| eles, lain . % Méoen vr : 9 + hitery » asking or writing A Pet i. J +i 4 some question is Det iy die chmkup. BY Cheat. complosn . ») Ha tory of preent bnos , oe * i past iIlmeas. d) Mecbcotion ca vaeol Jing fend of dey {) Family Rikers of oetulon alisorden. a Ocerepalion . posiew| has come & fom: . Chef. Complain - whad Kr the (1A con \e fecsuing doulrle vision, hiadachy, Mey of Greet thas. ws shot nk ob when ep hopper the day time date. Lo caction and vere 0° mers » ig. e % Ee - i) Blu vsior 3) Distorted vision. 5) Wight bial a Sweating. Alig ps we iy) Qepiléctomra, Liggelal optic cise. | ahs parents—_ y) Visual siald disorclon, ¥) Nomibin & mausen: vi) Asthenopie symptoms [Serenee - Uneorrecte Jel exxor | Symptom - Blioudvisin - - Photo phobia. Some inne - Eyestain. Jirre crs. Cornett : itehung Gaile sympler a fethenopia- > General op ata + Sp ptique f ooking > Inol to fecu» | ae ale the oglich offs wel a. Ors tise: ae Ao sunlight or unos i amg water’ the endl sin a a! tet = Eat ae - Gubeongunetival ad vent (cH) > Discharge ad oun, finodlreas > comsunetivitio » korecttis 3 fecal waite eyesais ) puneted suadits\ alaueome along [afausom | cote » mornoe omale gluon 3 y ouble ali patente of two “ of a single of 1] (squint chveloptrant weale on belt an an sion or diplopia —a “Teontng or wsctouing. 6 (blockage on NED » cos a entropion Cull eploshea vender extropion soreetion atl ee [pp Retinal de-ech ment] iG elo Stith spectach © FH/O (Right 8> 0D? (Ocular Dexten) [ligt] By 05? (Oxulan ainito.) Preseription [Both] © > 0U? (ocden Uterque) o Vm», Via (visual anit) ph [cyt | Pas] v4 (vision oD a 49 (03) fidd Vn] Vi Aid viee - “le (ow a) =get heolth modbiecibion anol. allen t- Poth cesdlon cmol prevol histor Mos fetiont com uae nee good, cot pollen, injection, 0 Family Hisbory : Ren byopin, | erecta konian, Gloaeoma , nal coloun Lbindnns , "grea ae Retinos otatic Dyncesami @ eee ee St tee ren BELL Steak = SPE pee {uoen) woer) 2 Dynamiz ro ecole. + Gate procelust +> Reeorore cain Acliw- i . . . . Pedi ilention >> Yoroeulendy feted: > Pecormmeclo-tion vest. > recom anoclocli ve Joy will x. Can. he then > Both age willl ope > Nott € dyeomtc retroscopy < under inoendlaer condation, > Measev qxceotmmoclo-tive dog ot mean te dls oS diyenencins log betwen the teco op oe indication Of aceommectative ymbalonee> Uf dhe lag ie o then rebueti ve oF thon “he expectedl reenge . IMPMPM axcegrmmoclative function - ... a eter DPD 1d) flage the proropter | Aciol game PP ae anol ured patient distance spectacle | w@ Alternatively a forarme with the mrepteue tien vole smog be ue ‘moct-fon ghouldl the wooo. hub the. overhead aegpacrtion w) The To" alla | ee and directed for “uen porn! | viewing * a letter wy) Pleo, a reeluee 2 grellon’s chetioe black optotype Positive aesomme dation log erequites © pla aphercaal 0] to te placaat hegre the oye pagel movement —» ceca accomo dotive log / Loot requued a MED wera fans Ye he plocool begore the ae Ager hold te metinos eo pe bad om clons ae a ml : podient en moe tan _25ee+ sb cattery vi) Bees {he Neen power of the Lens tho. men point in each eyo. Pra Jenga nreans the eye REM OeLia. Chenpuctotton Lh— % ~ OVEN asexpectal to 40-250 o>. °C BEIL*- To elo evolucte the Performan eo of tees. | -arocla tive system unalan apace weal Sige Condition im fra Spoed mo+ behinel th, phoroplen “The pnfermaner 1 seclgel by ot Bae the way