Eye Exam 3/8

[chriscumbag]

1:39 "Force the eyes of your patient open wide, so they may bask in your magnificence."

[bukie86]

Mike Singletary's brief acting career

[AnubisTheMystic]

lol he turned into a white woman when they did the pupil constriction test

[TeslaDRay]

I bet he can military press over 300.

[moondog203]

@TeslaDRay

I think you missed the point. I had big muscles once and could military press about 3 pounds.

[TeslaDRay]

@moondog203

na was just a random observation.

[andywhiteley1]

i spy with my gogley eye somethin begining with ......F...... @1min 09

[monkeyskitz]

1:43 sorry, but i loled. i really did.

[salhawk]

quite helpful ........ thx

[mcclure1977]

always wash your hand before sticking your finger in someone's eye!

[bawain]

this is stupid, how the hell are u gonna get a snellen chart in a ward!!

in the clinical exam ur in the ward n u use ur fingers or read some poster in the ward

[oddwiak]

what goofballs

[eros3135]

hey thanks for upload this video

is good realy is good

[MaroSumeragi]

Opticians don't do refractions or wellness exams that ODs generally do.

[oddstur]

wellness exams? a way that wal-mart taught you ( a dr?) to get paid $29 to do what a actual OD could do properly and get paid $75. you must be a ICO grad? be a professional but don't get paid more than a optician with a penlight!

[awesomedancer712]

its scary at like 1:45! :-S

[oddstur]

WOW! how terrifing! you touch a person doing a worthless procedure!! get a job cleaning toileys!

[WeeGee96]

Now we know what Zack Morris did after Saved By the Bell!

[snoozylacetti]

lol that's the funniest thing i heard all day..offering $25/hour to an Optometrist.

In any case it is against the law in most US sates for an Optometrist "to work for" a lay person.

As a lay person it is far more likely that you find yourself selling shoes in the future. The responsibility of the Optometrists will continue to increase and alngside this, their salaries of course.

[snoozylacetti]

and ok let's do the math for you. $25/hour *8 = $200 per day.*5 = $1000 per wk, = approx $4300 per month *12 = $51,600 per year. NO CHANCE any Optometrist would work for this amount per year!! 100% never, lol. Try doubling or tripling this figure, more realistic. Incidentally my salary approx 60% higher (+benefits + private pension) than you quote. (I've been qualified just under 3 years)

[oddrjs]

hey moron you people do! i hire OD's for less because they can't get jobs do to the fact of so much commercialization of opticals. they are everywhere. od's have ZERO organization and can be paid at a level less than a optician. new grads actually can't fit a contact lens and take advise from my opticians! i could hire more od's in my medical network but they want too much money and my opticians are better trained!

[snoozylacetti]

OK go have a look at the futures/professions website - there you will find starting salary for Optometrists at $70-80,000. Even Walmart manage to pay this. That's the STARTING salary and that most certainly does NOT equate to $25/hour. So either you do not employ Optometrists or you have major problems understanding numbers.

People like yourself have absolutely NO place in the Optometry field and thankfully legislation is in place to prevent you have any legal/clinical input toward Optometry.

[snoozylacetti]

There is NO way any OD would work for $25-35 per hour. You are as deluded about this as you are about everything else.

Learn your place and realise Optometrists are in command of the patients ocular health. Lay people like yourself are not concerned with Optometry, this is why there are qualifications and professional memberships in Optometry; to protect the public from people like you.

[oddrjs]

let me reitarate, i am a m.d. not a "lay" person like you. optometrists are as qualified as opticians, but i prefer opticians, they are cheaper and not arrogant.if you dopes are in "control" of your patients health, get a dog to take care of you are not trained or educated properly!

[snoozylacetti]

You'll find the public do not agree with you, aside from Ophthalmologists almost all other M.D.s do not know which way round to hold an Ophthalmoscope.

Opticians are not legally allowed to assess the health of the human eye, nor are they allowed to prescribe.There is no chance a presciber can write up a prescription without understanding binoc vision, pharmacology...Opticians barely have basic math lol.

There is as much chance of Opticians prescribing as there is the sky falling in.

