Clinical Examination
The eye is unique because of the transparency of its optical media. Almost all eye structures can be examined with appropriate optical equipment and lenses. Using a modern direct ophthalmoscope gives a view of the optic disc using the principle of reversibility of light. A slit lamp biomicroscopic examination along with an appropriate aspheric focusing lens (+66D, +78D or +90D) is required for a detailed stereoscopic view of the optic disc and structures inside the eye.
A biomicroscopic exam can give an indication of the health of the optic nerve. In particular, the eye care physician notes the colour, cupping size (as a cup-to-disc ratio), sharpness of edge, swelling, hemorrhages, notching in the optic disc and any other unusual anomalies. It is useful for finding evidence corroborating the diagnosis of glaucoma and other optic neuropathies, optic neuritis, anterior ischemic optic neuropathy or papilledema (i.e. optic disc swelling produced by raised intracranial pressure), and optic disc drusen.
Women in advanced stage of pregnancy with pre-eclampsia should be screened by an ophthalmoscopic examination of the optic disc for early evidence of rise in intracranial pressure.
Read more about this topic: Optic Disc
Famous quotes containing the word examination:
“Maybe it’s understandable what a history of failures America’s foreign policy has been. We are, after all, a country full of people who came to America to get away from foreigners. Any prolonged examination of the U.S. government reveals foreign policy to be America’s miniature schnauzer—a noisy but small and useless part of the national household.”
—P.J. (Patrick Jake)