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Slit Lamp Examination

How It Is Done continued...

A test called fluorescein staining may be done along with a slit lamp examination.

  • During this test, your doctor applies a dye called fluorescein as an eyedrop or as a paper strip that is gently touched to the inside of your lower eyelid. The dye dissolves in your tears, coats your cornea, and collects temporarily in any scratches or other abnormal areas. The rest of the dye is washed away by your tears.
  • Your doctor shines a light onto your eye. The fluorescein dye shows up under the light, allowing the doctor to see scratches, ulcers, burns, or areas of irritation from an infection or dryness.

A slit lamp examination takes about 5 to 10 minutes.

How It Feels

There normally is no discomfort involved with a slit lamp examination.

Dilating drops may make your eyes sting and cause a medicine taste in your mouth. You will have trouble focusing your eyes for up to 12 hours after your eyes have been dilated. Your distance vision usually is not affected as much as your near vision, though your eyes may be very sensitive to light. Do not drive for several hours after your eyes have been dilated. Wearing sunglasses may make you more comfortable until the effect of the drops wears off.

Anesthetic drops usually wear off in about 30 minutes.

Risks

In some people, the dilating or anesthetic eyedrops can cause:

Contact your doctor immediately if you have severe and sudden eye pain, vision problems (halos may appear around light), or loss of vision after the examination.

Results

The slit lamp exam uses an instrument that provides a magnified, three-dimensional (3-D) view of the different parts of the eye.

Slit lamp examination
Normal:
  • The eyelashes, eyelids, and lining of the eyelids (conjunctiva) look normal.
  • All of the structures inside of the eye look normal.
Abnormal:
  • Cataracts camera.gif are seen.
  • Changes are found in the cornea camera.gif, such as an irregularly shaped cornea or a corneal scratch (abrasion), ulcer, or infection
  • A foreign body, such as a metal fragment, is found.
  • Infection, such as iritis or conjunctivitis camera.gif, is found.
  • Bleeding is seen between the iris camera.gif and cornea (hyphema) from a sudden break in a blood vessel or as a result of an injury to the eye.
  • Signs of glaucoma are seen.

WebMD Medical Reference from Healthwise

Last Updated: January 09, 2013
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

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