For the patient with an eye problem, use a thorough OPHTHALMOLOGY exam to guide you through the differential
general
- On wall: Visual Acuity
- Phield: retinal field cut, pituitary bitemporal hemianopsia, cortical homonymous hemianopsia
- Hand follow (extra-ocular motion): blow-out fracture, tumour, orbital cellulitis,
external
- Tear: lacrymal, eg dacryocystitis
- Head: temple (temporal arteritis), pre-auricular lymph node (viral conjunctivitis)
- Around the eye: lid pathology (chalazion, hordeolum, conjunctivitis, blepharitis), infra-orbital anesthesia (blow-out fracture)
scope
- Light reflex: cataract, tumour
- Move: PE (Horner, PCA), RLA (retina, disc, nerve, RAPD)
- Optic disc: edema (CRVO, neuritis, ICP)
slit lamp
- Lateral conjunctiva: conjunctivitis, hemorrhage, discharge, foreign body
- cOrnea: FB, ulcer, dendrite, Seidel test
- Glaucoma (anterior chamber): acute glaucoma, hyphen, iritis
tonometry
- tonometrY: increase (glaucoma, hyphen, retro-bulbar hemorrhage), decrease (rupture globe, iritis)
