Examination of the Eye with an Ophthalmoscope
Examination of the Eye with an Ophthalmoscope
The examination of the eye, it's probably one of the most important examinations in (clinical Skills), failure to adequately diagnose, and manage problems with the eye, can quickly become catastrophic for the patient.
Unlike many of the other clinical exams, the difficulties with the examination of the eye, are twofold. Firstly the eye, it is often difficult to examine, order to examine the eye, the ophthalmoscope must be well understood by the user
As a result, the ophthalmoscope is it (clinical Skills), this is often avoided by students. This can be potentially dangerous for students, Examination of the Eye with an Ophthalmoscope, is quite common in both clinical practice, also OSCE and final exams at medical school
#Ophthalmoscope #drgill #clinicalskills
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
01:20 - Functionality of the Ophthalmoscope
02:18 - Setting Up the Ophthalmoscope for Examination
03:23 - Preparing for the Eye Examination
04:01 - Dilating the Eye for Examination
05:18 - Examination Around the Eye
05:50 - Identifying and Treating Eye Injuries
06:38 - Focusing on the Retina and Optic Disc
07:42 - Observing Microvasculature in Diabetic Retinopathy
08:18 - Assessing the Fovea
09:02 - Examining the Patient's Eye
09:42 - Eliciting the Red Reflex
11:00 - Checking for Retinoblastoma in Children
11:30 - Assessing the Anterior of the Eye
12:00 - Focusing on the Optic Disc and Retina
14:56 - Examining the Macula for Central Vision
15:40 - Optic Neuritis and its Effects
16:58 - Causes of Swelling and Color Change in the Optic Disc
18:28 - Conclusion
Пікірлер: 208
Your manakin should be called Iris . Great vid again
@DrJamesGill
2 жыл бұрын
Ah blast it!! That would have been MUCH better!!
@christiangrey3645
2 жыл бұрын
And we're his pupils! I'll leave now.
@AtoZbassfishing9
2 жыл бұрын
The head looks like a bald Biden, I mean brandon
@zzzcocopepe
2 жыл бұрын
Iris was a Greek myth, she was the female counterpart of Hermes/ Mercury. He was Zeus's messenger and she was Hera's. She had a twin sister Arke who sided with the Titans and thus was imprisoned with them. Iris was the goddess of the rainbow. She had a child with Zephyr the west wind. And their child was an aspect of Eros, deity of love. Pothos-Eros, god of longing. There are multiple aspects of Eros, called the Erotes. That's where the cherub Cupids came from. Romans re envisioned Eros as followers of Venus, and with the advent of christianity and chastity, they transformed Cupid into the cherub
While using this bit of kit and getting up close to the patient... Always remember to apologise for your sandwich breath
@paulwilkins
2 жыл бұрын
It was your face.
@kipo4085
2 жыл бұрын
Doctor and the patient are supposed to get red in the face
@Jack-yz6yp
2 жыл бұрын
@@kipo4085 but I suspect only I get red in the face this time
@JoaoSilva-on4od
2 жыл бұрын
Unless the tomatoes are grown locally.
@sketchlehem
2 жыл бұрын
cool metal, yes? cool metal
“Phyllis here isn’t particularly talkative” oh Dr Gill you crack me up😂
@DrJamesGill
2 жыл бұрын
😊 thank you. I try to keep these things light
@Hairmetallurgist
2 жыл бұрын
@@DrJamesGill keeping it "light" when speaking of the ophthalmoscope?! Damn, the humor keeps on coming with you, Doctor, along with all the "I-see-what-you-did-there"s! 😏
I'm not a medical student, I don't understand what you're talking about, but damn you're relaxing to listen to. You could describe how you organise your sock drawer and I'd listen!
@DrJamesGill
2 жыл бұрын
One big pile in a drawer 😄
@thelonelyassassin8584
2 жыл бұрын
@@DrJamesGill why bother organising your sock drawer if it's going to end up as a big pile in a week
@Berengier817
2 жыл бұрын
@@DrJamesGill my wife asks why I only buy one brand of socks. I tell her it's cause I never have to try to find a matching pair and if one rips I just toss it out and still have another.
@DrJamesGill
2 жыл бұрын
Very sensible man 😊
@DrJamesGill
2 жыл бұрын
That’s why I don’t 😊
Less than two minutes in and the Doctor already got me shedding a tear without even turning the thing on. Beautiful story, sir.