[oddrjs]

dear nitwit, again i am a md i pay opticians $15/hr not the $25/hr for a od that does the same thing. did they teach you ANY business skills at PCO? opticians refract for me in all five offices now! however if i am not there i have to hire a od $25/hr to act like a doctor! simple external and bio exams and surjury or medical treatments are my line of work, opticians refract and soon od's will be selling shoes! no point to your profession!

[snoozylacetti]

Yes I realised you were as much an M.D. as Doogie Howser. Your clinical knowledge was well illustrated in the discussion above, what color did you print your M.D. certificate? lol

For goodness sake get back to your frame fitting and lens grinding.

[oddrjs]

green for money and you od's are trying to get it

[snoozylacetti]

Yes i'm sure you may be a dr. in your own world (& in your "surjury" lol)

So tell me if there are opticians attempting to refract who signs the script? Opticians do not have the professionally indemnity insurance to issue rx.

The public do not want opticians/technicians

anywhere near their eyes and who can blame them.

I don't know ANY O.D. that would ever conduct a clinic for $25 an hour. What a joke.

I'm not wasting anymore of my clinical time with a numbskull such as yourself.

[oddod1]

hey moron oddsj is correct. i just hired a od (indiana) for $35 a hour for 30 hours/5 days a week! she said she can't find a job! too much commercial compitition. the reason? no union or optometric group, seems like yous' odd's are too stupid to understand your ability to flip dails? HAHAHAHA

[snoozylacetti]

back again under a different name? with your usual stories of tripe...

[oddod1]

actually M.D.'s don't print their own licences. is that what yous goofs do? then the president signs it in crayon?

[snoozylacetti]

hmmmm $35 seems very low, should be more like $60-70 minimum

[snoozylacetti]

lol, Optometrists are happy enough with our rates but will be seeking to increase these in the future,that's unfortunate for people like you.

Opticians will NEVER have the eduactional backgound to conduct refractions.The political clout of Optometrists will always over-rule Opticians who are rightly viewed by the public as technicians.

It is against the law for anyone other than Optometrists or Doctor to conduct an eye examination,so NO you can't get ANY lay person to press ANY buttons lol

[oddrjs]

in florida 2006 a law was presented to the house, it lost barely,the law was for opticians to be licenced to refract. i voted "yes" on the bill. that would drive down the cost of my medical network by allowing opticians to press the same button as od's. after the refraction a pro like me would do a "medical exam" and bill properly. no need to overpay a button pushing od "lay" person" to evaluate a patients ocular health. that law WILL pass soon in all states, good luck selling shoes.

[snoozylacetti]

lol but the public will ALWAYS entrust Optometrists with their primary ocular health.

Autorefractors cannot deal with any minimal anterior segment abnormality/pathology and are thus rendered useless in diabetics, over 60's etc. Furthermore autorefractors cannot binocular balance or assess heterophoria.

Opticians will NEVER legally be able to refract patients as once cannot write up a prescription for spectcales without being in command of the facts & knowledge of the full eye examination.

[snoozylacetti]

Yes one turns plenty of "nobs" for

conducting volk fundoscopy

Anterior angle assessment

Gonioscopy

Pupillary reactions

Tonometry

Ocular motility

Binocular vision and the assessment of heterophoria.

I could go on but really why bother. I don't believe you have a proper education as you are simply too ignorant.

Thankfully the vast majority of the general public think in a completely different way to you.

[snoozylacetti]

There is so much more to Optometry than subjective refraction and JCC. You continue along your line of absolute ignorance, and well it suits you.

I have many professional patients - doctors, dentists, pharmacists, engineers. All of them listen attentively at their appointments when discussing ocular health. In fact many of my doctor patients are the most respectful of all patients.

I don't kow what your background is but it is certainly at odds with any clinical professionals i know.

[snoozylacetti]

I am an Optometrist you moron, do you seriously believe an Optician would give the level of clinical discussion i gave. If so then boy are you deluded.

Opticians have no real training in Ocular anatomy, general pathology or ocular pharmacology, Optician is a job not a profession.

[snoozylacetti]

Look to your own answers for incompetence. Dry ARMD is far more common as the leading cause of visual loss in the general public irrespective of age group.Your sweeping statements beggar belief.

I'm not prepared to waste anymore of my clinical time with somebody with such an ignorant and fragmented knowledge of optometry/ophthalmology.

