The document discusses eye examination and trauma. It notes that eye exams are important for detecting infections, diseases, and systemic conditions. Eye injuries can cause structural and functional damage, and the examination should assess the seven classic rings of injury. Different types of trauma are outlined, from closed globe non-penetrating trauma to perforating trauma. Clinical features vary in severity from swelling to traumatic globe destruction. A proper examination evaluates visual acuity, external structures, the ocular surface, orbit, and visual fields.
Low vision patient have serious visual problems that have caused serious visual loss.
1. Contrast sensitivity testing and visual field testing
2. subjective testing of patients with media loss
# potential acuity meter
# interferometry
# photostress recovery test
# glare test
# color vision test
# dark adaptometry
3. objective testing of retinal loss
# USG
ERG/EOG
When parallel rays of light enter the eye ((with accommodation relaxed) and do) and do not come to a single point focus on or near the retina.
Types of Astigmatism:
Sign & Symptoms:
Management:
Low vision patient have serious visual problems that have caused serious visual loss.
1. Contrast sensitivity testing and visual field testing
2. subjective testing of patients with media loss
# potential acuity meter
# interferometry
# photostress recovery test
# glare test
# color vision test
# dark adaptometry
3. objective testing of retinal loss
# USG
ERG/EOG
When parallel rays of light enter the eye ((with accommodation relaxed) and do) and do not come to a single point focus on or near the retina.
Types of Astigmatism:
Sign & Symptoms:
Management:
Basics of clinical optics and their application in clinical ophthalmology. Introduction to principles of interaction of light and its travel through different media. The basic principles, objectives and methods of ophthalmic instruments are also explained.
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glaucoma and cataract.pdf, After the class the students will be able :
Explain the structures and function of eye.
Explain the age affect on vision.
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List down the health education for Glaucoma and cataract.
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Many pathologies arise from deficiencies in diffracting the light due to abnormal morphologies of cornea; lens opacity (due to aging, most of the times) ...
Two practical cases are now studied deeply in a patient and biocompatibility scope.
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Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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3. Eye tests are important for the detection of
many common eye infections and diseases.
Eyes are also an important indicator to detect
chronic systemic diseases like Hypertension
and Diabetes.
Must after maxillofacial trauma to rule out
any near and late complications emerging for
the eyes.
4. There are two perspectives for examining the
eyes :
1. Ophthalmic Perspective – because eyes
are prone to many infections, diseases and
conditions.
2. Maxillofacial Perspective – because the
eyes and the orbit forms an integral
component of facial and mid-facial
fractures and trauma.
5. Blunt ocular trauma can cause both
structural and functional damage to the
eyes.
Ocular trauma should reveal all the SEVEN
CLASSIC RINGS of eye injuries. The eye
examination should focus on these signs.
6. It is the localized separation of the iris from
its attachment to the ciliary body.
11. Rupture of the sphincter of the iris following
blunt trauma.
12. An area of tissue near the base of cornea, it
drains the aqueous humor from the eye via
the anterior chamber.
13. Protection of intact portions of the visual
system and avoidance of any further injury
to the undamaged portions.
Accurate assessment of the extent of injury.
Institution of therapeutic measures that first
achieve optimal function, and secondarily
achieve optimal cosmetic results.
14. A few studies have been done to assess the
frequency and incidence of ocular trauma.
1. Frequency and characteristics of ocular trauma
in an urban population–Wilson, Wooten, and
Williams
(Journal of the national medical association,
Vol. 83, NO. 8,1991).
The brief findings of this study were :
The study was a prospective analysis of 514
consecutive patients with direct ocular trauma.
Males ( 3.5%) outnumbered the Females ( 1%).
Bilateral injuries were encountered in 35
(27.6%)
15. The most common etiologic reasons were –Blunt
Objects, Sharp Objects, Chemical, Radiation.