acegremocte. tion MeSPonse Ad q + 15 move fowerrals enol - G fom the pottient, stenting wath 0 inch. a 5O@m on deargp + disiemee comprtable Proce: ) Place we pecient to oe wor king Ais, a. The “roo anodlasa te ly Weems ma teat but have high avenheoct Ulueninadtion suttalle for ae maar tog - D Yastruet the poclient to look at the neon poin} tangat Boem. i) Place tw ere tesco pe directly 4 dno site on above the Tom pornt derget hell EM sinclis cond mote tha vellinscopie. Teplex Im oma of the pee ‘ent re x Gs DT te initio pane muitrecdly o¢ with moti moe the tooaat Yourcndly the pectient untill aint qrotion is seen at distamen 20inch, that is re tirascopy observation system. yy Yo initial reyler show Ogee colon smothen poctien be Judlye, oven accommo clo for the distonon anol the dst con be Jermincoeol_ a. eeeamd he Me riconl te ditene be He EF Py Pe. patient when cinst motlen sean ad ov is usheal Jousonoly the poctient3: Also aeeoral \ purheol —_feuscrnels is den on ysith Hon 18 ee ue : 9 ‘ent. The vesulb Yenget is pulled bbaek te the ok ve . wn 4S PL SEN bru Lt inch 4 ane normal oe i cirs|_ eration | wenols the patient anal UW inch as He tempt some te re ord with odin ie een bhe 16: 18 ineh theo deemet ) | [Sp eanover (ioay the patient . | sxen gs the => Mahindror reli ae Hrrosco py * TA hoe heen inbodung, iy a tog) (1979). Tha is oy technique of qoce tetinoseopy that cow very enifieral in determin a Ae : , f 4 ho repiesotive events of ae val Obs chileluen - Procadune + 1) The execmineer should wi) The ‘toon Weerninoction, 2 wi) Seo impront of pahient -Mothen con ho 4 Ye child eoern't Le HOern per potint . comp Iehel donk. ld the child SEAT * cond Jest dhe Tight ef Pestle Fon ingore td usuably i) Ocelude the Lat on sg instruct We Woe Mee hts thoy lent te ek od Ahe. Light auitorroctic, Lut t 6 mo heeppencl oki of the childnen by nat king, a. sound prineiple ¥) Shine A ight to te exp. orl obseave the tong fo neues Liza the ect smoriolian, When se a gil: yer Agten thot ch americian omol iclerdigy the power: vi) Cofertote the rel MOSCOPY ginol in '- add —{:25 D Sphere to. he spherical comport of the sting { Are pocken | Xho. eoultames sphero eybinebsieat peprezn correction, (-4-25 megresents & constant muemben for bog af devo | a il) opecct «for othen eye « will) The 5 teak shoutdl be monoee lor tyBD AND \ what will be smear cetinampie value. 8) - 3d : SAUD Ler wrrection orld He consent -rumber ~ 1253) eh UD + (-125) = 44D) - 125 ~+ 2-45) > -3D 54 E625) ~4-25 D ce 6 ei $On'g teckmique, on. emyopie why gubjective rejpaction is cme oftox opbyeative Dehrowe reliroseopy Rodent crekinoseopy « ‘B Monoctulan Subjective ‘Repmetions aa J) Eryn! Sloe Jeyoy, Slane: 1G ANG Yechniqua is apply qe. unevnreate op bepore ony spherical or oylinebvol nepractive correation {9 placcel Lepore th The initial objective i 40 bun the tye under test by suypicien y spherical Lon, power om by sreeletien of —spheri -cal lens power. To wreclucacl vii Snellen 20/100 (G/30a° worst} . Then Nhe ‘+! Powen is roclueo cenel begore ef amal '-) pour is celdahin. steps of 0°25 D2 untill the VA She port Sheet the pectient} con clistipsish -guivd ty the chert presentectat distemen (o° astigrmoctio Usepiminaltion, Tha pros is called Ungonaing « The huge procedure 6 aoppliad Jo each 2 seperately. “citrate emocwilon sub jective -epract in. luring ealeoh. the be oy is ocesludedl « is tmprove te