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DARK ROOM APPLIANCES

PROF. DR. D. SUNDARARAJAN. M.S.,D.O.,
Associate Professor in Ophthalmology,
Dr Rajvin Samuel Ponraj
MBBS (MS)
Meenakshi Medical College & Research Institute
Kancheepuram
PRISTLEY SMITH RETINOSCOPE
MIRROR RETINOSCOPE
RETINOSCOPE
•
•
•
•

Flat handle with mirrors with hole on either side
Plane mirror on one side
Concave mirror on other side
Holes at centre to view through patient’s eye by
examiner
• Hole has +2D lens to exclude accomodation
error used to examine at 1mt distance
• To determine opacity of media
• To determine error of refraction.
TRIAL FRAME
TRIAL FRAME
• Adjustable with IPD by screw
• 3 compartments in front of eye
• Inner : to keep occluder, pin hole, stenopic
slit, presbyopic correction
• Middle : to place spherical lens
• Outer : to keep cylinder as in front, it is
graduated to know axis.
PLACIDO’S DISC
PLACIDO’S DISC
• Disc with alternate concentric dark and
light rings
• Central hole with +2D lens
• Disc attached to a handle
• Examining the reflected image of rings
over pt cornea
• To diagnose keratoconus, corneal surface
anamolies, ulcers.
MADDOX WING
MADDOX WING
• Instrument that dissociates retinal images
of 2 eyes for near
• To diagnose and measure heterophoria or
latent squint
MADDOX ROD
MADDOX ROD
•
•
•
•
•
•
•

4-5 cylinders of red glass prisms
Fused side by side in a round disc frame
May give the effect given by
Deeply grooved red glasses(mad groove)
To detect heterophoria
As it dissociates two retinal images
As macular function test
RED AND GREEN
GLASSES/FILTERS
RED AND GREEN
GLASSES/FILTERS
•
•
•
•

Red placed in front of right eye
Green glass in front of left eye
Used for diplopia charting
To test binocular vision in Worth’s four dot
test
• For malingering test
CONVEX SPHERICAL LENS
CONVEX SPHERICAL LENS
•
•
•
•
•

Biconvex spherical lens mounted on (metal)
frame
Centrally thick
Images – magnified
Moves in opposite direction in all meridians on
moving lens.
Used in HM, Presbyopia, Aphakia, Compound
HM astigmatism, Mixed astigmatism,
Retinoscope, Placido’s disc, Slit lamp,
Operating microscope, Simple & Comp
microscopes, Telescopes
CONCAVE SPHERICAL LENS
CONCAVE SPHERICAL LENS
• Biconcave spherical lens in (metal) frame
• Centrally thin
• Images minified – moves in same
direction as lens moves (in all meridians)
• Used in Myopia, Compound myopic
astigmatism, Mixed astigmatism, Hruby’s
lens
CONVEX CYLINDRICAL LENS
• Magnified image seen thru it
• Image moves in opposite direction of lens
movement
• Image moves 90* perpendicular to axis
• Along axis – no movement
• Axis – plane of zero power
• Used in astigmatism – sim, comp, mixed
CONCAVE CYLINDERS
• Image moves in same direction of lens
movement & opposite to axis
• Along axis – no movement
• Used in astigmatism – sim, comp, mixed
OCCLUDER
OCCLUDER
• Black opaque disc
• To occlude one eye while testing /
correcting other eye
PIN HOLE
PIN HOLE
• Black opaque disc with small central 1 mm
hole
• Used to find out impaired vision due to RR
or ocular path involving media
• Used in macular function test
STENOPIC SLIT
STENOPIC SLIT
• Black opaque disc with vertical / horizontal
straight slit at centre
• To differentiate causes of haloes
• Fincham’s test
Dark room
Dark room

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Dark room

  • 1. DARK ROOM APPLIANCES PROF. DR. D. SUNDARARAJAN. M.S.,D.O., Associate Professor in Ophthalmology, Dr Rajvin Samuel Ponraj MBBS (MS) Meenakshi Medical College & Research Institute Kancheepuram
  • 2.
  • 4.
  • 6. RETINOSCOPE • • • • Flat handle with mirrors with hole on either side Plane mirror on one side Concave mirror on other side Holes at centre to view through patient’s eye by examiner • Hole has +2D lens to exclude accomodation error used to examine at 1mt distance • To determine opacity of media • To determine error of refraction.
  • 7.
  • 9. TRIAL FRAME • Adjustable with IPD by screw • 3 compartments in front of eye • Inner : to keep occluder, pin hole, stenopic slit, presbyopic correction • Middle : to place spherical lens • Outer : to keep cylinder as in front, it is graduated to know axis.
  • 10.
  • 12. PLACIDO’S DISC • Disc with alternate concentric dark and light rings • Central hole with +2D lens • Disc attached to a handle • Examining the reflected image of rings over pt cornea • To diagnose keratoconus, corneal surface anamolies, ulcers.
  • 13.
  • 15. MADDOX WING • Instrument that dissociates retinal images of 2 eyes for near • To diagnose and measure heterophoria or latent squint
  • 16.
  • 18. MADDOX ROD • • • • • • • 4-5 cylinders of red glass prisms Fused side by side in a round disc frame May give the effect given by Deeply grooved red glasses(mad groove) To detect heterophoria As it dissociates two retinal images As macular function test
  • 19.
  • 21. RED AND GREEN GLASSES/FILTERS • • • • Red placed in front of right eye Green glass in front of left eye Used for diplopia charting To test binocular vision in Worth’s four dot test • For malingering test
  • 23. CONVEX SPHERICAL LENS • • • • • Biconvex spherical lens mounted on (metal) frame Centrally thick Images – magnified Moves in opposite direction in all meridians on moving lens. Used in HM, Presbyopia, Aphakia, Compound HM astigmatism, Mixed astigmatism, Retinoscope, Placido’s disc, Slit lamp, Operating microscope, Simple & Comp microscopes, Telescopes
  • 25. CONCAVE SPHERICAL LENS • Biconcave spherical lens in (metal) frame • Centrally thin • Images minified – moves in same direction as lens moves (in all meridians) • Used in Myopia, Compound myopic astigmatism, Mixed astigmatism, Hruby’s lens
  • 26. CONVEX CYLINDRICAL LENS • Magnified image seen thru it • Image moves in opposite direction of lens movement • Image moves 90* perpendicular to axis • Along axis – no movement • Axis – plane of zero power • Used in astigmatism – sim, comp, mixed
  • 27. CONCAVE CYLINDERS • Image moves in same direction of lens movement & opposite to axis • Along axis – no movement • Used in astigmatism – sim, comp, mixed
  • 28.
  • 30. OCCLUDER • Black opaque disc • To occlude one eye while testing / correcting other eye
  • 31.
  • 33. PIN HOLE • Black opaque disc with small central 1 mm hole • Used to find out impaired vision due to RR or ocular path involving media • Used in macular function test
  • 34.
  • 36. STENOPIC SLIT • Black opaque disc with vertical / horizontal straight slit at centre • To differentiate causes of haloes • Fincham’s test