@DrJamesGill
2 жыл бұрын
Life is a collection of stories. We need to share them with each other 😊
Nothing like going down a rabbit hole after learning about benign eye floaters and pvd
@DrJamesGill
2 жыл бұрын
I will cover those when we actually talk about retinopathy 😊
This is my favourite part of any ASMR medical videos. I’d love to see the interior of the eye one day. I’ve seen digital photos of my eye at Specsavers but not quite the same…
Might as well go to medical school I guess lol I've already spent years of my life learning from Dr. Gill
@DrJamesGill
2 жыл бұрын
well, we're desperate for more doctors, give it a go 😊
I remember when I first saw pictures of my eyes when I saw a new eye dr. I've had a pretty extensive list of eye surgeries, so when I saw the pictures comparing my good and bad eye, I was blown away how interesting the eyes look.
@DrJamesGill
2 жыл бұрын
It’s such an usual part of the body. The evolution blows my mind
I absolutely love this! My eye doctor that I had my entire life retired and I’m badly in need of a new prescription as a result so it’s neat seeing things from the doctors perspective like this. You remind me so much of my optometrist though ironically because he had such a soothing voice and would always clearly explain what he was looking for and/or doing and why it mattered and the potential health effects that I was happy for him but sad for me when he retired because I wasn’t sure I’d find another one like him. Thankfully there’s multiple practices in my insurance network right near my work so I’m hoping one of them will work out for me like he did, we’ll see!
Love these longer form videos. Also really liked you calling back to your technique in the cranial nerve exam.
@DrJamesGill
2 жыл бұрын
They are harder to put together, but equally important 😊
@BeetaroniPizza
2 жыл бұрын
Didn't realize how long this video was until I read this comment ahahaha. Love it.
awesome, James! Thorough presentation, clear explanation of each aspect, as always. Love your work.
@DrJamesGill
2 жыл бұрын
👍
Its great to watch you not just talking about this subject but every other topic/guideline for potential Gp's. Its a sad fact that the GP's I see rarely explain or perform the basic tests your teaching when I visit them. I know your bound by medical ethics laws and cannot comment but I am 59 years old and an ex RAF medic and I see basic medical standards slipping in this country. Keep up the good work because your teaching Doctors many things they may have forgotten.
That scope looks just a bit like a sonic screwdriver -- to us nerds. I suppose, to a GP, a sonic screwdriver looks like an opthalmascope. Also, I love that it has a history, what a thoughtful gift from your family doctor.
@DrJamesGill
2 жыл бұрын
I’d never thought about that!
I’ve heard of this instrument but never realized that it was the same instrument my eye doctor uses when I go in for eye exams. This ASMR clip is lovely. Dr. Gill has a soothing and calming voice and probably would put me to sleep therefore causing me to have to be on perpetual reschedule for eye exams. 😴🥴☺️👌🏻
I'm a homeschooler in the US. My daughter's are 8 and 6. I love using some of your videos with them while working on human anatomy. My 6 year old doesn't fully understand but my 8 year old actually understands a lot more than I thought she would. These are also very relaxing. Thank you for these wonderful videos.
@DrJamesGill
2 жыл бұрын
That’s wonderful feedback. Thank you 😊 Any particular areas that you are still looking to cover?
@ChristIsLord247
2 жыл бұрын
To an extent I go with what is interesting them in the moment. We still have to work through the skeletal system and how tendons and muscles work together to move their bodies. We also have to go through the liver, gallbladder and nervous system. Since they are so young I don't push too hard and sometimes we get off topic and just do more age appropriate chemistry. They do want to know more about specific diseases like MS because their uncle has it. Diabetes (we watched some of your videos on diabetes) because their grandmother has it. They have asked for a real doctors kit for Christmas. Lol I think I'm going to make them one.
Aww, I love that you use the instrument woth nostalgic connection! Much better than leaving it to dust on a shelf
I love your videos because you just seem like an all around pleasant person with a great sense of humor. Thanks for the knowledge!
I'm here for the information, really nice to understand a lot of medical skills
Always neat to learn things from you. Wish you were my doctor here in Wisconsin USA.
