okay just looking at my right ear for me please i'm just going to use the slit lamp
to examine the health of the eyes just looking down to the floor now
just looking at the lids making sure there's no lumps or bumps
okay now looking up to the ceiling for me
if you hear any clicking it's just me altering the magnification of this little lamp
there we go
excellent so i'm just going to zoom in just looking at the eyelashes and their direction
just looking down to the floor huh
okay that's fine keep looking down i'm just going to lift the upper lid
so let's have a look at the uh lipid glands just adjacent to the eyelashes there
might just be a little bit of capping on the glands there
which could play a part in dry eyes
okay looking down and right for me let's lift the lid again
just having a look in a part at the tear duct there
that's fine just looking up again we'll look at the lower puncta the lower tear duct
okay just looking back at my right ear for me
looking at the conjunctiva and looking for any cysts okay looking to your right hand side for me
and the left side
looking up to the ceiling
just looking down as i rise the top lid looking at the superior conjunctive
a bit of a grade one
redness there which is fine just looking at the limbal redness looking up again
and to the left side
this is even quieter grade zero looking to the right hand side now
keep looking to the right
i'm just using the red free filter to just enhance the blood vessel view there a little
bit of telangiectasia here on the nasal side okay looking to the left again good up to the ceiling
down to the floor for a moment
that's fine
just looking at my right here i'm just going to narrow the beam
out to 60 degrees here
i'm just going to check the anterior chamber angle
that's wide open grade four on the temporal side just here good okay stay there for me
i'm just going to do a cross-sectional view of the cornea make it a little bit brighter
increase the magnification
i'm just going to have a look at the crystalline lens now in cross section
keep looking at my right here
okay i'm just going to do a retro illumination now
just bouncing the light off the retina just to obtain that red glow a little bit brighter there
excellent
and just a little scan of the iris looking for any
iris freckles or dystrophy, deposits
that's good
that's fine okay just sit back for me and relax okay just looking at my left ear for me now
now looking down to the floor
and the left side looking up to the ceiling now
that's clear back to my left ear checking the inferior lashes and the meibomian glands
it looks as though we have a little bit of capping on the lower lid there of the glands
so i may need to do some warm compress therapy
to unblock those looking up to the ceiling i'm just going to lower the lid
over just under the lid there
just try to bring it down quite a bit and just turn in here we go good
okay keep looking up to the ceiling
that's fine keep looking up i'm going to lift the top lid as well
okay back to my left ear there
looking at the conjunctiva
the anterior angle grade four i'm just gonna cross the corner
that's good and the iris just noting a little iris freckle at seven o'clock
is flat crystalline lens there cross section with the brighter light
excellent and up to the ceiling again down to the floor just going to lift the top lid
looking at the superior conjunctiva grade one limbus grade zero
back to my left ear for a bit
okay just using the green right now looking up down to the floor
a little bit of orange dye into the eyes
just do one final test with the blue light just checking for any corneal or conjunctival staining
okay looking up to the ceiling you won't feel a thing
okay
still looking good
okay looking up just a bit more in the left
that looks fine i'll switch to the blue light useing the filter here
okay just looking at my right here for me
increase the brightness
okay just a little bit of conjunctival staining
looking up now a little bit on the inferior part looking down now
let's lift the lid okay back to my right here no signs of corneal staining
okay just looking at my left ear now
have a blink and looking up
a little patch of conjunctival staining around five o'clock looking down now just lift the lid
that's it back to my left ear
and switch to the white light once more let's review that iris freckle
some high magnification looks fairly flat no blood vessels in the area a little bit brighter
that's lovely you can sit back now for me thank you