

Any clouding of lens or  insult of lens is called cataract. Cataract is the most  leading  cause of blindness in world. Causes of cataract are  age related, because of injury, by using drugs, diabetic long time, mal neutration, chronic uveitis, electrical shock, etc.

Saturday, 18 February 2017

Congenital Glaucoma

It is present at birth. It may occur because of a abnormal shape of the anterior chamber angle. It is called as infantile when it is present within the first year of life.
It's mostly a bilateral condition. It's also associated with high myopia. It is associated with many systematic conditions.

Friday, 17 February 2017

Scratch resistant / Hard coating

Plastic lenses are lighter than traditional glass lenses but they scratch more easily. Scratch resistant lenses can irritating for the wearer and look ugly. Scratch resistant coating are available to protect against damage and prolong lens life.

Anti-reflecting coating on Spectacle Lenses

Spectacle lenses can be provided with anti reflection coating, which will eliminate distracting reflections from the lens surface. Reducing reflected light is particularly helpful for computer users and for night driving.
Anti reflection coating also improves the cosmetic appearance of the glasses can make thick lenses look thinner.

Thursday, 16 February 2017

Photo Chromatic Lenses

These lenses react to light so that indoors or in dull condition they they have a light tint, and in bright light they darken to eliminate glare and protect the eyes from uv rays. They have two colors photo grey and photo brown.

Interpupillarry Distance

IPD is an important measurement for selecting frames, alinging optical centers, calculating induced prism in high power prescriptions and adjusting binocular optical instruments like slit lamp, indirect ophthalmoscope etc.

Presbyopia

It is a term used to describe the condition in which a patient's amplitude of accommodation has decreased to a point where clear vision at the near point is difficult.
The amplitude of accommodation gradually decrease with age. In India presbyopia occurs around the age of 38-39 years.

Wednesday, 15 February 2017

Eye

Human eye is one of the five sense organ.
The eyes allow us to see and interpret the shapes, colors, and dimensions of objects in the world by processing the light they reflect or emit.
We use our eyes in almost in every activity we perform, wether reading or writing, working on a computer, watching television, or driving a bike.

Tuesday, 14 February 2017

How to install eye drop

Sit or lie down and tilt your head backward.
Place your index finger on the soft spot just below the lower  lid, generally pull down to form a pocket and look up.
Squeeze one drop into the pocket in your lower lid.
Close eye for 2-3 minutes without blinking .
Blot around eyes to remove any excess.

Monday, 13 February 2017

Orbital Cellulitis

It's an acute infection of the tissues surrounding the eye. It's caused due to spreading of bacterial infection from sinuses.
It's also caused due to spread infection from stye or injury to the eyelids.
In children it is spread  infection from sinus caused by organism like  Hemophilus influenzae, Staphylococcus aureus and Streptococci

Eye Exercise

These are some eye exercises:
Blink eyes few times.Close the eyelids , rolls eye behind closed eyelids clockwise and then anticlockwise. Take a deep breath and open the eyes when releasing breath. Use lubricating eyedrops while you feel irritation, dryness, itching or burning sensation.

Sunday, 12 February 2017

Blood Supply to Eye

The major blood supply from the eye comes from ophthalmic artery. The lateral muscular branch of the ophthalmic artery supplies the lateral rectus, superior rectus, and superior oblique muscle.
The medial muscular branch supplies inferior rectus, medial rectus, and inferior oblique muscle.

Progressive Lenses 

These lenses are used for correcting presbyopia but they don't have visible dividing line between the distance and near portion.
Instead they have a graduated section in which the power of the lens progresses smoothly from one distance to near, allowing the wearer to see clearly at all distances.

Bifocals

Bifocal lenses contains two optical corrections with a distinct dividing line between the two parts. The most common use of bifocals is for presbyopia.
The upper part of the lens corrects distance vision the lower half is for near vision.

Saturday, 11 February 2017

Chemical burn

If a chemical falls in the eye, the first step is to irrigate eye with clean water. Irrigation of the eye should be  continued for about 15-20 minutes and then should be rendered to the nearest health center at the earliest.