Another great video James. Your knowledge is impressively extensive. Many thx again
That's really sweet that scope was passed down to you after all these years.
Yay a new video! Thank you Dr. Gill!
@DrJamesGill
2 жыл бұрын
👍
Wonderful Doctor, excelent manner ,kind and Soft ,wish him the best
@DrJamesGill
2 жыл бұрын
👍
When wealth is lost, nothing is lost; when health is lost, something is lost; when character is lost, all is lost.
@DrJamesGill
2 жыл бұрын
Very true.
He has the most relaxing voice I have ever heard.
Dr Gill has legit star quality.
This is very informative. I've learned a lot. Thank you so much for this!
@DrJamesGill
2 жыл бұрын
👍
Excellent information
@DrJamesGill
2 жыл бұрын
Glad it was helpful!
It's really sweet that his family doctor gave him his opthalmoscope as a medical school gift, it's something he'll think of every time he examines a patient, that this was the one used on his whole family and himself as a kid 😭
@DrJamesGill
2 жыл бұрын
Oh yes. I honestly love it. Plus as I retire - in many years - I’d hope to do the same
Dr. Jimmy, you TYare an amazing teacher and doctor. Hey, they found out I have moderate sleep apnea, which most likely caused my afib. Cpap machines are backorder, so it will help when I get one. They want to do a cardioversion still, hopefully after I get the cpap, and not before. Wish me luck. Love your videos. A cardioversion video would be interesting to see.
As someone who works in ophthalmology in theatres I’d like your presentation on retinal detachments, phacos,trabs etc
@DrJamesGill
2 жыл бұрын
I’m certainly planning a retinal video
Interesting video, as always! Thank you!
@DrJamesGill
2 жыл бұрын
Thank you. I hope it was helpful
Fantastic explanation!
2:00 Look at that hand showing off the opthathlamscope Thank you Dr Gill for a better in depth look at it
@DrJamesGill
2 жыл бұрын
👍
@Flippirino
2 жыл бұрын
@@DrJamesGill 👍
I remember my GP using a very similar piece of kit back in the 90s when I was a kid.
@DrJamesGill
2 жыл бұрын
We’re still using the same kit now 😊
Nice video thanks you dr
@DrJamesGill
2 жыл бұрын
👍
Lovely video. I had an optometrist stick some orange dye in my eye once when I came in for a contact lens check (pretty disorienting sensation), I've always wondered what it was for.
@DrJamesGill
2 жыл бұрын
I find it really therapeutic, as I can tell straight away if a pt is ok or not
Dr Gill, I don't study medicine, but I am inherently curious and enjoy listening to you speak with so much enthusiasm about your work. Thank you so much for these videos - they satiate my curiosity and help me switch off after a day of being a doctor of literature - definitely not as cool as your doctorate, but I like to think, by proxy, we'd have some good chats over pints! Thanks again, love from Ireland
@DrJamesGill
2 жыл бұрын
Thanks! :) What field are you studying
@pocketcucco9979
2 жыл бұрын
@@DrJamesGill Adaptation and aesthetic theory in fairy tales! :)
@DrJamesGill
2 жыл бұрын
Now THAT sounds cool!! Have you ever come across a book called “Flight of Dragons” by Peter Dickinson?
@pocketcucco9979
2 жыл бұрын
@@DrJamesGill yes! Such a good read! Really marries my love of fantasy and amazement at medical reasoning in one gorgeous text!
@DrJamesGill
2 жыл бұрын
Wow! I’ve not actually found anyone who has read it! I was very lucky to find a copy years ago in a second hand store in Wales
Exciting. Thank you 🏅🙂
@DrJamesGill
2 жыл бұрын
👍
Nice Gill
@DrJamesGill
2 жыл бұрын
Well, it’s me and a plastic head. Not sure “nice” is the phrase lol
Hello Dr Gill, I'd be interested in a video about branch retinal vein occlusion as I have that in my right eye. I have intravitreal injections and I'm the youngest person they've ever seen with it (36!) at my local hospital. It's since been found I've got hypertension which may explain why, but I'd be interested in knowing more about it.
@DrJamesGill
2 жыл бұрын
We can certainly include that in a subsequent video 😊
i keep falling asleep half way through and thats compliment
Your a legend man
“Family GP”oh those were the days. Great video 👍
@DrJamesGill
2 жыл бұрын
We’re still doing it
I hope my son will aspire to be mostly like me but a lot like you!
