Ophthalmologist Health Dictionary

Ophthalmologist: From 2 Different Sources


A doctor with specialist training in OPHTHALMOLOGY.
Health Source: Medical Dictionary
Author: Health Dictionary

Optician

Someone who ?ts and sells glasses or contact lenses. An ophthalmic optician (optometrist) is trained to perform eye examinations to test for long- and short-sightedness and to prescribe corrective lenses, but they do not treat disorders of the eye, referring patients with a disorder to a family doctor or ophthalmologist.... optician

Eyes – Foreign Body

From coal dust, insects, pollen, etc.

Symptoms: blinking, watering, acute discomfort. Sensation of grit in the eye does not always imply foreign body, but symptoms of conjunctivitis or keratitis. Automatic blinking is sometimes enough to clear offending object.

Treatment. External. Evert lid and remove. Swab out with dilute Witch Hazel on cotton wool. Inject one drop Castor oil, (also good for scratched cornea), Aloe Vera gel or juice. Fenugreek seed puree. Juice of Houseleek and dairy cream.

Difficult case. Removal of particles of iron or dust, apply mucilage of Slippery Elm powder to eye – patient lying on his back, a second person injecting it into corner of eye, the patient moving eye in opposite direction. Safe and healing. Clean eye and bathe with warm milk.

Referral to consultant ophthalmologist. ... eyes – foreign body

Eyes – Infection

Whatever the infection, dendritic ulcer, corneal ulcer, herpes simplex or stye, treatment should be internal as well as external.

A study carried out at Moorfields Eye Hospital, London, has shown that those who use extended-wear soft contact lenses are more likely to develop microbial keratitis than users of other lenses.

Treatment. Internal: Powders, Tinctures or Liquid Extracts. Combine Echinacea 2; Blue Flag 1; Goldenseal 1. Doses: Powders: 500mg (one-third teaspoon or two 00 capsules). Liquid Extracts 30-60 drops.

Tinctures: 1-2 teaspoons. In water, or honey.

Comfrey. To promote epithelial regeneration. Potential benefit far outweighs possible risk.

Evening Primrose capsules.

Topical. Alternatives. (1) Goldenseal Eye Lotion: 1 part Goldenseal root macerated in 40 parts distilled extract of Witch Hazel 2-3 days. Strain. 5-10 drops in eyebath half filled with warm water; douche. Wipe eyelids. (2) Aloe Vera juice or gel. (3) Moisten Chamomile teabag with warm water and fix over eye for styes, etc. (4) Bathe with Periwinkle minor tea: 2 teaspoons to cup boiling water allowed to cool and strain. (5) Elderflower water. The above to relieve pain, redness and gritty sensation. (6) Evening Primrose lotion. (7) Raw carrot compress to ripen stye. Nasturtium seed compress.

Supplements. Daily. Vitamin A 7500iu, Vitamin B2 10mg, Vitamin C 3g, Vitamin E 400iu, Zinc 15mg. Referral to consultant ophthalmologist. ... eyes – infection

Eye Injuries

From blows, burns, chemicals or haemorrhage. Hospital treatment may be required. Petechial haemorrhage (Witch Hazel douche). For infection, add Echinacea. For shock, German Chamomile tea.

Topical. Alternatives. Flashburns from welding etc – fresh juice Aloe Vera gave instant relief and speeded recovery. (New England Journal of Medicine, Vol 311, 6, p.413) Houseleek juice. Wounds that refuse to heal: cotton wool pad saturated with Castor oil overnight. Chamomile compress. Bathe with teas of Plantain, Horsetail, Chickweed, Blessed Thistle, Self-Heal, Comfrey especially commended to encourage epithelial healing.

Diet. Bilberries, rich in flavonoids which are anti-inflammatory and healing. As desired.

Supplements. Daily. Vitamin A 7500iu, Vitamin B-complex, Vitamin C 3g, Vitamin E 1000iu, Beta- carotene. Selenium 300mcg, Zinc 15mg.

Referral to a consultant ophthalmologist. ... eye injuries

Eyes  - Macular Degeneration

Zinc and selenium, supported by doses of Vitamin E and amino acid taurine produced dramatic results in some cases; effect said to be due to antioxidant activity mopping up free radicals associated with degenerative diseases (Journal of Nutritional Medicine)

A preliminary therapeutic trial in patients with ageing macular degeneration or diabetic retinopathy showed that supplementation with Beta-carotene, Vitamin C, Vitamin E and Selenium halted the progression of degenerative changes and in some cases even brought some improvement. (Age and Ageing 1991, 20(1) 60-9). Bilberries.

