DIFFERENT INVESTIGATION IN SPECIALTY CLINIC

Refraction Auto Refractor Machine -Rate -2, 00,000 Topcon uses : Check correct power, Correct Axis, Auto K –reading, Correct IPD Fields : 1. Bjerums screen method 2. Confrontation method 3. HFA method

A-Scan : To measuring eye ball length Distance between cornea and retina To find out IOL power calculation K – Reading: To find out corneal curvature To find out the correct cylinder axis verified to measure the calculation

OPD: NCT: Non Contact Tonometry Rate – 3, 00, 000 To measuring the Tension.

Slitlamp Uses :  Anterior segment examination (Ex. Trauma, mangnification of Conjunctiva, Tra.Cat, IMC,MC) Vitreous (with lens) (Ex: Cells, Vit. Opacity) Retina pathology (with lens) Slitlamp with Applanation : To measuring intra ocular pressure

Direct Ophthalmoscope : High magnification (around 15 times) Less field of view Central parts only seen Cost is less

Indirect Ophthalmoscope: Less magnification (around 5 times) More field of view Inverted image All cases seen periphery Cost is more Need good practice Myopic cased need periphery examination

RETINA CLINIC FFA : (Fundus Fluorescein Angiography) - USES : To detect leakage, bleeding,NVD, NVE in retina and macular area.

INJ. Used : Inj. Fluorescien -20% - 3ml. Patient eligible are : Diabetic Hypertensive Retinopathy, CSCR, CNVM, ARMD, Eales disease.

RETINA CLINIC FFA : (Fundus Fluorescein Angiography) - USES : To detect leakage, bleeding,NVD, NVE in retina and macular area.

 USG : (Ultra Sono Grapy) –  USG Uses : It is used for detected examination of inner coats of retina which are not detected by I/O. It is also used for detecting vitreous abnormalities.

Procedure: All age group Bellow 5yrs if need GA Painless test Immediate result given. Patient eligible are: a) Mature cataract b) IOFB cases c) Retinoblastoma d) Orbit tumor e) VIT. haemorrhage (PVD )

LASER : ( Light Amplification by Stimulated Emission of Radiation)  USES: It is used in peripheral Iridotomy to open PCO as YAG capsulotomy. In posterior segment it is used to do barrage in sealing holes and to create adhesion. Between retina and choroid. It is also used to photocoagulate tissue in NVD and NVE.

Laser machine types: a) Argon laser – Rate – 13,00,000 b) ND YAG Laser c) DF YAG Laser d) Diode Laser

Laser Procedure: Laser out patient procedure Need pupil full dilate S/L method using mainster & three mirror lens with viscomet. L/O method using 20 D lens

Laser delivery : S/L (contact lens method) L/O (non contact method) Cases : Diabetic & Hypertensive retinopathy. Myopic cases. Vein occlusion. CSCR Vasculitis ARMD SRNVM

Types of laser Focal laser : (CSME, CSCR, CNVM, ARMD) It is used to seal focal leak in macula. Grid laser : (Diabetic Retinopathy case) This is applied all over macular area expect fovea.

Peripheral PRP : ( PRP 1 SITTING)  In vacuities case when there is NVD, NVE Peripheral PRP is done.  In diabetic Retinopathy cases additional laser is done.

Sector PRP : BRVO case to seal small NVE, NVD and new vessels. Scatter PRP : (PRP I SITTTING) This is done for small NVD, NVE.

Full scatter PRP : ( PRP 2 nd SITTTING ) PRP 2 nd is done for  Large NVD  NVE  Pre Retinal Hemorrhage  Sub Hyloid Hamaarge  Fibrous Vascular Proliferation  Old CRVO.

Barrage laser : PAY-750/-, FREE -375/- Done for: High myopic Lattice Lattice with hole One eye RD surgery done other eye having lattice case Post operative RD surgery with any fluid leakage.

Xenon laser: Retinal Tumor (small) Retinoblastoma case In case with cataract changes, media haziness, VIT-haemorrhage. Immediate post operative cases slit lamp is not used. In such cases laser delivered via I/O.

