Anterior Segment Examination

Infection and Immunology Division

Department of Ophthalmology
School of Medicine, Universitas
Indonesia

Anatomy

Anatomy

Clinical signs in eyelid problems

Entropion - Ektropion
Trichiasis - Districhiasis
Hordeolum (stye) - Chalazion
Cellulitis (preseptal/palpebral)
Obstruction of the meibomian glands
Others
Tumors

What signs will you see in

conjunctiva?
Discharge
Watery
Mucoid
Purulent
Mucopurulent

: acute viral/allergic
: vernal conjunctivitis/dry eye
: acute bacterial
: mild bacterial (chlamydia)

What signs will you see in

conjunctiva?
Conjunctival reaction
Conjunctival injection
Subconjunctival haemorrhages
Oedema/chemotic
Scarring
Follicles
Papillary
Granuloma
Lithiasis

Preseptal cellulitis

Orbital cellulitis

Steven-Johnson Syndrome

Trichiasis

Poliosis

Meibomian gland orifices

MGD 3/
Toothpaste-like plaques

Posterior blepharitis

Conjunctiva
Bulbar conjunctiva
Forniceal

Palpebral/tarsal conjunctiva

Follicles

Papillary reaction

Giant papil

Scarring/Cicatrix
Lithisis/concretions

Granulomas

Pseudomembrane

Subconjunctival
haemmorhages
Conjunctival injection

Watery discharge

Pinguekula
(yellow-white deposits)

Pterygium
(triangular fibrovascular)

Episcleral injection

Conjunctival injection

Ciliary injection/
Circumcorneal injection

Scleromalasia

Nodular scleritis

Scleritis nekrotikans

Epitheliopathy

Bullae keratopathy

Dendritic ulcer

Punctate epithelial
keratitis

Corneal ulcer

Corneal
neovascularization

Corneal ulcer
with satellite lesion

Corneal perforation
With iris prolaps

Keratoplasty

Mooren ulcer with corneal perforation and iris prolaps

Corneal rupture and traumatic cataract

Keratic precipitates/
KPs

Ground glass KPs

(old KPs)

Cells and Flare

Normal iris

Iritis

Posterior synachiae

Iris bombe

Iris rupture

Traumatic cataract