Referral to a consultant ophthalmologist. ... eyes  - macular degeneration

Ophthalmoscopy

A noninvasive procedure in which an ophthalmologist (a doctor specializing in eye disorders) uses an ophthalmoscope to examine the inside of the eye. The ophthalmoscope is used first to direct a beam of light into the eye and then to examine the light-sensitive retina; the retinal blood vessels; the head of the optic nerve; and the jelly-like vitreous humour.... ophthalmoscopy

Optometry

The practice of assessing vision to establish whether glasses or contact lenses are needed to correct a visual defect, as carried out by an optometrist. Disorders of the eye may require treatment by an ophthalmologist. (See also ophthalmology; optician.)... optometry

Tonometry

The procedure for measuring the pressure of the fluid within the eye, usually performed by an ophthalmologist during an eye examination (see eye, examination of). Tonometry is useful in diagnosing glaucoma.... tonometry

Amsler Grid

a chart usually consisting of a grid of black lines on a white background. It is used to detect and monitor problems of central vision affecting the retina; for example, in early macular disease, the square edges of the grid may appear distorted. [M. Amsler (1891–1968), Swiss ophthalmologist]... amsler grid

Argyll Robertson Pupil

a disorder of the eyes in which the *pupillary reflex is absent. Although the pupils contract normally for near vision (the accommodation reflex), they fail to contract in bright light. It may occur, for example, as a result of syphilis or diabetes. [D. Argyll Robertson (1837–1909), Scottish ophthalmologist]... argyll robertson pupil

Bagolini Lens

a lens with fine parallel lines (almost invisible striations) across its width, used in various vision tests; for example, to test suppression and abnormal retinal correspondence. [B. Bagolini (20th century), Italian ophthalmologist]... bagolini lens

Bielschowsky Head Tilt

an orthoptic eye test used mainly to differentiate between a weakness of the superior oblique muscle and a weakness of the contralateral superior rectus muscle (see extrinsic muscle). [A. Bielschowsky (1871–1940), German ophthalmologist]... bielschowsky head tilt

Brown’s Syndrome

a condition, usually congenital, in which the tendon sheath of the superior oblique muscle of the *eye does not relax, thus limiting the elevation of the eye, especially in adduction. [H. W. Brown (20th century), US ophthalmologist]... brown’s syndrome

Coats’ Disease

a congenital anomaly of the blood vessels of the retina, which are abnormally dilated and leaking. This results in subretinal haemorrhage and exudative *retinal detachment. [G. Coats (1876–1915), British ophthalmologist]... coats’ disease

Cogan’s Syndrome

a disorder in which *keratitis and iridocyclitis (see uveitis) are associated with tinnitus, vertigo, and bilateral sensorineural deafness. [D. G. Cogan (1908–93), US ophthalmologist]... cogan’s syndrome

Duane’s Syndrome

an abnormality of the eye muscles leading most commonly to restricted abduction (outward movement of the eye away from the midline) of one eye. On attempted adduction (inward movement of the eye towards the midline) of that same eye there is retraction of the eye into the orbit and narrowing of the opening between the eyelids. [A. Duane (1858–1926), US ophthalmologist]... duane’s syndrome

Elschnig Pearls

round or oval transparent cystic structures on the posterior capsule of the lens due to proliferation of lens epithelial cells following extracapsular *cataract extraction. They can grow to cover the central part of the capsule and cause reduction in vision. [A. Elschnig (1863–1939), German ophthalmologist]... elschnig pearls

Fuchs’ Endothelial Dystrophy

a hereditary condition in which the corneal endothelium loses its functional ability, usually with age. It may result in thickening and swelling of the cornea (*bullous keratopathy) and thus affect vision. Cornea guttata, small whitish deposits of hyalin, are seen on the inner surface of the cornea and signify a reduced number of endothelial cells. A corneal transplantation (see keratoplasty) may become necessary in certain cases. [E. Fuchs (1851–1913), German ophthalmologist]... fuchs’ endothelial dystrophy

Goldmann Applanation Tonometer

see tonometer. [H. Goldmann (1899–1991), Swiss ophthalmologist]... goldmann applanation tonometer