Friday, 10 February 2017

Extraocular muscles

The six muscles that surrounds the eye and control it's movement are known as intraocular muscles. The primary function of four rectus muscles is to control the eye's movement from left to right and up and down.
The two oblique muscles move  and rotate the eyes inward and outward.

Scleritis

It's  a chronic, painful and potentially blinding inflammatory disease. It's commonly associated with systemic autoimmune disorders like rheumatoid arthritis ( joint pain).
Scleritis may be classified into anterior and posterior.
Posterior scleritis is very uncommon and can cause retinal detachment.

Avoid Spreading Conjunctivitis

1. Disinfect surfaces
2. Avoid touching the face again and again
3. Wash hands frequently
4. Don't share towels and washcloths
5. Don't use handkerchiefs, using tissue is best
6. Avoid shaking hands

Thursday, 9 February 2017

Chalazion

It's chronic inflammation caused due to not flowing meibomian gland secretion. It's seen as round, painless, hard lessons on the eyelid.
It's associated with chronic meibomitis.In early stages warm compresses and lid massage are advised.
Surgery incision and currettage can performed if it decreases or recurs after sometimes.

External Eyelid Stye (Hordeolum Externum)

It is an acute bacterial infection of the Zeis glands. It present with painful swelling with pus formation at the lid margin.
Hot compress can be given to reduce symptoms. It may need epilation of the infected eyelashes or excision and drainage of the abscess.

Wednesday, 8 February 2017

Meibomitis

It is a chronic inflammation caused due to blockage of meibomian gland  secretion. Secretion can be shown out  from the opening areas on application of pressure on tarsus. Oily secretion can be seen on the meibomian gland orifices. It is always bilateral. Patients complaints of itching, burning and foreign body sensation.

Eye injury

Eye injury is one of the most common cause of unilateral blindness in the world.
It mostly affects the people in working age group in developing countries of the world.
Eye injury can occurs in a wide range of setting like household, roads, industries, sports etc.

Tuesday, 7 February 2017

Astigmatism

It is  a condition when parallel rays coming from infinity after refraction through the eyes will forms two focul lines instead of point focus on retina.

Eye Health / Blindness Astigmatism

Parallel rays coming from infinity after refraction through the eyes will focus one line behind  the retina and other behind the retina when accommodating is at rest.

Hyperopia (Farsightedness

Parallel rays coming from infinity after refraction through the eyes will focus behind to the retina when the accommodation is at rest.

Monday, 6 February 2017

Secondary Glaucoma

Secondary glaucoma refers to any case in which another disease cause or contributes to increased eye pressure, resulting in optic nerve damage and vision loss.
It can occur as a result of an eye injury, inflammation, tumor, or in advanced cases of cataract or diabetes.

Sunday, 5 February 2017

Normal-Tension Glaucoma

It is also called low tension or normal pressure glaucoma. In this condition the optic nerve is damaged even though the eye pressure is not very high.

PRIMARY OPEN-ANGLE GLAUCOMA (POAG)

It is caused by the slow clogging of the drainage canal, resulting in increased eye pressure.
It develops slowly and is a lifelong condition.

Cornea

Cornea is a transparent layer ,dome shaped structure and outer most layer of the eye. It protect the inner parts of the eye. It gets it nourish from limbal cells, aqueous humor and tear films.

TEAR FILM

Tear film keeps our eye smooth and and moist and help in spreading tears in eye during blinking.
It protect us from infection, injury and dust.

Limbus

The junction between cornea and sclera is called limbus. The cornea is transparent tissue which allows light to enter clearly.

Sclera

The sclera is the tough , opaque tissue that gives protection to the internal parts of the eye. Six extra ocular muscles that controls the eye movements and the optic nerve are attached to the sclera

Crystalline Lens

The crystalline lens is located just behind the iris. Its main function is to focus light on the retina. The lens is suspended behind the pupil with the help of zonules.

vitreous humour

The vitreous is a transparent gel that fills the eye behind the lens. It is composed mainly of water and comprises about 2/3 of the eye's volume, giving it from and shape.

Optic disc

The optic nerve transmits electrical impulses from the retina to the brain. When examining the retina through the pupil, a portion of the optic nerve can be seen. It is known as optic disc. There are no cones and rods on this spot.

