hello there. hello. all right i'm just going to do a few medical checks
okay? okay. i'm going to start off with the vision so as you're looking straight ahead
there's a letter chart okay i'm going to cover your left eye, keep both open.
what's the smallest row you can read? l e d e o t e okay
l n o p o t. okay
on the top row there's a letter c keep staring at that for me please
this is just a cover test for distance
i'm just going to move it between the eyes just follow the C if it
moves okay just continue looking at the C
there's just a light coming now
okay
just remove your spectacles for a minute
okay i just want you to look the centre of the object there this is just a near cover test
i'm seeing a little bit of exophoria there
okay keeping the head still follow the target just with the eyes please
okay looking at the light following the light just with the eyes going to go a little bit quicker
okay i'm just going to cover one eye with this little occluder here
okay keep looking at the let's see at the top of the chart i want you to say yes when you
see this red object appear in your field of vision keep looking at the c as you're doing
yep
yep and again yeah okay
okay i'm going to show you some numbers on these plates just say what number you see
please number 12 also tell me if you see no number number eight number six
number 29 number 57
5 3
15 and 74
2 and 6.
97 and 45
five and seven
skip along, there's no numbers on there once again okay
I'm going to do something called an Amsler test now it's just checking for any distortion
which then tells me if there is if there's any problems at the macular area the central part
of your eye so i'm going to hold this about a third of a meter okay as you're looking at
the spot in the centre do any of the lines look distorted in your peripheral vision?
no. okay as you're looking at the spot can you see all corners of the grid? yeah. okay
just looking at the letter c at the top of the chart just another
peripheral vision test so say 'yes' when you see the red object
yeah. keep looking at the letter though. yeah
yeah. that seems slightly reduced there okay
yeah okay maybe a little bit concerned about the visual field in the left
eye, I'm going to have a look at the back of your eyes in a short while
it may be worth popping to the optometrist to have your eye pressures checked,
you need to have the visual field test done electronically. what number do you see there? 12
8 6
5 3
29 57
15 74
2 6
five seven
sixteen seventy-three excellent
i can't see any numbers at all on either of those two plates. that's fine
just an Amsler view of the left
okay looking at the white spot in the centre do you see it well? yeah. as you're looking
at the spot, can you see all four corners of the grid? i do. Is there any distortion?
no. all the lines are either vertical or horizontally straight? yeah. excellent. okay
I just have an instrument here for checking how quickly you can blow air
through your lungs okay so just place your lips around that give it one big hard blow
okay that's a short and sweet
okay that's about 400 liters per minute thank you, just shy
okay i'm just going to come in front of you just looking at me straight on.
looking into this eye please. That's
69
actually before i look in your eyes just close your eyes just going to do a sensation test
okay? just so you know what to expect this is a soft applicator.
we'll call this one sharp. did you feel both of those? Yeah but they felt very similar
soft
difference there
very slight but it's very hard to tell the difference.
okay just say what you think then whether it's a hard or soft application soft
is that one hard
soft
soft again soft again
soft again
was that one hard? let's keep going. hard
hard
hard. was that soft?
Soft and soft. okay
any history of any palsies? bell's palsy? seventh nerve palsy? No. okay that's fine no history of
stroke. No. Apart from one of my grandfather's had a stroke apart from that okay so there's a
family history? That was really brought on due to an accident he had when he was a teenager.
oh it's traumatic related? okay that's fine right i'm going to have a little look
inside your eyes now okay? keep looking straight ahead at the top of the chart
i'm just going to start with the right eye.
i'm going to pay particular attention to the uh the media, optic nerve and the macula
i want you to look into the light for me now
let's move on to the left eye
looking straight ahead as you are
so
just looking into the light for me now
okay so there may be some potential optic nerve head cupping changes and bayonetting which is a
vascular change which could be associated with glaucoma, so i think it's important that you
see your optometrist okay? okay. i'm going to recommend that they do a contact tonometry test
and the electronic visual field test. right. and you said it's no Glaucoma that you know about?