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Eye Problems in GP - With Pictures
Eye Problems in GP - With Pictures
PRACTICE
MAZHAR KHAN
General practitioner
Heaton Medical Practice
Why is ophthalmology important in
General Practice ?
Expect 2 - 5 % of all GP consultations to be
eye related
What do you do when you see a patient with new
onset AF who suddenly wakes up in the morning with
loss of vision in one eye?
Snellen Chart
Ophthalmoscope
Fluorescein
Pen-torch with cobalt filter
Pin hole
Tropicamide 1% / Cyclopentolate 0.5/1%
Phenylepherine 2.5%
Amsler Grid
Local anaesthetic Benoxinate/ Amethocaine
Anatomy of the human eye
Good history taking is vital
Extra-ocular movements
Dark room
Use a mydriatic
Cornea
Lens
Red reflex
Vitreous
Retina (optic disc, cup: disc ratio, arteries, veins,
exudates/hemorrhages, macula)
READY FOR SOME EYE SCENARIOS ?
SCENARIO 1
This 42 yr old patient presents with a 2 day Hx/o gritty, red lt eye
which has become sticky over the last 24 hrs. His rt eye doesnt feel
right today as well. His vision is normal
What tests are being performed in the above diagram and how are
they done?
What is the condition and its causes?
How do you treat this condition?
Scenario 4
This 19 yr old medical student complains of irritation of the eye lids.
It has become much worse recently while studying for exams
Fig 1 fig 2
You visit Mr Walker at home and note that his fundus appears as
in fig 1. Describe the 2 pictures and mention your primary
diagnosis?
Based on the history/ symptoms what would be your differential
diagnosis?
How will you manage this patient?
C.R.V.O Vitreous Hemorrhage
Fig 1 Fig 2
Fig 1 Fig 2