Take a good look at how other ppl have been rating your comments.If you truly are a clinician i have concerns for your clinical approach & patient manner

[snoozylacetti]

Wrong wrong wrong.Upto 80% of the population have astigmatism to some degree - though this may not require correction. It is the most common element of refractive error and thus the most common ocular disorder.

The application of DHA/EPA is being more intensively investigated for dry ARMD. ARMD far more common than diab ret.Within diabetes the indication is diabetic control, to reduce the risk of diabetic retinopathy, in addition to pan-retinal photocoagulation.

Your incompetence is clear.

[snoozylacetti]

The most common ocular disorder is astigmatism. DHA/EPA is not known to have any effect on the progression of this.

The most common sight threatening ocular disorder is dry ARMD - as i discussed above.

Every single clinical answer you input serves to further high-light your idiocy.

[snoozylacetti]

I tell you what, scroll back and take a look at my answers to you in the previous posts. I've been practicing as an Optometrist for the last 3 years.

It's you that are the fraud Optician/Technician. You claim that you have an advanced education yet your english and spelling is absolutely appalling...worse than a 14 year old.

Your idiotic answers serve to support your technician status. I don't need to justify myself to a someone as incompetent as yourself.

[snoozylacetti]

docosahexaenoic acid/eicosapentaenoic acid given 2004 FDA approval"qualified health status",these chemicals can reduce risk of coronary heart disease.Supplements should not be prescibed if pt suffer from congestive heart disease/recurrent angina. Within an Optometric context these supplements may play a role in macula pigment synthesis to arrest dry ARMD - under investigation.

It is a mandatory requirement to study biochemistry/pharmacology within Optometry.

None of this is rocket science.

[snoozylacetti]

I don't believe a single word you say. There is 100% no way anybody as stupid and incompetent as yourself could hold any form of medical/optometric degree.

Don't get worked up just because optometrists are trusted by the public to be their primary eye care clinician.

Your language is absolutely appalling.

So you're on vacation, say hello to the man in the moon for me. You're clearly on a different planet, stay there won't you, don't come back.

[snoozylacetti]

And you say i live in la-la-land and then go on to claim a landscaper has a higher salary than an Optometrist and that a nurse has a better education than an Optometrist lol

Ophthalmologists teach a major part of Optometry and you think they provide a low level education?! You are the one with the poor education, poor grammar and difficulty with spelling lol

[snoozylacetti]

lol, words escape me, get back to your mcdonalds job.

Optometrists earn similar salaries to Staff Ophthalmologists.

Even your english is appalling.

[snoozylacetti]

I cannot believe you have any medical degree, possibly you have a biomedical science diploma or a biology qualification. Perhaps you wear spectacles and resent Optometrists and their renumeration.

None of your clinical answers are consistent with you holding either an MD or OD. There seems to be huge gaps in your knowledge.

The language you use just simply isn't from an educated individual.

[snoozylacetti]

You inferred brain tumor.

You clearly have approximately zero medical/optometric knowledge. You have no idea about refraction and no idea of pure and visual optics. No knowledge of clnical ocular or neuro anatomy, (occipital lobe is within the orbit, lol)and no understanding of the dioptic power of the crystalline lens.

The way you speak of Optometrists and Ophthalmologists indiactes simple resentment.

You're a lay person.

You're no clincal professional.

[snoozylacetti]

You have the audacity to call me an idiot & yet you think an aphakic patient will have a refractive error of +10.50.

In point of fact it was high hyperopia in a child.

Conjunctival melanoma's and BCC are provisonally diagnosed on visual inspection with slit-lamp examination of the anterior segment.Biopsy is then arranged and pathological diagnosis is confirmed...an MRI/CAT scan is not indicated.

It has become clear to me that your clinical knowledge is no more than a member of the public.

[snoozylacetti]

Given your weak level of Optometric/Ophthalmological knowledge i would believe you were a student optical technician lol

[snoozylacetti]

I qualified as an Optometrist 3 years ago. In that time i have diagnosed a number of tumors, horners syndrome (secondary to internal carotiod dissecting aneurysm), acute angle closure glaucoma, high ammetropia (+10.50)

You don't press buttons to conduct volk fundoscopy, tonometry - ask an Ophthalmologist!