Myopia (Nearsightedness

Myopia is a refractive condition when parallel rays coming from infinity after refraction through the eyes will forms point focus infront of retina when accommodation is at rest.

Saturday, 4 February 2017

Squint

Squint is a congenital issue where the eye is deviated either temporal or nasal side.
It can be corrected with spectacles or eye exercise.

Friday, 3 February 2017

Varicella-Zoster Virus

This is the virus which affects the frontal area, head, nose,waist, etc.
It also effects on eye . With this infection there is high fever.

Fungal Keratitis

Fungi enter in the corneal stroma through defect in epithelium.
Then multiple and caused tissue death and an inflammatory reaction.
The epithelium defect mostly results from trauma in the eye with plant materials.

Bacterial Keratitis

Bacterial keratitis is a sight threatening disease. It progress rapidly and cause corneal perforation within 24- 48 hours due to some bacterial infection.
The most common bacteria which cause infection are streptococcus, pseudomonus, accanthamobia, etc.

Thursday, 2 February 2017

Allergic conjunctivitis

Allergic conjunctivitis may cause due to intolerance to substances such as cosmetic, perfume, or drugs.

VIRAL CONJUNCTIVITIS 

The viral conjunctivitis is commonly caused due to a adeno virus.

Eye injury

Ocular trauma is one of the most common causes of unilateral blindness in the world.
It mostly affects the people in working age group in developing countries of the world.
Ocular trauma can occurs in a wide range of setting like household, roads, industries , sports, etc.

ulcerative blepharitis

This condition is due to infection of the lid margin with coagualase positively staphylococcus, superimposed on predisposed conditions.
There is superlative inflammation of the ciliary follicles along with the glands of Zies and Moll .
Yellowish crusts are deposited at the roots of eyelashes by which the lashes are glued togather.
On removal of crusts, small ulcer appear around the base of lashes which bleed freely.

Wednesday, 1 February 2017

Rosacea keratitis

It occurs usually in elderly women and is not common in this country. There are yellowish white infiltrates in the cornea, with small superficial ulcers.The cornea soon becomes vascularized.
The eye is very irritable with profuse lacrimation. Recurrences are common. Actual etiology is not known, but may be allergic in nature.

Retinal detachment

A retinal detachment occurs when the sensory retina and retinal pigment epithelium layer separate.
Retinal detachment is considered an  ocular emergency that requires immediate medical attention and surgery.
It may occur in patients with high myopia, diabetic retinopathy, premature birth, eye injury, holes in the retina and severe inflammation in the back portion of the eye.
Symptoms may light flashes, wavy vision, veil or curtain obstructing vision, floaters, sudden decrease of vision, etc.

Choroid

Choroid is the vascular layer of the eye and posterior most part of the uveal tract.
It is spread out from Ora seretta to optic nerve and lying between retina and sclera. The main function of choroid is the blood supply to rods and cones.
It gives neutration to the retina.It also helps to absorb excessive amount of light which is reflected from retina.

Viral keratitis

In Herpes Simplex virus (HSV) the infection of the cornea , the corneal lesions that look like the veins of a leaf are seen.This is known as dendritic keratitis.
Repeated episodes of dendritic keratitis can cause permanent scarring, and loss of sensation of the cornea.
Recurrent dendritic keratitis is followed by disciform keratitis. It is characterized by central , disc shaped swelling of the cornea and by inflammation of the iris.

Vernal Keratoconjunctivitis

Vernal Keratoconjunctivitis affects mostly in children and it affects mostly people who are living in the dry and sandy areas.
Symptoms may papillae in the tarsel plates, limbal thicking, trantas spots on limbus, superficial punctate keratits, ropy discharge, etc.

Endophthalmitis

Endophthalmitis is an inflammation of the internal cavity of the eye ball.  Complication of endophthalmitis are intra ocular surgeries like cataract or any penetrating trauma, allergic reaction , and retained intraocular foreign bodies.
It is caused due to infection from bacteria, fungus, parasites, etc.

Tuesday, 31 January 2017

Diabetic Retinopathy


Diabetic Mellitis  is a metabolic disorder in which there is a failure to utilize glucose and caused increased in blood sugar levels.
If it's uncontrolled for long time, it will damage the retina, brain and kidney.
It is caused by alternative food habits. Complications may develop cataract , glaucoma , diabetic retinopathy, etc.

