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Slit-lamp exam

Definition

The slit-lamp examination looks at structures that are at the front of the eye. The slit-lamp is a low-power microscope combined with a high-intensity light source that can be focused to shine as a slit beam.

How the test is performed

While you are seated in the examining chair, the instrument is placed in front of you and you rest your chin and forehead on a support to keep your head steady. Your eyes are then examined through the biomicroscope. A fine strip of paper that is stained with an orange-colored dye (fluorescein) may be touched to the side of your eye. The dye stains the tear film on the surface of the eye to help with the examination. The dye rinses out of the eye with tears.

After this examination, drops may be placed in your eyes to dilate the pupils. The drops take about 15 to 20 minutes to work. The examination is then repeated, allowing the back of the eye to be examined.

How to prepare for the test

No special preparation is necessary 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

The test is used to examine the eyelids, the sclera, conjunctiva, iris, lens, and the cornea.

Normal Values

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:

What the risks are

The dilating drops may cause increased pressure in the eye with nausea and pain. This is very rare, but you should IMMEDIATELY return to your doctor's office if you experience either of these symptoms.

Illustrations

Eye
Eye
Slit-lamp exam
Slit-lamp exam
Eye lens anatomy
Eye lens anatomy

Page Content:

Biomicroscopy ; slit lamp biomicroscopy