• Anatomy
• Medical and Ophthalmic History
o Signalment
o Primary complaint
o Concurrent disease
o General heath questions (travel, indoor/outdoor, changes in weight, eating, drinking, urination)
o Vision (night vs. day, vision in unfamiliar environment)
o Duration of problem
o Trauma
o Redness and characteristic of discharge
o Swelling
o Color change
o Pain (rubbing, tearing, squinting, painful to touch, reluctance to open mouth or eat, photophobia, general malaise,
or depression)
• What to look for as a Technician
o Red eye, Cloudy cornea, Mucoid discharge (grey or green), Blepharospasms , Swelling on or around eyelids, Color change
to eye, Normal pupil shape and size
• What to do and what not to do?
o Don't clean discharge,
o Measure tears prior to putting stain or proparacaine in the eye
o If cornea has a deep ulcer- Handle eye very gently , Forgo diagnostics (eye tests as well as rectal temperature)
o Gentle restraint (excessive neck pressure and struggling can cause a fragile eye to worsen)
o Dogs and cats can become very aggressive if their eye hurts, so be cautious when touching their face
• Diagnostic Tests
o Tonometry
o Schirmer Tear Test
■ To measure tears for dry eye
■ Normal test is 15-20 mm/minute
o What falsely alters a normal tear test?
■ Any drops placed in eye prior to tear test
■ Atropine usage, topically or injectable will "dry" up tears
■ Benadryl and other anti-histamines will decrease tear production
■ Sedation/Anesthesia will lower tear production
o Fluorescein Stain
■ Identify corneal ulceration
■ Patency of nasal-lacrimal duct
o Tonometry
■ Tonometry is measuring of the intraocular pressure
■ Glaucoma is a high pressure in the eye and is best detected by measuring IOP
■ Normal dogs and cats- 13-21mmHg
■ Proper restraint for accurate IOP measurement
• Neck or jugular pressure will cause a false elevation
• Pulling back on the eyelids will place pressure on the globe
• Basic Exam Tools
o Transilluminator and direct ophthalmascope
o Head Loupes (3X-7X magnification)
• Most common ocular diseases
o Corneal Ulcers
■ Superficial/simple
■ Infected/malacic
■ Desmetocoele
■ Rupture
■ Puncture/laceration
■ Indolent- age related