Petition to cast Dr. James Gill as the next gen Pokemon Professor.
Would love to see focused retinal pathologies videos!
@DrJamesGill
2 жыл бұрын
That will come. I’ve got an understanding the spine exam, and a demo ophthalmology first 😊
Dr, Gill, This is a very helpful video. Do you plan to finish reading the MacLeod's exam book with your commentary? That format was very instructive. Also, do you guest teach in the U.S.? If so, where and when? I'd like to attend a lecture.
sim, eu não faço ideia de como usar o instrumento mas o video é muito relaxante... :)
Came for the asmr, stayed for the knowledge
Nise
after this eye exam, i will be able to find the right shade of blue suit for war
@DrJamesGill
2 жыл бұрын
Thank fully I’m only red/green colour blind. I think that’s why I have a lot of blue. I KNOW we’re all looking at the same colour blue
@martinlaird4738
2 жыл бұрын
T.M Lewin would be proud
Hey Dr. Gill I am extraordinarily interested in going into the medical field. I have done a lot of research on schools and found a few I like . however I am having second thoughts because of student debt. Could you explain your experience with that ? It'd be great to hear!
@DrJamesGill
2 жыл бұрын
In the UK, it gets paid off slowly as you work. I honestly think we’ll see grants again at some point as the numbers of doctors will fall after the pandemic. There are a lot holding on, helping out until this is over
Your Opthalmoscope seems to have Halogen or LED light judged by the bright and white Ness of it. A more than 37 years old Opthalmoscope usually should have a little bit of timid tangstan-like brightness. Probably it was changed later on
Hi Dr. Gill, very informative as always. My power went out in the middle of the live video so I am not sure whether my question was posted. Are GP supposed to do this exam routinely (e.g. during an annual physical) or only when they suspect something? Thank you.
@DrJamesGill
2 жыл бұрын
We do it if there is an issue. For routine things, like diabetic eye screening, there is a separate, dedicated service that does only that
@msaditu
2 жыл бұрын
@@DrJamesGill thank you for answering my question.
@DrJamesGill
2 жыл бұрын
👍
What Is the green light for?
How on earth can you practice this with such a creepy dead eyed doll head. I would get mad chills coming so close to it.
That ophthalmoscope doesn't look old at all. You must take really good care of it! Edit: Spelling ophthalmoscope is a little tricky for me lol
How much is this going for on the flea market? I found one on customs
Eyes are the window to the...back of the eyes it seems. 😂👍🏻
@DrJamesGill
2 жыл бұрын
🤣🤣very true
When u put that yellow stuff in the eye, is it safe to use in the eyes for making a movie? (Like practical effects for the eyes) I’m just wondering cause I’m a filmmaker and constantly looking for new stuff!
@DrJamesGill
2 жыл бұрын
Well, it’s something I’d recommend. It’s safe for short term use for an exam, but I wouldn’t want it use it longer
@LeKnightStudios13419
2 жыл бұрын
@@DrJamesGill How long is long and short term and how do u get it out so the eye goes back to normal?
@emilychilds9551
2 жыл бұрын
@@LeKnightStudios13419 I think he means you don't want to keep topping it up to keep it vibrant. I believe coloured drops like this tend to fade on their own before long so you shouldnt need to eye wash it out etc
@LeKnightStudios13419
2 жыл бұрын
@@emilychilds9551 how would you wash it out?
@emilychilds9551
2 жыл бұрын
@@LeKnightStudios13419 The point is you wouldn't need to- the eye should naturally cleanse itself. But if you did need to wash it out, I expect a standard eye wash kit would work? I'm not an expert so you'd need to fact check
Dr. Gill’s sonic Screwdriver
Would love one of these but for the otoscope and the ears
@DrJamesGill
2 жыл бұрын
Your wish is our command Here is the tutorial on examining the ears kzread.info/dash/bejne/eIqMycqFh9rehso.html
@DrJamesGill
2 жыл бұрын
Here is the ear examination video kzread.info/dash/bejne/p6Odq8qBg5jRhbw.html
What did u do too them
Hello, Dr. Are you able to demonstrate a healthy eye versus a diabetic eye that has retinal damage? Thank you.
