Process of eye examination in Xiamen Eye Center Hospital

The first step: vision examination
the main purpose is to see the visual function of macula. It is generally believed that normal vision refers to the ability to see 1.5 or 1.0 in the visual acuity chart. In fact, the standard to check whether the vision is normal is: whether the vision can reach the standard after correction, that is, whether the vision after optometry and glasses can reach the standard
corrected visual acuity & lt; 5, it is difficult to drive
corrected visual acuity & lt; 3, low vision
corrected visual acuity & lt; 05, was blind
in fact, any of the above situations has therapeutic significance, that is to say, patients should go to ophthalmology
the second step: the examination includes eyelids, eyelashes, conjunctiva, pupil, funs and intraocular pressure, etc.
these examinations are limited to doctors, and physical examinees only need to follow the instructions. However, in case of the following situations, the physical examinee should take the initiative to inform the doctor< (1) visual impairment: refers to sudden or graal loss of vision or blurred vision, and unclear distance (myopia) or distance (hyperopia or presbyopia); Changes in the shape of the object, such as diminution, discoloration, blindness, monocular or binocular diplopia, etc; The field of vision narrowed, and there were fixed or floating shadows in front of the eyes
2. Paresthesia: the eyes have tingling, itching, foreign body sensation or photophobia, tears, these symptoms are collectively referred to as eye irritation, common in keratitis, eye trauma, acute iritis, glaucoma, etc< (3) vision loss: including transient vision loss, vision can return to normal within 24 hours (usually within 1 hour), common in optic disc edema (seconds, both eyes), transient ischemic attack (minutes, one eye), vertebrobasilar insufficiency (both eyes), postural hypotension, psychostimulative amaurosis, central retinal artery spasm, hysteria Fatigue and migraine. Sudden vision loss without eye pain is often caused by retinal arteriovenous occlusion, ischemic optic neuropathy, retinal detachment and other diseases. Cataract, ametropia, open-angle glaucoma, chronic retinal disease and so on will also have vision loss, no eye pain symptoms. If eye pain at the same time, a sudden decline in vision, common in acute angle closure glaucoma, uveitis, keratitis and other diseases< (4) medication: many drugs can cause eye changes, such as long-term use of glucocorticoids, diazepam, anti tuberculosis drugs, cardiovascular drugs, contraceptives and antimalarial drugs, so physical examinees should tell their doctors about their medication< Systemic diseases: the eye is a part of the body organs, many diseases can cause eye lesions. Such as arteriosclerosis, hypertension, diabetes, kidney disease, blood disease, tuberculosis, infective endocarditis, vitamin deficiency, sarcoidosis and so on. Craniocerebral trauma in surgery is the most common disease that can cause eye changes. Other diseases, such as cerebrovascular diseases of nervous system, demyelinating diseases, degenerative diseases of spinal cord, brain tumors, inflammation, psychosis, pregnancy inced hypertension in obstetrics and Gynecology, diseases in stomatology, otorhinolaryngology, sexually transmitted diseases, genetic metabolic diseases, rheumatic immune diseases, etc., can also cause eye diseases