Sunday, 29 January 2017

Retinitis Pigmentosa

Retinitis pigmentosa (RP) is a rare, bilateral and hereditary disease that causes gradual degeneration of the rods photoreceptor the retina.
Rods are located in the peripheral of the retina and are responsible for peripheral and night vision.
It affects males more than females.

Optic Nerve Disorders

All the optic nerve diseases cause RAPD, visual field defect and color vision deficiency.
During clinical examination of the patient , if there is explained visual loss on, color vision test using Ishihara chart, pupil assessment using swinging flash light test and visual field testing by confrantation should be performed.

Macular degeneration

Age related macular degeneration (ARMD) is a degenerative condition of the macula.
It affects those who are 50 years or older. ARMD affects central vision only and does not cause total blindness because it does not affect the peripheral vision.
It is classified into wet and dry ARMD . Wet ARMD is more severe and causes drastic reduction in vision within few days.
Dry ARMD is more common and causes gradual decrease in vision.

Uveitis

Inflammation of any part of uveal tract is called uveitis.
The uveal tract of the eye consists of the iris, ciliary body, and choroid.
Uveitis is most commonly classified as anterior, intermediate, posterior, or diffuse.
Anterior uveitis includes iridocyclitis, intermediate uveitis includes the inflammation of ciliary body and parts plana ( cyclists and pars planitis). Intermediate uveitis is painless and patient complaints of floaters.

Saturday, 28 January 2017

Vision: Processing Information

Light waves from an object enter the eye through the cornea and pass through anterior chamber and then through the pupil.
Next, the light passes through the crystalline lens. The light waves are bent or converged first by cornea, and then further by crystalline lens.
The light continues through the vitreous humor and forms a clear focus on the retina.
In retina, light rays are changed into electrical signals and then sent through the optic nerve to the brain. The electrical signals are interpreted by the brain as a visual image.

Eyelid

The eyelids protect the eye from environment, injury and light. They also maintain a smooth corneal surface by spreading tears evenly over the eye during blinking.
The edge of the eyelid is called eyelid margin. The eyelashes are located on the anterior edge of the lid margin.Opening of the meibomian gland are present on the posterior margin of the eyelids.
The palpebral fissure is the space between upper and lower eyelid margins when the eyelids are open. The place where the upper and lower eyelids meet together is called canthus. The opening to the tear drainage system are called lacrimal puncta and are located on the eyelid margin near the medial canthus.
The upper eyelid crease is a horizontal line that is present on the upper eyelid.

Retina

The retina is a delicate and thin membrane, extending from optic disc behind to the ciliary body in front being situated between the  choriod on the outer side and the hyaloid membrane of the vitreous  on the inner side. The thickness of the retina is about 0.5mm near the optic disc, 0.mm. at the equator of the eye ball and 0.1mm. most anteriorly.Normally the retina is transparent but immediately after death it becomes white.

Friday, 27 January 2017

Tears

It is the secretion from the lacrimal gland. It is slightly alkaline and consists mainly of water and minute quantities of salt, particularly sodium chloride, sugar, urea and protein. It also contains enzyme known as  lysozyme, which has definite anti bacterial  property. The secretion of tears does not begin before 3-4 weeks after birth.

Pterygium 

Pterygium is fibrovascular growth over conjunctiva either nasal or temporal side. It grows over cornea.
It is a fold of conjunctiva, encroaching the cornea,in the horizontal meridian, in the palpebral fissure, either from the nasal or temporal side of the bulbar conjunctiva.
The main cause is degenerative changes in the subconjunctivaltissues.

Lower eyelid that rolls outwards (ectropion

Out ward turning of lower eyelid away from globe is called ectropion. It is caused due to injury,old age,disease,etc.

The turned eyelid disturb the tear production which cause dryness, red and irritated eyes.


Wednesday, 25 January 2017

Cataract

Any insult to lens or clouding of lens is called cataract.Cataract is mostly common in developing countries like Asia ,Africa, etc.
It develop slowly and can affect one or both eyes. Symptoms may include faded colors,double vision, blurry vision, color halos around light, trouble with bright lights, and trouble seeing at night.

