Office skills for the general practitioner

Eye disorders are relatively common. Often the initial presentation is to a general practitioner. With a few basic tools for eye examination, a general practitioner would be able to conduct an adequate ophthalmic examination and appropriately refer cases requiring specialist care. Assessment of visu...

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Main Author: M.F. Adamjee
Format: Article
Language:English
Published: AOSIS 2006-08-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/642
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author M.F. Adamjee
author_facet M.F. Adamjee
author_sort M.F. Adamjee
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description Eye disorders are relatively common. Often the initial presentation is to a general practitioner. With a few basic tools for eye examination, a general practitioner would be able to conduct an adequate ophthalmic examination and appropriately refer cases requiring specialist care. Assessment of visual acuity using a snellen chart and a pinhole can exclude refractive errors. A penlight is an inexpensive yet indispensable tool in the assessment of pupillary response, external structures as well as the anterior segment of the eye. Superficial ocular foreign bodies are relatively common. With a good technique for eyelid eversion, these foreign bodies can be easily removed. Using fluorescein stain and cobalt blue light one can appreciate corneal epithelial defects. Glaucoma is a sight threatening condition that can be effectively screened for, by using a schiotz tonometer and appropriate referrals made if the intraocular pressure is 21 mmHg or if the optic disc is cupped. Direct ophthalmoscopy may be difficult but with a systematic approach and a few simple guidelines one would be able to adequately evaluate the posterior segment.
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spelling doaj-art-e412c149cfe7460ebcc844f14e5dc5bd2025-08-20T03:44:01ZengAOSISSouth African Family Practice2078-61902078-62042006-08-01487202610.1080/20786204.2006.10873423583Office skills for the general practitionerM.F. Adamjee0University of KwaZulu-NatalEye disorders are relatively common. Often the initial presentation is to a general practitioner. With a few basic tools for eye examination, a general practitioner would be able to conduct an adequate ophthalmic examination and appropriately refer cases requiring specialist care. Assessment of visual acuity using a snellen chart and a pinhole can exclude refractive errors. A penlight is an inexpensive yet indispensable tool in the assessment of pupillary response, external structures as well as the anterior segment of the eye. Superficial ocular foreign bodies are relatively common. With a good technique for eyelid eversion, these foreign bodies can be easily removed. Using fluorescein stain and cobalt blue light one can appreciate corneal epithelial defects. Glaucoma is a sight threatening condition that can be effectively screened for, by using a schiotz tonometer and appropriate referrals made if the intraocular pressure is 21 mmHg or if the optic disc is cupped. Direct ophthalmoscopy may be difficult but with a systematic approach and a few simple guidelines one would be able to adequately evaluate the posterior segment.https://safpj.co.za/index.php/safpj/article/view/642general practitionereye disorders
spellingShingle M.F. Adamjee
Office skills for the general practitioner
South African Family Practice
general practitioner
eye disorders
title Office skills for the general practitioner
title_full Office skills for the general practitioner
title_fullStr Office skills for the general practitioner
title_full_unstemmed Office skills for the general practitioner
title_short Office skills for the general practitioner
title_sort office skills for the general practitioner
topic general practitioner
eye disorders
url https://safpj.co.za/index.php/safpj/article/view/642
work_keys_str_mv AT mfadamjee officeskillsforthegeneralpractitioner