Haab’s Striae

splits or tears in *Descemet’s membrane occurring during infancy, commonly as a result of congenital glaucoma. [O. Haab (1850–1931), German ophthalmologist]... haab’s striae

Horner’s Syndrome

a syndrome consisting of a constricted pupil (miosis), drooping of the upper eyelid (*ptosis), and an absence of sweating over the affected side of the face. The symptoms are due to a disorder of the sympathetic nerves in the brainstem or cervical (neck) region. [J. F. Horner (1831–86), Swiss ophthalmologist]... horner’s syndrome

Hudson–stähli Line

a linear horizontal yellowish line seen in the deep epithelium of ageing corneas. [A. C. Hudson (1875–1962), British ophthalmologist; J. Stähli (20th century), Swiss ophthalmologist]... hudson–stähli line

Jaeger Test Types

a card with text printed in type of different sizes, used for testing acuity of near vision. [E. R. Jaeger von Jastthal (1818–84), Austrian ophthalmologist]... jaeger test types

Kayser–fleischer Ring

a brownish-yellow ring in the outer rim of the cornea of the eye. It is a deposit of copper granules and is diagnostic of *Wilson’s disease. When well developed it can be seen by unaided observation, but faint Kayser-Fleischer rings may only be detected by specialized *slit-lamp ophthalmological examination. [B. Kayser (1869–1954), German ophthalmologist; B. Fleischer (1848–1904), German physician]... kayser–fleischer ring

Koeppe Nodule

a type of nodule occurring in the iris at the pupil margin in both granulomatous and nongranulomatous *uveitis. [L. Koeppe (20th century), German ophthalmologist]... koeppe nodule

Laurence–moon–biedl Syndrome

an autosomal *recessive condition characterized by obesity, short stature, learning disabilities, *retinitis pigmentosa, *hypogonadism, and delayed puberty. [J. Z. Laurence (1830–74), British ophthalmologist; R. C. Moon (1844–1914), US ophthalmologist; A. Biedl (1869–1933), Austrian physician]... laurence–moon–biedl syndrome

Leber’s Congenital Amaurosis

a hereditary condition (inherited as an autosomal *recessive) causing severe visual loss in infants. The *fundus usually appears to be normal when examined with an *ophthalmoscope, but marked abnormalities are found on the ERG (see electroretinography), usually with extinguished wave pattern. [T. Leber (1840–1917), German ophthalmologist]... leber’s congenital amaurosis

Lisch Nodules

pigmented *hamartomas of the iris of the eye seen in *neurofibromatosis type I. [K. Lisch (1907–99), Austrian ophthalmologist]... lisch nodules

Maddox Rod

a series of transparent cylinders that change a point source of light into a linear streak perpendicular to the axis of the rods, used in the assessment of binocular visual functions. [E. E. Maddox (1860–1933), British ophthalmologist]... maddox rod

Marcus Gunn Jaw-winking Syndrome

a congenital condition characterized by drooping (*ptosis) of one eyelid. On opening or moving the mouth, the droopy lid elevates momentarily, resembling a wink. It is believed to be due to an abnormal innervation of the levator muscle by the trigeminal nerve. [R. Marcus Gunn (1850–1909), British ophthalmologist]... marcus gunn jaw-winking syndrome

Mooren’s Ulcer

a severe ulceration at the periphery of the cornea, characterized by an overhanging advancing edge and vascularization of the ulcer bed. It is usually very painful, progressive, and difficult to control. [A. Mooren (1829–99), German ophthalmologist]... mooren’s ulcer

Oculist

n. a former name for an *ophthalmologist.... oculist

Purtscher’s Retinopathy

damage to the retina associated with severe head injuries. It can also occur with other types of trauma, such as long-bone fractures, and with several nontraumatic systemic diseases. [O. Purtscher (1852–1927), Austrian ophthalmologist]... purtscher’s retinopathy

Salzmann’s Degeneration

a noninflammatory condition of the cornea resulting in yellow-white nodules under the epithelium in the central area. These may cause symptoms if the epithelium over them breaks down or if they are located along the visual axis. [M. Salzmann (1862–1954), German ophthalmologist]... salzmann’s degeneration