Tuesday, 24 January 2017

What Are the Types of Glaucoma?

There are two types of glucoma:

Open-angle glaucoma.This type of glucoma is mostly common type. Doctor may diagnose it wide-angle glaucoma. The drain structure in our eye which is called the trabecular meshwork -- looks normal, but fluid doesn’t flow out like it should.

Angle-closure glaucoma. This type of glaucoma is less common in Asia. You may also call it acute or chronic angle-closure or narrow-angle glaucoma. The aqueous humour doesn’t flow right because the angle between iris and cornea is too narrow. This can cause a sudden increase of pressure in eye.

Monday, 23 January 2017

What Is Glaucoma?


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Eye Health 

What Is Glaucoma?

It is a condition that causes damage to optic nerve which transmits images to our brain and damage visual field loss. It occurs due to increase of intra ocular pressure which block the trabecular meshwork (aqueous humour out flow).
If the damage continues, glaucoma can lead to permanent sight loss. If treatment delay, glaucoma can cause total permanent blindness within years.

Most people with glaucoma have no early symptoms or pain. You need to see your eye doctor regularly so she can diagnose and treat glaucoma before long-term visual loss happens.

Over 40 years age and one have a family history of the glucoma should get a complete ocular check up from an eye doctor every 1 to 2 years.

Sunday, 22 January 2017

What's Causing This Eye Condition?

The eyes are complex organs, with many parts like conjunctiva,clear,cornea,lens,etc that must work together to produce clear vision. Here is a basic overview of eye anatomy.

Saturday, 21 January 2017

Burning Eyes

Eye burning can be caused by allergy, dryness, tiredness, vision stress (like computer work) or a combination of the above. Consult your eye doctor if the burning persists, but usually these symptoms are not  an emergency.

Quick Tip: Usually, eye burning or stinging can be relieved with lubricating eye drops and rest. Cool, moist compresses over your closed eyes also can help and you will be relieved.

Friday, 20 January 2017

. Quit Smoking

Smoking makes more risk to get cataracts, damage to your optic nerve, and macular degeneration. If you've tried to leave the habit before only to start again, keep at it. The more times you try to quit, the more likely you are to succeed. Ask your doctor for help.^

Thursday, 19 January 2017

Lazy Eye

Lazy eye, or amblyopic eye, occurs when one eye doesn’t develop properly. Sight is weaker in that eye, and it tends to move “lazily” around while the other eye stays put. It’s found in infants, children, and adults, and rarely affects both eyes. If in infants and children, treatment needs immediately.

Vision loss can be avoided if a lazy eye is detected and treated in early childhood. Treatment includes full correction of glasses or contact lenses and using a patch or other strategies to make a child use the lazy eye and or removal the cause of stimulus deprivation

Eye Problems and Diseases

Do you have any questions about vision problem? Browse our extensive list of doctor-written and doctor-reviewed articles for reliable, easy-to-understand information.

Wednesday, 18 January 2017

Quit Smoking

It makes you more likely to get cataracts, damage to your optic nerve, and macular degeneration. If you've tried to kick the habit before only to start again, keep at it. The more times you try to quit, the more likely you are to succeed. Ask your doctor for help.

Sunday, 15 January 2017

EAT WELL

ood eye health starts with the food on your plate. Nutrients like omega-3 fatty acids, lutein, zinc, and vitamins C and E might help ward off age-related vision problems like macular degeneration and cataracts. To get them, fill your plate with:

Green leafy vegetables like spinach, kale, and collardsSalmon, tuna, and other oily fishEggs, nuts, beans, and other nonmeat protein sourcesOranges and other citrus fruits or juicesOysters and pork

A well-balanced diet also helps you stay at a healthy weight. That lowers your odds of obesity and related diseases like type 2 diabetes, which is the leading cause of blindness in adults

How to Keep Your Eye Healthy

Don't take your eyes for granted. Take these easy steps to keep your peepers healthy.

Methods of examination of glaucoma

Perimetry:  Perimetry is the way toward graphing or recording the visual field. Visual field is characterized as an island of vision e...