裂隙灯检查

定义

The slit-lamp examination looks at structures that are at the front of the eye.

选择的名字

活组织镜检查

How the Test is Performed

The slit-lamp is a low-power microscope combined with a high-intensity light source that can be focused as a thin, slit-like梁.

You will sit in a chair with the instrument placed in front of you. You will be asked to rest your chin and forehead on a support to keep your head steady.

The health care provider will examine your eyes, especially the eyelids, 角膜, 结膜, 巩膜, 和虹膜. Often a yellow dye (fluorescein) is used to help examine the 角膜 and tear layer. The dye is added either by touching a small strip of paper to your eye or by adding it as an eyedrop. The dye rinses out of the eye with tears as you blink.

Next, drops may be placed in your eyes to widen (dilate) your pupils. The drops take about 15 to 20 minutes to work. The slit-lamp examination is then repeated using another small lens held close to the eye, so the back of the eye can be examined.

How to Prepare for the Test

No special preparation is needed for this test.

How the Test will Feel

Your eyes will be sensitive to light for a few hours after the exam if dilating drops are used.

Why the Test is Performed

This test is used to examine the:

• 结膜 (the thin membrane that covers the inner surface of the eyelid and the white part of the eyeball)
• Cornea (the clear outer lens on the front of the eye)
• 眼皮
• 虹膜 (colored part of the eye between the 角膜 and lens)
• 镜头
• 巩膜 (the white outer coating of the eye)

正常的结果

Structures in the eye are found to be normal.

What Abnormal Results Mean

The slit lamp exam may detect many diseases of the eye, including:

• Clouding of the lens of the eye (白内障)
• Injury to the 角膜
• 干眼综合症
• Macular degeneration
• Separation of the retina from its supporting layers (视网膜脱离)
• Blockage in a small artery or vein that carries blood to or from the retina (retinal vessel occlusion)
• Inherited degeneration of the retina (retinitis pigmentosa)
• Swelling and irritation of the uvea (葡萄膜炎), the middle layer of the eye

This list does not include all possible diseases of the eye.

风险

If you receive drops to dilate your eyes for the ophthalmoscopy, your vision will be blurred.

• Wear sunglasses to protect your eyes from sunlight, which can damage your eyes.
• Have someone drive you home.
• The drops usually wear off in several hours.

In rare cases, the dilating eyedrops cause:

• An attack of narrow-angle glaucoma
• 头晕
• 口干
• 冲洗
• 恶心和呕吐

参考文献

Atebara NH, Miller D, Thall EH, Brodie SE. Ophthalmic instruments. In: Yanoff M, Duker JS, eds. 眼科学. 6日艾德. Philadelphia, PA: Elsevier; 2023:chap 2.5.

查克RS, 邓恩SP, Flaxel CJ; American Academy of 眼科学 Preferred Practice Pattern Committee, 等. Comprehensive adult medical eye evaluation preferred practice pattern. 眼科学. 2021;128(1):1-29. doi.org/10.1016/j.ophtha.2020.10.024. Published November 12, 2020.

Prokopich CL, Hrynchak P, Flanagan JG, Hynes AF, Chisholm C. Ocular health assessment. In: Elliott DB, ed. Clinical Procedures in Primary Eye Care. 5日艾德. Philadelphia, PA: Elsevier; 2021:chap 7.