Seidel Sign

1. a sickle-shaped *scotoma appearing as an upward or downward extension of the blind spot. 2. a test to confirm leakage of the aqueous humour. *Fluorescein sodium dye is instilled and viewed with cobalt blue light; a bright green flow of liquid is seen at the site of the leakage. [E. Seidel (1882–1948), German ophthalmologist]... seidel sign

Sjögren’s Syndrome

an autoimmune condition affecting the salivary and lacrimal glands, resulting in a *dry mouth and dryness of the eyes. In the systemic form of the disease other glands may be affected, causing dryness of the airways, vagina, or skin, as well as the joints (producing a relatively mild form of arthritis) and muscles (which ache), and there may be tiredness and lethargy. Sjögren’s syndrome may also occur secondarily to other conditions (e.g. rheumatoid arthritis). Symptomatic treatment, including saliva and tear substitutes, is available. Patients are susceptible to dental caries. [H. S. C. Sjögren (1899–1986), Swedish ophthalmologist]... sjögren’s syndrome

Snellen Chart

the commonest chart used for testing sharpness of distant vision (see visual acuity). It consists of rows of capital letters, called test types (or optotypes), the letters of each row becoming smaller down the chart. The large letter at the top is of such a size that it can be read by a person with normal sight from a distance of 60 metres. A normally sighted person can read successive lines of letters from 36, 24, 18, 12, 9, 6, and 5 metres respectively. There is sometimes a line for 4 metres. The subject sits 6 metres from the chart and one eye is tested at a time. If he can only read down as far as the 12-metre line the visual acuity is expressed as 6/12. Normally sighted people can read the 6-metre line, i.e. normal acuity is 6/6, and many people read the 5-metre line with ease. A smaller chart on the same principle is available for testing near vision. In North America the test is done at a distance of 20 feet: 20/20 vision is the same as 6/6. See also LogMAR chart. [H. Snellen (1834–1908), Dutch ophthalmologist]... snellen chart

Stellwag’s Sign

apparent widening of the distance between the upper and lower eyelids (the palpebral fissure) due to retraction of the upper lid and protrusion of the eyeball. It is a sign of exophthalmic *goitre. [C. Stellwag von Carion (1823–1904), Austrian ophthalmologist]... stellwag’s sign

Takayasu’s Disease

(pulseless disease) progressive occlusion of the arteries arising from the arch of the aorta (including those to the arms and neck), resulting in the absence of pulses in the arms and neck. Symptoms include attacks of unconsciousness (syncope), paralysis of facial muscles, and transient blindness, due to an inadequate supply of blood to the head. [M. Takayasu (1860–1938), Japanese ophthalmologist]... takayasu’s disease

Trantas Dots

slightly elevated greyish-white dots consisting of clumps of degenerating eosinophils and epithelial cells, seen on the conjunctiva at the junction of the cornea and sclera in cases of allergic conjunctivitis. [A. Trantas (1867–1960), Greek ophthalmologist]... trantas dots

Treacher Collins Syndrome

(Treacher Collins deformity) a hereditary disorder of facial development. It is characterized by underdevelopment of the jaw and zygomatic (cheek) bones and the precursors of the ear fail to develop, which results in a variety of ear and facial malformations. The ear abnormality may cause deafness. [E. Treacher Collins (1862–1919), British ophthalmologist]... treacher collins syndrome

Uhthoff Phenomenon

the worsening of neurological symptoms, including vision, in demyelinating conditions such as multiple sclerosis, when the body becomes overheated in hot weather or by exercise, fever, or saunas and hot tubs. [W. Uhthoff (1853–1927), German ophthalmologist]... uhthoff phenomenon

Von Hippel–lindau Disease

an inherited syndrome in which *haemangioblastomas, particularly in the cerebellum, are associated with renal and pancreatic cysts, *angiomas in the retina (causing blindness), cancer of the kidney cells, and red birthmarks. [E. von Hippel (1867–1939), German ophthalmologist; A. Lindau (1892–1958), Swedish pathologist]... von hippel–lindau disease

 waardenburg’s Syndrome

an inherited form of deafness accompanied by a characteristic white forelock of hair and multiple colours within the irises of the eyes. It is inherited as an autosomal *dominant disease, i.e. the children of an affected parent have a 50% chance of inheriting the disorder, although severity is variable. The gene responsible has been identified. [P. J. Waardenburg (1886–1979), Dutch ophthalmologist]...  waardenburg’s syndrome



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