Given your hatered of the Optometry profession I would believe your background lies in either Nurse/Optician/Technician, that would explain your limited and fragmented knowledge.

[snoozylacetti]

Keep taking the medications, I'll send for the ppl in the white coats for you.

You seem to have a split personality?!

[snoozylacetti]

Hmmm with comments like that there is no way you are an optometrist or an ophthamologist. So i guess u must be some sort of wannabe, lol, sad really.

As for saying that in eye exam "you press a few buttons" your ignorance beggars belief, you do your country the USA a great dis-service wit ur comments.

Are you some sort of failed O.D. or M.D. as you seem to have some sort of limited mixed up ophthalmic knowledge.U seem to have a lot of agression within u, why do u resent optometry + doctors?

[snoozylacetti]

White coats are the typical clinical approach, the optometrists/ophthalmologists i completed my training with always wore white coats...i dont, prefer suit ;-)

[snoozylacetti]

And incidentally oddrsur, if you believe grave's disease causes a build up of fatty tissue to the occipital lobe then i suggest you return to your text books. The occipital lobe is located in the occipital area of the posterior aspect of the brain. Build up of fatty tissue here would likely cause raised intracranial pressure, pressure on the medulla/pons/midbrain and death.

The inability to achieve full lid closure is a CONSEQUENCE of expothalmos. Fatty tissue builds up in extraocular muscle

[snoozylacetti]

I never disputed whether those tests may need to be done in certain patient scenarios, but those tests have absolutely no relevance to the examination being conducted here.

One could argue that a multitude of tests have been omitted in this eye examination but this is the simple BASIC examination that may be conducted prior to further investigations.

It's like saying we need to order FBC, U+E's, ESR etc, what's the point when this video is only showing the initial basic eye examintaion.

[1992peter]

Just that nurses should be trained as well.

I mean, I haven't sen one training video on a GDX machine, or an HRT machine.

[snoozylacetti]

oh ok, well i have no particular strong feelings one way or the other as to whether nurses train with those instruments.

Nevertheless that is a separate issue to this video and i think we are diverging somewhat from the basic eye examination being performed here.

[1992peter]

I know.

Good point.

[yoga4dudes]

hey i am searching for the torch examination of the eye, can any one help please i got my exam and i hv no idea about it

[yoga4dudes]

hay i am seacehing for the torch examination of the eye, can any one help please i got my exam and i hv no idea about it

[1992peter]

Some times u need to do some high tech tests, such as an OCT, automated Visual Field's Test, GDX, Flourescein angiography, Corneal topography, etc. But, normal eye exams don't need that USUALLY.

[snoozylacetti]

1992peter: These tests you mention bear no relevance to the medical/optometric examination that is occuring here.

Those tests assess the integrity of various aspects of the visual system. Tests such as VF's, Fluorescein Angio, GDX etc are usally performed by Nurses/Technicians for interpretation by Doctors/Optometrists.

As an Optometrist myself I was wondering what you're point was?

[tharbk01]

looking thru the phoropter in the dark puts me to sleep

[snoozylacetti]

Assessing visual fields by confrontation with a wiggling of hands would be a pretty good way of failing the professional qualifying exams. In addition, inspecting the anterior segment + bulbar conjunctiva with the naked eye would be another fail - should be using the ophthalmoscope @ +10.00, any abnormality is then further assessed with the slit lamp.

[snpmurray]

finger wiggle IS too subjective. Only if the examiner knows themselves to have perfect visual fields would this be of ANY value at all.

[konni]

aww sweeeeeeeet! thank u for putting this up. it helps a lot for my practical test.

[powa2life]

Didn't he forget to examine for lid lag and lid retraction? Or is that examination a part of the tyroid exam and not that of the eye exam?

[aydinmohammadi]

I think that would be more pertinent to the examination of cranial nerves. Can someone correct me if I'm wrong?

[groverdoc1]

Lid retraction would be seen if a patient is suspected of having Grave's Disease (hyper thyroid). The ability to open the lids would assess CN III and the ability to close the lids would assess CN VII.

[wadsonpogi]

tnx

[cardigans98]

wow!!! it is really helpful for me.. thank you so much!!!!