Forensic Medicine

Saturday, May 23, 2015

Signs in Ophthalmology

·         Munson's sign, i.e. localised bulging of lower lid in Keratoconus

·         Grade III HTN Retinopathy: banking of veins distal to arteriovenous crossings (Bonnet sign), tapering of veins on either side of the crossings (Gunn sign) and right-angle deflection of veins (Salu’s sign).

·         TED:
Lid signs: These are: Retraction of the upper lids producing the characteristic staring and frightened appearance (Dalrymple’s sign); Lid lag (von Graefe’s sign) i.e., when globe is moved downward, the upper lid lags behind; Fullness of eyelids due to puffy oedematous swelling (Enroth’s sign); Difficulty in eversion of upper lid (Gifford’s sign); Infrequent blinking (Stellwag’s sign).
Convergence weakness (Mobius’s sign)
·         The Bruckner test is a way to estimate near-sightedness versus hyperopia.
·         For children:
Inferior Crescent: myopia
Superior Crescent: hyperopia

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