I just finished my COT exam and have been working with an ophthalmologist for about 2 years now, and I love doing applanation. I have no idea why, but I love seeing me some mires.
You are a great teacher, I would love to have you do a video on refraction with the phoropter! (mine is in plus not negative) You break your subject matter down into a way that is easy to learn, follow and retain the information. Thank you for taking the time to make these videos!
Thank you for this video! I am learning this from scratch this week and it feels like the hardest thing I have ever learned. Like I'm starting to think that learning open heart surgery might be easier. It was tremendously helpful to see the mires as you were talking about them!
About twenty years ago I went in for this procedure. Doctor used Fluorox drops and Tropicamide Oph Solution .5% in each eye. I had a vasovagal response. Went into anaphylaxis and ended up supine on the floor with three paramedics sticking some sort of paste in my mouth. Rushed to the ER. Was OK a few hours later. Scariest day of my life. My intention isn't to scare off any future eye doctors or students but just have that allergic reaction box on the ready at all times. I felt so bad for the doctor, though. She was just out of school in her late twenties. I remember he calling 911 with a frantic voice, understandably. Great vid by the way.
Not an eye doctor, nor am I planning on being one, but I just wanted to say I found this very entertaining. Feeling a little less nervous about my eye appointment tomorrow :)
Omg thanks!! Today was my first day as an ophthal resident and I didnt understand my mistake, bc my measurement was incorrect.. Now I now what to do the next time!! Thanks so much :)
Thanks so much for this super helpful vid! I've been getting poor readings, I think because I used to adjust the pressure whilst on the cornea, instead of taking it off, and not drying off their eyes before reading. Will try these tips tomorrow!
No discussion about ghost mires? Also in school I thought you start at 1 and then apply more applanation with the knob, not start at 2 and apply less applanation? 2 would also not be a very common expected pressure, as you said in your video, when the average and normal is 10-21, Unless this is a different type of tonometer? please explain if you can
Thank you for this very informative video! I was taught that when I have to adjust the dial showing the mmHg, I do it when the prism touches the cornea, so I can see when the semi-circles get in the right position. What is it behind your suggestion to move the prism back and forth doing this adjustment?
Well you've probably found out since but there's some things for those who don't know. For starters the examples are way off so the movement is too large to make on cornea. Second he is using a disposable tip that isn't quite as smooth as the reusable glass ones. this makes movement and large changes to the dial potentially damage the cornea a bit more. you can still do the fine tuning of the dial like a few circle widths on cornea with a disposable probe, but it is better to get it close as you can off it. So if you've been using a glass probe small movements and mostly dialing on cornea is perfectly fine. But as he's is giving a beginner guide I think he opted for a surefire method for both types to make it simpler and safer, erring on the safe side teaching beginners is definitely a good choice.
believe it or not: I watched your videos right before I started filming, so I could try to match your energy level...you can see it wear off towards the end ;-)
I had this done 2 weeks after lasik surgery since I been on Steroid drops for 2 weeks I was freaking out thinking it would hurt the flap 😩 but I guess doctor knows best
One note: You specify that the prism is aligned with the right eye, but that is not true for most slit lamp brands, even Haag-Streit who made your slit lamp, most of their modern models align the prism to the left eye. It would be better to tell people to check their slit lamp and tonometer manufacturers' documentation to see which is the intended alignment eyepiece.
Thank you for this doc. I recently started working as an ophthalmic technician and im having trouble with this goldmans tonometer. I can't see clearly when I try to look through both sides, that's my eyes fault I guess. I see double vision when I try to look though both sides, however when I try to look through one side, I can see it clearly. I'm nervous because I'm trying to go to optometry school and I know I will eventually have to learn how to use this equipment at both work and eventually school. Any advice? 😭
you can't see the goldmans tonometer with both eyes. it's usually aligned with the right eye. just close the other eye. with time your brain will learn to turn off the left eye
@@learnabouteyes Omg okay thank goodness!! I was having anxiety about that, I'm surprised no one at work told me that I was SUPPOSED to close one eye lol but thanks doc this gave me some relief!
@@learnabouteyes Doc, if you dont close your eyes when you look through the tonometer, is it normal to see double vision? Btw, I can make myself see double vision if I wanted to on a daily basis( i can make one of my eyes go outward), so is it just my eyes?