@DrJamesGill
2 жыл бұрын
We will do that in future 😊
Dr Gill does a call back of cranial nerve video Dr Gill medical universe continuity confirmed
@DrJamesGill
2 жыл бұрын
😂😂
yay!
@DrJamesGill
2 жыл бұрын
😊
If optical ASMR is your thing, checkout SRP ASMR. He's truly the best.
This could be a duet with srp asmr!
@SRPASMR
2 жыл бұрын
You know I’d perform ophthalmoscopy on anybody 😁🤓
@ladylolahester
2 жыл бұрын
@@SRPASMR this duet needs to happen !!
0:21 - missed opportunity for an Anne Boleyn reference…
@DrJamesGill
2 жыл бұрын
That would be cutting…
@chuckoneill2023
2 жыл бұрын
@@DrJamesGill 🤣
Why is the volume so varied in each video
Any double vision?
@DrJamesGill
2 жыл бұрын
Nope
You remind me of the husband in the original 101 Dalmatians.
How long does it take to finish a medical course?
@DrJamesGill
2 жыл бұрын
Depends. Some it’s six years, some it’s five. Inane to Warwick, which is post grad, so four years
".....take the opthalmascope and approach the patient, once they're sufficiently subdued we can then prepare them for sacrifice to the dark lord Cthulhu"
This is asmr
Why can't you just pull out your eye and examine it then put it back in?
@DrJamesGill
2 жыл бұрын
Slippy. Can’t grip them
Sounding like the forza motor sports menu narrator
@DrJamesGill
2 жыл бұрын
Not played Forza I’m afraid
Heine minilux opthlamascope...... blinds everybody with it’s super high beams, it’s a squirrel crushing, deer smacking viewing machine!!!
British accent 💚
@DrJamesGill
2 жыл бұрын
I’ve only got the one 😊
Always remember to excuse the sandwich breath
Should you not be using a slit lamp
@DrJamesGill
2 жыл бұрын
Slit lamp examination is a much more detailed, and would be indicated if we found any suggestion of need for further investigation.
@JJ-vy2rh
2 жыл бұрын
@@DrJamesGill ok very fast response
@DrJamesGill
2 жыл бұрын
Happened to be in the system as it came in 😊
@JJ-vy2rh
2 жыл бұрын
@@DrJamesGill ok thanks my wife is a Orthoptist, no matter what you use you have to know what you're looking at
Three generations and only one doctor? I can see why your GP would want to upgrade his ophthalmoscope...
@DrJamesGill
2 жыл бұрын
?
Funny, I have always wondered what doctors see when looking in my eyes. I’m fascinated! Whenever I look close in the mirror, I see nothing but black. In the pupil that is. My eyes are blue.😉
Watched too much asmr and ended here. Not complaining though.
@DrJamesGill
2 жыл бұрын
Regardless how you got here - welcome 😊 Hopefully it was useful too?
@nada-ed2dg
2 жыл бұрын
Yeah :)
I don´t find this shit in Tarkov😮💨
With that in mind. A navy suit for war is must and remember to apologise for your sandwich breath.
Sandwich breath ☺️
37!? Please tell me your secret!
@DrJamesGill
2 жыл бұрын
🤣🤣 I think I look ROUGH!! I wouldn’t recommend working through a pandemic to anyone!!
Out of pocket but I’m tryna relax and fucking KZread got 10 ads on this shit
Did you ask for forgiveness for your sandwich breath?
LOL West Germany
@DrJamesGill
2 жыл бұрын
As I say. It’s an old bit of kit. Still working well though 😊
LMAO Droprates are pretty heavy this wipe 😫#Fixservers
I genuinely had no idea how old you were. You look your age of course but your personality is ageless. Sure, you’re young, but your manner of speaking reminds me of David Attenborough. All my brain could do was place you somewhere between 25 and 95 😂
I wonder how many doctors watch this compared to ASMR Seekers?
It’s funny I thought you were like 30 not a day older
@DrJamesGill
2 жыл бұрын
I wasn’t really grey before covid hit *sigh*
I have a message for you JESUS IS KING!!!!! GOD BLESS AND HAVE A GREAT DAY!!!!! REPENT BEFORE ITS TOO LATE!!!!! JESUS IS THE ONLY WAY TO HEAVEN!!!!!