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An eye examination is a battery of tests performed by an ophthalmologist or optometrist assessing vision and ability to focus on and discern objects, as well as other tests and examinations pertaining to the eyes.
Eye examinations may detect potentially treatable blinding eye diseases, ocular manifestations of systemic disease, or signs of tumours or other anomalies of the brain. Ideally, the eye examination consists of an external examination, followed by specific tests for visual acuity, pupil function, extraocular muscle motility, visual fields, intraocular pressure and ophthalmoscopy through a dilated pupil. A minimal eye examination consists of tests for visual acuity, pupil function, and extraocular muscle motility, as well as direct ophthalmoscopy through an undilated pupil. External examination of eyes consists of inspection of the eyelids, surrounding tissues and palpebral fissure. Palpation of the orbital rim may also be desirable, depending on the presenting signs and symptoms. The conjunctiva and sclera can be inspected by having the individual look up, and shining a light while retracting the upper or lower eyelid.
Visual acuity is the eye's ability to detect fine details and is the quantitative measure of the eye's ability to see an in-focus image at a certain distance. An examination of pupilary function includes inspecting the pupils for equal size (1mm or less of difference may be normal), regular shape, reactivity to light, and direct and consensual accommodation. The swinging-flashlight test is the most useful clinical test available to a general physician for the assessment of optic nerve anomalies. In a normal reaction to the swinging-flashlight test, both pupils constrict when one is exposed to light.
As the light is being moved from one eye to another, both eyes begin to dilate, but constrict again when light has reached the other eye. If there is an efferent defect in the left eye, the left pupil will remain dilated regardless of where the light is shining, while the right pupil will respond normally. If there is an afferent defect in the left eye, both pupils will dilate when the light is shining on the left eye, but both will constrict when it is shining on the right eye. If there is a unilateral small pupil with normal reactivity to light, it is unlikely that a neuropathology is present. However, if accompanied by ptosis of the upper eyelid, this may indicate Horner's syndrome.
If there is a small, irregular pupil that constricts poorly to light, but normally to accommodation, this is an Argyll Robertson pupil, which is a sign of tertiary syphillis. Ocular motility should always be tested, especially when patients complain of double vision or physicians suspect neurologic disease.
First, the doctor should visually assess the eyes for deviations that could result from strabismus, extraocular muscle dysfunction, or oculomotor nerve dysfunction. Saccades are assessed by having the patient move his or her eye quickly to a target at the far right, left, top and bottom.
Slow tracking is assessed by the 'follow my finger' test, in which the examiner's finger traces an imaginary "H", which touches upon the six cardinal fields of gaze. These test the inferior, superior, lateral and medial rectus muscles of the eye, as well as the superior and inferior oblique muscles.


Testing the visual fields consists of confrontation field testing in which each eye is tested separately to assess the extent of the peripheral field.
To perform the test, the individual occludes one eye while fixated on the examiner's eye with the non-occluded eye.
The patient is then asked to counts the number of fingers that are briefly flashed in each of the four quadrants. This method is preferred to the wiggly finger test that was historically used because it represents a rapid and efficient way of answering the same question: is the peripheral visual field affected?
Common problems of the visual field include scotoma (area of reduced vision), hemianopia (half of visual field lost), homonymous quadrantanopia (involving both eyes) and bitemporal hemianopia.
Intraocular pressure can be measured by any of a series of devices designed to measure the outflow (and resistance to outflow) of the aqueous humour from the eye. A red reflex can be seen when looking at a patient's pupil through a direct ophthalmoscope.
Ophthalmoscopy allows the physician to look directly at the retina and other tissue at the back of the eye. The optic disc and retinal arteries and veins are the main focus of examination during ophthalmoscopy. Fluorescein staining before slit lamp examination may reveal corneal abrasions or herpes simplex infection. Contributed by the Petroleum Division of ASME for publication in the Journal of Energy Resources Technology.
This paper presents a simple analytical method to model the non-Darcy flow effect on the production performance of hydraulically fractured wells by modifying the fracture conductivity. Take a look at “Engaging Eyes” >> A way in which to help with struggling readers!! Are you worried about how your child or pupil’s will do in the SATs reading test on Monday? SATs is the only formal way we test reading at the end of primary, yet it only tests reading comprehension, not reading age nor reading speed. In order to read efficiently and effectively you need to be able to converge (focus) both eyes on the same letter, track your eyes smoothly across the page, and jump your eyes down to the next line (saccades).
Convergence Insufficiency is very common, but it is not properly checked for in either the reception eye test or a routine optician’s appointment. I found out that it’s very easy to treat convergence insufficiency – you just need to practice converging your eyes.
Some children with convergence problems will report the letters move, or are blurry, or they get double vision. Another sure fire symptom of convergence problems is coloured overlays, rulers or glasses helping. Engaging Eyes is a series of online games which strengthen and improve convergence, saccades and eye tracking. It takes over six months to complete all the vision training games, but normally you’d notice improvements within six weeks.


Schools that are currently using it are getting very good improvements in both reading levels and reading speed. After playing Engaging Eyes daily for 3 months, 2 of our Year 6 pupils had improved their Reading level dramatically from 3c to 4c (based on SATs Reading papers). The Year 6 teacher also remarked that the pupils’ concentration, confidence and motivation was much improved and having a positive impact on all subjects. Some children’s reading speed more than doubles in six weeks, but the average reading speed improvement in six weeks is 20%. Recent CommentsAshley on The SECRET to easily Learn your 13 times table, 14 times table, 15 times table, 16 times table.
The method is suitable to conveniently incorporate the non-Darcy flow effect in a production prediction model usually used for fracture treatment design and optimization. Because in order to read it is enough to see the shape of the word, but in order to remember how to spell it, to know the word looks right when you’ve written it, you need to see every single letter. It contains a built in check of their convergence, so you can assess all your struggling readers and find out which ones would benefit the most from this intervention.
Parents, if these symptoms resonate with you and you want to help your child, you can buy directly from Engaging Eyes.
It allows inspection of all the media, from cornea to vitreous, and ophthalmoscopy can also be performed through the slit lamp.
The method is validated against published information of field productivity and production prediction by other complex methods.
It’s a series of online vision training games, which help convergence, saccades and eye tracking. But being children, and knowing no better, it’s very likely they won’t report these problems – because they don’t know that reading isn’t meant to be like that.
It is suitable to be played without supervision from Y2 up (including teenagers and adults), and with 1:1 support can be played even younger. The method is then used to demonstrate that the non-Darcy effect is one of the major sources for the loss of fracture conductivity, even at a low flow rate well, and hence the source for discrepancy between the predicted and actual productivities. I remember vividly she was asked to read the letters on the eye chart on the wall opposite, which she could do. You need both eyes working together before you can master the skill of moving them together across the page. Finally, the implication of neglecting the non-Darcy effect in fracture treatment optimization is also investigated, emphasizing the need to incorporate this effect even for low flow rate wells.
Then she was given an eye chart in a book and asked to hold the book and read them – and she couldn’t do it. In the most extreme cases, like my daughter, it’ll prevent you from learning to read at all, but in more mild cases, like my sons, it’ll just make reading sore and uncomfortable, particularly if you try to read for a long time, and make spelling, copying from the board and catching a ball hard.



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Author: admin | 24.12.2014

Category: Vert Jump



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