Inspection And Eye Consultation

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Inspection And Eye Consultation

Eye examination and consultation is a series of tests conducted to check visual acuity and visual fields, and diagnose diseases of the eye in order to plan the handling her appropriately. Examination and eye consultation have a fairly variable form of testing, which aims to evaluate all aspects of visual quality.

Eye tests are generally recommended as a routine to do, although no complaints. The reason, because of illness or impaired eye health can appear without showing the symptoms before. In this case, eye examination plays an important role to determine the presence of eye disorders from an early age. So if the patient is indicated to have eye disease, can be treated immediately.

Read too: How to treat red eyes entry objects.

An indication of Examination and Eye Consultation
Patients with the following complaints should have an eye examination and consultation:

  • Red eyes and pains
  • Blurry vision
  • Double vision
  • Sensitive to light
  • Appearing small objects float on the eyes ( floaters )
  • A flash of light appeared

In addition to any complaints, it is also advisable to conduct regular checks and eye consultations. How often is eye examination and consultation performed, generally depending on age:

Toddler. Early eye exams are performed on infants and children under 3 years of age. The goal is to check for vulnerable eye disorders in this age range, such as lazy eyes (amblyopia), squinty eyes, and nearsightedness. Then, eye examination can be re-done when children aged 3-5 years.
Children and teenagers. Eye screening is generally done before the child enters school age. The doctor will suggest how often the eye examination schedule is performed based on previous examination results. In the eye condition is stated healthy, it is advisable to follow the eye examination as much as 1-2 times a year.
Adult. Examination and eye consultation in adults whose eye condition is considered healthy, generally as follows:

- Age 20-39 years: every 5 or 10 years.
- Age 40-54 years: every 2-4 years.
- Age 55-64 years: every 1-3 years.
- Age 65 years and over: once every 1-2 years.

In addition to the above recommendations, examination and eye consultation should be performed more frequently if conditions are as follows:

  • Using glasses or contact lenses.
  • Diabetes.
  • High blood pressure (hypertension).
  • A history of glaucoma in the family.
  • Eating drugs that affect eye health, such as corticosteroids, tamsulosin, birth control pills, cholesterol drugs, antihistamines, diuretics, and antidepressants.

WARNING:
  • Tell your doctor when taking any medications, including supplements and herbal products, during your eye examinations and consultations.
  • Tell your doctor also if you have allergies to certain substances.
  • Before the examination, the doctor can drip eye drops to dilate the pupils. These drops can make eyes sensitive to light.

Before Eye Examination and Consultation
Examination and eye consultation will be done by an ophthalmologist. There is no special preparation for a meeting with an ophthalmologist. However, patients are encouraged to prepare questions to be asked to the doctor, in order to get information as complete as possible. In addition to preparing regularly consumed drug data, for patients who have previously used glasses or contact lenses, it is advisable to take it along with previous prescription glasses when present.

Eye Checking and Consultation Procedures
Eye examination and consultation can last half an hour to several hours. The length of an eye exam depends on the method of examination performed and the patient's overall eye condition.

Eye screening begins with a consultation session. Patients are encouraged to inform the perceived complaint, whether or not related to the eye. The ophthalmologist will also inquire into the patient's and family's medical history, including a history of eye disease. Furthermore, the doctor will perform eye examination by observing the possibility of abnormalities of the eyelid, the transparent layer covering the front of the eye (conjunctiva), the lining of the eye (cornea), the white part of the eye (sclera), and the rainbow film (iris). An eye examination is generally painless.

Furthermore, the examination can be continued with tests, such as:

Visual acuity test and refraction test
In visual acuity tests or so-called eye vision checks, patients are asked to see charts of varying sizes, called Snellen charts. The patient will be positioned sitting 6 meters away from the Snellen chart. The doctor will ask the patient to call the numbers designated by the doctor. If a sharp test of vision is not normal, the doctor will perform a refractive test to determine the size of the glasses or the appropriate contact lenses.
The refraction test is performed using a special tool called phoropter. Through this tool, the doctor will make corrections on the lens until the patient can mention the letters clearly. As the examination progresses, the physician may ask questions about the object the patient sees, whether more clearly or less visible. From the patient's answer, the doctor will determine the additional lens needed. This test is useful for detecting refractive disorders, such as nearsightedness, myopia (hypermetropia) , old eyes (presbyopia), and cylindrical eyes (astigmatism).

Field
test This test is useful for measuring how wide a person's eye view when compared with a normal eye field. The doctor will ask the patient to stare at the object located in the midline of the patient's presence. While viewing the object, the patient is asked to notify the doctor of other objects moving sideways. How far the other object is still visible to the eye, without moving the eyeball, from which the doctor judges how broad the field of view of a person. This field test is useful for measuring the decreased vision range due to glaucoma or stroke.

Tonometric
Tonometry or an eyepiece pressure test can be performed using a doctor's finger by feeling the consistency of the eyeball, but this is subjective. Or use a device called a tonometer, a device that exhales air, and calculates the eyeball pressure of the airflow, objectively. This test helps the doctor in diagnosing glaucoma.

Tests slit lamp
A slit lamp is a tool that can fire beams shaped like a small dot to the eye. When using slit lamps, doctors may see more obvious eye abnormalities, such as corneal damage, eye lens abnormalities (eg cataracts ), retina (eg retinal detachment ), and macular degeneration. Sometimes, the doctor gives eye drops to dilate the pupil, so that the eye that lies deeper than the pupil, is seen more clearly.

Ultrasonography (ultrasound) eye
ultrasound uses sound waves to give an overview of the structure in the eye. This test is useful for evaluating eye tumors, cataracts, or bleeding in the retina.

The topography of the cornea and retina
This test uses a computer to map the curvature of the cornea or the surface of the retina. The doctor will analyze changes in the corneal arch, such as swelling or scratches, which can cause astigmatism. Corneal and retinal mapping tests are also useful for evaluating the patient's vision before undergoing LASIK, corneal transplantation, or choosing the right contact lenses. In addition, the topography is also used to diagnose retinal disease.

Foto fundus
the eye doctor will do a photo eye fundus by using a special digital camera to monitor the back of the eye to the angle of 200 degrees. Fundus photos can provide a broader picture of the condition of the retina than other tests, and without the need for anesthesia.

Fluorescein angiogram
Fluorescein angiogram aims to determine the blood flow in the retina. This test is useful for diagnosing eye diseases, such as diabetic retinopathy and retinal ablation. In this test, a special dye (contrast) called fluorescein is injected into the arm vein. This substance will move quickly toward the blood vessels in the eye. Once inside the eye, a special camera is used to photograph the movement of fluorescein that flows in the veins behind the eyes. Fluorescein angiogram allows doctors to detect blood flow disorders, as well as abnormalities in the blood vessels of the eye, such as swelling or leaking.

After Eye Examination and Consultation
The doctor will inform test results to the patient. From the test results can be concluded whether:

  • Patients need visual aids, either glasses or contact lenses, or not.
  • The presence or absence of changes in the eye condition and quality of vision of the patient, which will determine whether or not to replace the lens of glasses or contact lenses that have been used.
  • Needs to be done further handling, in addition to glasses.

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