The factors associated with visual impairments were
– poor initial visual acuity, Hyphema, Optic nerve
trauma, retinal detachment and vitreous
haemorrhage.
35 (27.6%) had bilateral injuries. One hundred sixty
eyes were involved; 40 (25%) injuries were to the
right eye only and 50 (31.37%) were to the left eye
only.
2. Study of ocular trauma in an urban slum
population in Delhi – Vats, Murthy, Chandra, Gupta
and Gogoi.
(Indian Journal of Ophthalmology, Vol.56, Aug 2008 )
The study which was done in a slum, 163 episodes of
ocular trauma were reported by 158 participants.
16. Mean age of trauma was 24.2 years.
Males were significantly more affected than
females.
Blunt Trauma was the commonest mode of
injury (41.7%).
Blindness resulted in 11.4% of injured eyes.
A significant association was noted between
ocular trauma and workplace ( 43.80%).
17. 1.Closed Globe injury / Non Penetrating Trauma
2. Penetrating Trauma
3. Perforating Trauma
4. Blow-Out Fracture of the Orbit
18. The eye globe is intact, but the seven
classical rings of eyes are affected by blunt
trauma. On examination, there may be a
visible break in the epithelial surface – which
can be confirmed by seeing Yellowish-Green
staining on instillation of Flourescein
eyedrops.
19. The globe integrity is disrupted by a full
thickness entry wound, and maybe associated
with the internal contents of the eyes. There
is a break in the corneal or scleral continuity.
There may also be – Hyphaema, shallow
anterior chamber of eye, distortion of pupil,
iris and lens damage.
20. The globe integrity is disrupted in 2 places due
to an entrance and exit wound, a quite
severe eye injury ( through and through
injury ).Being a surgical emergency, this type
of trauma requires prompt referral.
21. This is caused by blunt trauma, leading to
fracture of the floor or medial wall of the
orbit – due to sudden increased pressure on
orbital contents and rise in infra-orbital
pressure. The patient may have – periocular
ecchymosis and edema, subcutaneous
emphysema, decreased ocular mobility,
enophthalmus, anaesthesia of cheek,
diplopia, hyphaema and subconjunctival
haemorrhage.
22.
23. The clinical features of eye injuries vary with type
and severity of trauma, ranging from irritating
pain to traumatic destruction of the globe.
1. Swelling of the eyelids and conjunctiva – can
produce temporary vision impairment.
2. Damage to the cornea – swelling of the corneal
tissues, can be present with hyphaema.
3. Damage to the sclera – can be non-penetrating,
penetrating, perforating or blow-out.
24. 4. Damage to iris and supporting structures-
can cause Miosis and Mydriasis. Iridodialysis
can give the appearance of a secondary pupil.
It can also cause Photophobia and blurred
vision.
5. Lens damage - can cause Cataract formation
or total dislocation.
6. Retinal damage – can cause damage to the
Choroid and hemorrhage into the Vitreous
Humor.
7. Optic nerve injury – can cause partial to
total vision impairment.
8. Damage to external muscles of eyes – results
in diplopia and reduced eye movement.
26. 9. Damage to Ophthalmic and Maxillary
divisions of Trigeminal Nerve – impairs
sensations in the eyelids, the conjunctiva
and cornea.
10. Damage to Lacrimal Gland – impairs
production of tears.
11. Damage to Infra-orbital blood vessels and
nerve – may result in substantial
displacement and distortion of the eyes.
27.
28. Clinical Assessment
History of Injury
External examination of eye
Ocular surface examination
Orbital examination
Examination for Visual Field
Pupil examination
29. The aim in assessing the patient with eye
trauma is to determine :
What the injury is ?
Identify associated injuries ?
Identify factors that could potentially make
it worse ?
Decide whether it can be managed by
yourself or whether it needs referring after
first treatment is administered ?
30. Time of injury ?
Nature of injury –
- physical v/s chemical
- blunt v/s penetrating
- speed of impact
Possible entrance of any foreign body ?