YAG PI : In this procedure a free thickness hole is made in iris. Done in cases : Angel closure glaucoma PACG POAG Non opthalomas, SOAG (PXF), Pupillary black

YAG Capsulotomy : This laser is used to clear posterior capsular opacity. Cases: Cataract + PCIOL + PCO Done: After 3 months.

ALS :( Argon laser suturoysis): Hoskins lens Post operative IOP high, Bleb not forming, and high astigmatism cases. No charges

ALT: (Argon laser Trabeculoplasty): Glaucoma last stage. When patient us non compliant to drugs, ALT is done. It reduces to the IOP but there is no improvement in vision.

Cryopexy: Cryopexy is used when the hole is in peripheral retina. The hole is sealed used N2O Gas.

ARC : ( Anterior Retinal Cryopexy) : Cases: Pain full blind eye, NOPL, Absolute glaucoma cases. (360 0 angel) It is done to relieve pain and not for improvement of vision.

ERG :( Electro Retino Gram) : It is not theraptic but only diagnostic use. It is used to diagnose all retinal diseases especially RP case.

TTT : ( Trans pupillary Thermo Theraohy) : This is done in cases of SRNVM in macular area.

PDT :( Photo Dynamic Therapy): It leaves no scar. It is done in dark room. Should not be exposed to sun light for 3 days.

GLACOMA CLIIC HFA : ( Humphrey Field Analyzer): To check for Field of vision. Glaucoma - All cases Neuro - AION.

OCT :( Optical Coherent Tomography): - To measure the macular thickness and cupping changes. Glaucoma - POAG, PACG, POAG Suspect. Retina - ARMD, Diabetic macular edema, CME, CSR, Macular Hole. - - Pay with out print (BE)

GDX: Rate- 18, 00,000 Same OCT Only glaucoma cases. Can be done undilate eyes.

CCT :( Central Corneal Thickness): - RATE:2O,OO,OOO - To measure central corneal thickness. - All glaucoma and cornea cases - Especially in Lasik case. 5. Fundus Photo: Glaucoma - Comparisons of Optic Nerve Head. - Mainly use in Retina cases if laser need.

CORNEA CLINIC Orbscan: Cases: High myopia Kerato conus, Hypermetropia, Pterygium (Study purpose) cases.  It is used to diagnose corneal thickness and K-reading.

ORBIT CLINIC Exophthalmometry: Proptois case. Diplopia charting: TRO Case. X-ray Orbit : Proptosis, Sinusitis, IOFB, Ocular Tumors B-SCAN : TRO, Inflammation of orbit (Proptosis).

CT-SCAN Orbit :- RATE-2,000 Orbital Tumors Injures of Orbit IOFB.

NEURO OPHTHAL CLINIC Fields : Drivers Medical Fitness Optic atrophy Temporal pallor, Cortical blindness Lesions in visual pathways CSCR RD

RP Post PRP Hereditary Fundus Dystrophy Optic Neuritis AION Traumatic Optic Neuropathy Diabetic Pappilopathy Pappioedema Cranial Nerve Palsies

Colour vision: Drivers, Medical fitness, Optic atrophy, Temporal Pallor, Optic Neuritis, AION, Traumatic Optic Neuropathy, Congenital colour blindness, Diabetic Papillopathy, Papilloedema, Cranial Nerve Palsies.

Hess Chacting & Diplopia Charting: Cranial Nerve Palsies (2 nd, 3rd, 4 th ) Myastheniagrnins, Ocularmyopathy.

CT-Scan & CT-Angiography: Chronic Head ache, Optic Neuritis Papilloedema Bergin ICT high (BIH) Field defect Traumatic Optic Neuropathy Tumors of brain Head Injury Nerve Palsies Aneurysms Intra Cranial Bleedings CVA

MRI : Unexplained Neurological defects, Cartico - Cavernonsfistula. MRI & MRA: Optic Neuritis (Demyelization) Aneurysms and Vascular abnormalities