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When performing the clinical test, the room lights should be dimmed and only one light source should be visible. When testing at near, the patient is to fixate on light source at 33 cm, which is held at eye level. When testing at distance, the patient is to fixate on a light source at 6m.
In this test, an examiner shines a pen light at the patient's pupil and asks the patient to either point to the light source, or describe the direction that the light is coming from (up, out, straight ahead, down and out, etc.). If the patient is able to perceive light, the letters LP are recorded to represent the patient's acuity. If the ...
Distance PD is the separation between the visual axes of the eyes in their primary position, as the subject fixates on an infinitely distant object. [2] Near PD is the separation between the visual axes of the eyes, at the plane of the spectacle lenses, as the subject fixates on a near object at the intended working distance. [3]
An example of the Landolt C eye chart (also known as the Japanese eye chart.). Numerous types of eye charts exist and are used in various situations. For example, the Snellen chart is designed for use at 6 meters or 20 feet, and is thus appropriate for testing distance vision, while the ETDRS chart is designed for use at 4 meters. [16]
The examiner shines a torch light, directing it towards the centre bridge of the Bagolini glasses i.e. the patients nose (light is at patients eye level) from distance (6 m) or near (33 cm). The patient can also be tested in alternate positions of gaze (upgaze or downgaze). The test is usually performed at near.
For an adequate test, vision must not be entirely lost. In dim room light, the examiner notes the size of the pupils. The patient is asked to gaze into the distance, and the examiner swings the beam of a penlight back and forth from one pupil to the other, and observes the size of pupils and reaction in the eye that is lit.
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An examiner presents a test light of variable size and intensity. The light may move towards the center from the perimeter (kinetic perimetry), or it may remain in one location (static perimetry). The Goldmann method is able to test the entire range of peripheral vision and has been used for years to follow vision changes in glaucoma patients. [3]
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