Eye Examination Methods for Floaters and Retinal Issues - Ophthalmology

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Methods of Eye Examination


Hello, doctor.
I would like to ask about floaters and retinal degeneration.
During regular check-ups, the doctor uses a lens (I'm not sure what it's called) and checks from the upper right to the upper left while turning off the lights (if I remember correctly).
What is this type of examination called? Additionally, what are the common eye examination procedures, and what conditions are they suitable for? Do they require out-of-pocket expenses? Thank you.

Hei Hei, 10~19 year old female. Ask Date: 2018/05/15

Dr. Cai Wenyuan reply Ophthalmology


Hello, regarding the fundus examination, a convex lens is used.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/15

More Info


Hello! Thank you for your question regarding eye examination methods, particularly in relation to floaters and retinal issues. It’s great that you’re taking an active interest in your eye health, especially considering your concerns about floaters and retinal degeneration.

The examination method you are referring to, where the doctor uses a lens to inspect your eyes while adjusting the lighting, is likely a direct ophthalmoscopy or indirect ophthalmoscopy. In direct ophthalmoscopy, the doctor uses a handheld device with a light and a set of lenses to examine the retina and other structures at the back of the eye. This method allows for a detailed view of the retina, optic nerve, and blood vessels. Indirect ophthalmoscopy, on the other hand, involves a more comprehensive view of the retina using a binocular lens and a light source, which is particularly useful for examining peripheral areas of the retina.

Common eye examination procedures include:
1. Visual Acuity Test: This measures how well you can see at various distances using an eye chart. It helps determine if you need corrective lenses.

2. Refraction Assessment: This test determines your exact prescription for glasses or contact lenses. It involves using a phoropter, which contains different lenses, to find the best correction for your vision.

3. Slit-Lamp Examination: This test uses a microscope with a bright light to examine the front structures of the eye, including the cornea, iris, and lens. It can help identify conditions like cataracts, corneal abrasions, and other anterior segment issues.

4. Tonometry: This measures the pressure inside your eye, which is crucial for diagnosing glaucoma. It can be done using a tonometer that either touches the eye or uses a puff of air.

5. Dilated Fundus Examination: After using eye drops to dilate your pupils, the doctor examines the retina and optic nerve for any abnormalities. This is particularly important for detecting retinal tears, detachments, or diseases like diabetic retinopathy.

6. Optical Coherence Tomography (OCT): This advanced imaging technique provides cross-sectional images of the retina, allowing for detailed examination of its layers. It is particularly useful for diagnosing and monitoring retinal diseases.

7. Fluorescein Angiography: This test involves injecting a dye into your bloodstream and taking pictures of the retina to assess blood flow and identify any abnormalities.

Regarding costs, many of these tests may be covered by insurance, but it can vary depending on your plan and the specific tests performed. Some advanced imaging tests like OCT or fluorescein angiography may require out-of-pocket expenses if they are not deemed medically necessary by your insurance provider.

In summary, regular eye examinations are crucial, especially for individuals with floaters and retinal issues. They help in early detection and management of potential problems. If you have any specific symptoms or concerns, it’s always best to discuss them with your eye care professional, who can recommend the most appropriate tests based on your individual needs. Remember, maintaining eye health is an ongoing process, and regular check-ups are key to preserving your vision.

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