hello there. hello. how are you? I'm fine thank you. good good so
are you wearing varifocals at the moment? I am yes. okay let me have a look at your
glasses. I just want to have a look at the lenses and maybe give them a little clear
when did you last update your glasses?
um about 18 months ago. yeah there's quite a few lens chips. yeah I was camping. right okay
so before I can check your vision, I'm going to use one of these special lens wipes.
Are those them Zeiss ones? yes. I know they're good.
okay
hopefully we're going to do all the tests today
with clean lenses
it's quite a bit better, a few hairline scratches as well on the lenses,
if you pop those on for me thank you
oh I can see better now. Is it a bit better? okay can you see how there's a vision chart
straight ahead of you? I can yeah. okay so just take your hat off for me now
okay I'm going to see whether you can read the bottom row in each eye. So I'll cover the left,
keep both open, have a read of the bottom row if you can. I O U A J D. okay very good
and what can you read through that eye? 'I
love whiskey.' Excellent well done so you're spelling the rows out as well fabulous. yeah
okay on the row just above the row you read,
keep looking at the letter at the start, open your eyes nice and wide
the pupil reactions
okay just looking up to the ceiling now
that's great thank you. okay just take your glasses off for me now
okay keep looking straight ahead, I'll take a measurement there
it's about 69
keep looking at that letter towards the top of the chart
just looking up again, I'm just going to inspect the ocular surface
look
to the left, and right, looking down, I'm going to lift the lid
looking up again
and to your right, to your left, and just down again
that's fine.]Ookay before we continue with any more tests I just want to give you some
artificial tears for your eyes. Okay
to try and keep any dry eyes at bay so just looking up to the ceiling, head back
doesn't sting, the smallest drop in each eye
there
we go, hopefully you'll find that quite soothing,
there's a tissue. thank you. Just give them a little dab
Okay
I'm just going to have a little look inside the ears now, facing straight ahead
okay I'm just going to go slightly into the ear canal
that's
looking
well
and for the left
ear
and into the ear canal
okay that's good thank you. okay just looking at this red dot,
head steady, follow just with the eyes
okay let's switch to the smaller target, same thing
thank you
just going to check eye movements again but I want you to follow the light this time,
just so I can observe the reflexes
lovely thank you. I'm going to pop a little bit of Fluoresceindye into the eyes.
okay, is this is that one that makes my eyes go yellow? Aa little bit only
for a short period of time it doesn't harm them in any way
it's just going to allow me to check for any sort of erosions or damage
on the eyes. okay just looking up to the ceiling, I'm just going to lower the lid
okay take a few blinks just to move it around
okay I'll just get the room lights down, keep looking straight ahead
a large aperture blue light
and looking down, let's life the lid
normal amount of conjunctival staining, just looking up now
to the left
to the right
straight ahead again
looking down, and up
to the right, and left
looking normal, straight ahead again
excellent let's switch to the white light
and have a look at the back of the eyes and the posterior chamber. Keep looking straight ahead
just a little bit higher up, good
just focus on the various landmarks on the back of the eye, the optic nerve
and
just going to look at the mid peripheral blood vessels
just looking into the light now, checking the macula
okay and for the left, keep looking straight
okay
just looking into the light
That's wonderful thank you. Let's have a look at the temples, any pain or tenderness there? yeah
okay
Any pain or tenderness there? Only when I'm thinking. so not very often?
thank you got a device here which I'm going to rest on the bridge here,
just to check the focusing power of the eyes, a very simple test
okay can you read the bottom block of text there? yeah. Excellent I'm going to bring it slowly
closer towards you, I want you to tell me when that bottom block of print first goes blurry
it's kind of blurry now. okay just tell me when it goes clear again if I reverse
that's clear. okay and just tell me where the goes blurry once more
Now. okay let's just lock that
so focusing power there's about four dioptres there
just pop these on for you. thank you. okay
let's finish off with some colour vision testing. I'll show you some plates with some numbers on,
I want you to tell me what number you think you see or tell me if there's no number present,
all right? yep. one and two twelve. okay I'm going to go left to right. On its own number eight,
on its own number six. Okay did you used to be a bingo caller did you? I'm trying to be one. okay.
2 and 9 29. 5 and 7 57. On iys own number five. On its own number three.
one and five fifteen, seven and four seventy four. bingo! two and six
97 and 45.
number five, number seven, okay I'll just skip to here. there's no numbers on either of those two
no number, no number. Okay and here? 26. Are the numbers equally bright? yeah, although they are
different colours. That's fine and 42, again equally bright. okay that's fine thank you.
let's finish off with another colour test, this is uh the City University colour test, I'm going
to show you to start with three spots, tell me if all the spots are the same shade or if one
of the spots is different in colour to the other two. right okay. if you see one that you think
is a different colour, just say whether it's the top, bottom or middle or top, middle or bottom,
they're all the same, top one's different, they're the same, they're the same
they're the same, top one's different, left to right. top one's different, middle one's different
the same, middle one's different, top one's different, they're the same
left to right. bottom one's different, top ones all the same, top one's different
and middle one's different. good okay for this part I want you to pick a colour from the side
that closely matches the colour of the spot in the centre. It's the one at the top. yes
just take your time on these. It's the one on the right. good
the one on the left
one on the right
these are a bit smaller. and it's the one on the left
two more to go
top one
and for the final one there. right. perfect thank you