Previous acuity, eye problems and medical
history ?
Circumstances of the injury – important for
medico legal considerations.
31. Before the external examination of eye is
started, the visual acuities in both eyes should
be checked.
Usually, this involves the use of the Snellen
eye chart. During a maxillofacial examination
in a dental clinic, it may not be possible to
use this chart.
An alternative is – by simply asking the patient
to identify an item you hold up, like your
watch or pen.
A 20/20 score or a 6/6 vision indicates
clearness of vision.
32.
33. 1. Examination of Orbit and Eyelids - eyelid
is evaluated for excessive skin, herniated
orbital fat, abnormal eyelid creases,
ptosis, retraction, and prolapse of the
lacrimal gland.
Look for lacerations, bruising and oedema.
34. 2. Examination of Conjunctiva –Look for
haemorrhage and lacerations.
35. 3. Examination of Cornea –Look for corneal
abrasions using Slit Lamp technique.
36. 4. Examination of Anterior Chamber –Look for
Hyphaema and abnormally reacting pupil due
to damage to iris.
37. 5. Examination of Fundus –Look for
haemorrhages, exudates, blood vessel
abnormalities and pigmentation.
Use of Mydriatic eye drops to
dilate/enlarge the pupil to get a better view
of the fundus of the eye.
38. 1. Sub conjunctival Haemorrhage – Bleeding
under the conjunctiva. The conjunctiva
contains many small blood vessels which are
easily ruptured – when this happens, blood
leaks in the space between the conjunctiva
and sclera.
39. 2. Corneal abrasion – loss of the surface
epithelial layer of the cornea of the eyes.
40. 3. Corneal Lacerations and foreign bodies –
partial or full-thickness injury to the cornea.
41. 4. Hyphema – Blood in the anterior chamber of
the eye.
Frequently caused by blunt trauma.
42. 1. Diplopia – double vision, simultaneous
perception of two images of a similar
object. Usually the result of impaired
functions of extra ocular muscles.
43. 2. Proptosis – forward displacement and
entrapment of the eye from behind by the
eyelids.
Also known as Eye Luxation.
46. 5. Difficulty in eye/extraocular movement –
due to entrapment of orbital contents by the
extraocular muscles. The 6 cardinal signs of
gaze are affected.
The inferior rectus muscle has become stuck
in the fracture, preventing the patient from
looking directly downwards.
47. The 6 Cardinal signs of gaze :
1. Right and Up
2. Right
3. Right and Down
4. Left and Up
5. Left
6. Left and Down
48. 6. Orbital Rim fracture – usually seen after a
severe mid-facial trauma.
49. This is the area the patient can see with
peripheral vision while looking at a fixed
object.
Test visual field with the Confrontation Test.
50. While sitting/standing about 2 feet directly in front
of the patient, ask him to cover his left eye while
you cover your right eye. Then extend your left
arm, hold up your first finger and move it towards
the midline. Ask the patient to tell you when he
first sees your finger, as it moves inwards. He
should see it at the same time as you. Do it from
several different angles.
If the patient cant see your finger at the same
time as you do, it suggests peripheral vision loss.
51. First, look for the shape, size and symmetry
of the pupils.
Second,test for Reactivity of the pupil – by
shining a light into one eye. Advance it in
from the side and look for constriction.
Normal pupils will constrict rapidly. Repeat in
the other eye and look for constrictory
response.
52. Third, test for Accommodation. Ask the
patient to focus on a distant object, and then
on your finger – as you move it from a distance
to the bridge of his nose. When he focuses on
the distant object, his pupils should dilate, but
as he focuses on the closer object, they should
constrict.
Lastly, check for the Ocular muscle response.
Have the patient follow your finger in a H
pattern. Normal eye movements should be
conjugate, or together and smooth. Jerky eye
movements (Nystagmus) maybe indicative of
other conditions. These tests the 6 cardinal
fields of gaze.