Nystagmus examination File size: 1.5MB

[url=http://www.mrcophth.com/videosonclinicalexamination/Nystagmus examination.WMV]http://www.mrcophth.com/videosonclin...xamination.WMV[/url]
This video shows the basic technique for examining a patient with
nystagmus. The patient has bilateral pendular nystagmus due to
congenital macular scars possibly caused by toxoplasmosis.

Ocular movement (basic examination) File size: 2.8MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Ocular movement.WMV]http://www.mrcophth.com/videosonclin...20movement.WMV[/url]

Unless told otherwise begin with a cover and alternate cover test for
near and distant fixation. Examine the eye in the nine cardinal
positions of gaze. Do not forget to perform horizontal and vertical
saccades

Prism cover test (right esotropia) File size: 3.4MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Prism cover test.WMV]http://www.mrcophth.com/videosonclin...ver test.WMV[/url]
This is a common request in part II OSE. Before carrying out the test,
perform the cover/uncover test and alternate test to ascertain if the
patient has eso- or exo- tropia or phoria. The prism cover test is
carried out with the apex pointing in the direction of the tropia or
phoria. Performed the prism cover tests for near (using a fixation
target) and distant. The end point of the test occurs when there is no
eye movement on alternate cover test. This patient has a right
esotropia.

Abnormal cover/uncover tests File size: 3.4MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Abnormal cover uncover tests (3 cases).WMV]http://www.mrcophth.com/videosonclin...3 cases).WMV[/url]
Three patients with abnormal cover/uncover tests. First patient had had
surgery for infantile esotropia which recurs. The second patient has
consecutive exotropia following surgery for esotropia; cover test shows
latent nystagmus. The third patient has a left sixth nerve palsy,
however; cover/uncover test in the primary shows a right esotropia
because the patient is fixating with her left eye.

Fourth nerve palsy File size: 3.3MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Fourth nerve palsy.WMV]http://www.mrcophth.com/videosonclin...ve palsy.WMV[/url]
Fourth nerve palsy may present as cover/uncover test or ocular motility
examination. The patient in this video has a right fourth nerve palsy
and had had previous right eye surgery. In the primary position, the
eyes are orthophoric but not so on lateral gaze and head tilt.

Aberrant third nerve regeneration File size: 1.7MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Aberrant third nerve regeneration.WMV]http://www.mrcophth.com/videosonclin...generation.WMV[/url]
This patient who had had a left third nerve palsy following road traffic
accident develops aberrant regeneration resulting in eyelid elevation
during downgaze and adduction.

Chronic progressive external ophthalmoplegia File size: 2.7MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Chronic progressive external ophthalmoplegia.WMV]http://www.mrcophth.com/videosonclin...almoplegia.WMV[/url]
Two patients with chronic progressive external ophthalmoplegia showing bilateral ptosis and symmetrial ophthalmoplegia.



Facial nerve examination and abnormalitiesFacial nerve examination & abnormalities File size: 2.6MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Facial nerve examination and abnormalities.WMV]http://www.mrcophth.com/videosonclin...ormalities.WMV[/url]
A common clinical examination. Look for synkinesis and any external
signs on the ear and the parotid regions to gain extra points. Two cases
of abnormal facial nerve functions are also shown
.
Orbit examination and related topicsOrbit examination (basic) File size: 2.9MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Orbit examination.WMV]http://www.mrcophth.com/videosonclin...xamination.WMV[/url]
A popular clinical examination. The majority of cases relate to thyroid eye disease.

Thyroid status examination File size: 2.2MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Thyroid status examination.WMV]http://www.mrcophth.com/videosonclin...xamination.WMV[/url]
This request usually follows orbit examination of a patient with thyroid
eye disease. The aim is to look for signs of hyperthyroidism and less
commonly hypothyroidism.

Eyelid examination and related topicsPtosis examination (basic examination) File size: 2.6MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Ptosis examination (basic).WMV]http://www.mrcophth.com/videosonclin... (basic).WMV[/url]

Begin with observation. Measure the palpebral fissure, MRD (margin
reflex distance), the skin crease, levator function (by stabilizing the
frontalis), Bell's phenomenon and corneal sensation.

Abnormal eyelid position File size:2.5MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Abnormal eyelid position.WMV]http://www.mrcophth.com/videosonclin...20position.WMV[/url]
Four patients with eyelid malposition are shown.

Three cases of ptosis File size: 3.5MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Three cases of ptosis.WMV]http://www.mrcophth.com/videosonclin...f ptosis.WMV[/url]
Three patients with ptosis: congenital ptosis, Marcus Gunn jaw-winking ptosis and myotonic dystrophy.

Pupil examination and abnormalitiesPupil examination (basic examination) File size: 1.5MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Pupil examination.WMV]http://www.mrcophth.com/videosonclin...xamination.WMV[/url]
Begin with observation followed by direct and consensual light test.
Perform the swinging light test to look for relative afferent pupillary
defect. Complete the examination with accommodation test.

Pupil examination (abnormal pupil reaction) File size: 1.7MB
[url=http://www.mrcophth.com/videosonclinicalexamination/abnormal pupil examination.WMV]http://www.mrcophth.com/videosonclin...xamination.WMV[/url]

In this video, a left RAPD, a traumatic right third nerve palsy and a
patient with Parinaud's syndrome (with light-near dissociation, the
patient also has problem with convergence) are shown.


MiscellaneousExamination of an enucleated socket File size: 2.2 MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Examination of an enucleated socket.WMV]http://www.mrcophth.com/videosonclin...d socket.WMV[/url]
Examination of a patient with post-enucleation socket syndrome.

Examination of rheumatoid hands File size: 1.9MB
[url=http://www.mrcophth.com/videosonclinicalexamination/Rheumatoid hands examination.WMV]http://www.mrcophth.com/videosonclin...xamination.WMV[/url]
This examination usually follows slit-lamp examination in a patient with
cornea sign of rheumatoid arthritis. In the examination, find out if
the patient can perform common hand functions such as writing,
unscrewing bottles and unbuttoning shirt

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