In case of unequal size of semicircles joy stick should be moved up or down while in contact with Cornea? kindly clarify,I'm resident in ophthalmology struggling with GAT
Greed video. One pointer that might help some students is to ensure the patients forehead remains up against the rest. Patients often will drop back and then unexpectedly push forward. Or your reading seems inconsistent because of their subtle head movements. I will direct my students to your helpful videos. Thanks.
This was 1000 times better than how my uni lecturers taught me, thank you
I just finished my COT exam and have been working with an ophthalmologist for about 2 years now, and I love doing applanation. I have no idea why, but I love seeing me some mires.
You are a great teacher, I would love to have you do a video on refraction with the phoropter! (mine is in plus not negative) You break your subject matter down into a way that is easy to learn, follow and retain the information. Thank you for taking the time to make these videos!
Thank you for this video! I am learning this from scratch this week and it feels like the hardest thing I have ever learned. Like I'm starting to think that learning open heart surgery might be easier. It was tremendously helpful to see the mires as you were talking about them!
hang in there....it's gonna be a challenge for years...especially with difficult patients.
@@learnabouteyes Apparently I did one correctly yesterday ¯\_ (ツ)_/¯ so extra thanks again for the excellent video!
Thank you. This was so helpful. I am a medical student preparing for my residency and this really cleared my concepts!
so happy to help!!
Brilliant lecture. Best tutorial on GAT. Thank you.
About twenty years ago I went in for this procedure. Doctor used Fluorox drops and Tropicamide Oph Solution .5% in each eye.
I had a vasovagal response. Went into anaphylaxis and ended up supine on the floor with three paramedics sticking some sort of paste in my mouth. Rushed to the ER. Was OK a few hours later. Scariest day of my life. My intention isn't to scare off any future eye doctors or students but just have that allergic reaction box on the ready at all times. I felt so bad for the doctor, though. She was just out of school in her late twenties. I remember he calling 911 with a frantic voice, understandably.
Great vid by the way.
Not an eye doctor, nor am I planning on being one, but I just wanted to say I found this very entertaining. Feeling a little less nervous about my eye appointment tomorrow :)
Best explanation I've ever seen! Very informative and helpful. Thank you and please keep making videos like this 👍🏻
This was very helpful! Thank you doctor for taking time to make these informative videos
Omg thanks!! Today was my first day as an ophthal resident and I didnt understand my mistake, bc my measurement was incorrect.. Now I now what to do the next time!! Thanks so much :)
Absolutely wonderful teaching in the most simple manner
Thank you Dr for such a wonderful explanation
Спасибо, коллега!
Очень хорошо объяснили.
this explains better. probably gonna get it right now that you've clarified the procedure.
Beautiful video again! Nicely explained! And you've put Carlos (the eye dummy) in the slit lamp! I love it! :)
and i linked your video in the description
Really amazing and thorough educational video. Thank u so much Doctor.
Una explicación muy clara y completa. Muchas gracias.
You've made the usefulest video on youtube! so much experience in a video
Thank you for this! The troubleshooting was my favorite part. 💙
this video was so helpful! thank you! could you please do a video on slit lamp with things labeled and how to grade depth?
So easy to understand this with the videos thank u so much ❤️
oh my gosh. perfect explanation for the beginners like me. thank you!
thanks....that was the goal...to help beginners...hopefully my next videos will help you as well
This is a very informative video thank you.
thanks...much more comming in the future
Thank you very much
thanks for the comment
This video was incredibly helpful and informative! Thank you!
Thank you doctor for this video , it was so helping !!!
This is super helpful for a beginner! 😊
Thanx a lot . You make every thing easier .. I suggest Ophthalmo or Dr. Sight ❤
Perfect guide. Thanks alot
Thankyou alot, i was having doubt you cleared it.
Thanks so much for this super helpful vid! I've been getting poor readings, I think because I used to adjust the pressure whilst on the cornea, instead of taking it off, and not drying off their eyes before reading. Will try these tips tomorrow!
Thank you for your board knowledge of the topic ,some of my doubt were cleared,I am an optometrist
Mostly the interpretation of the various nature of the semi circles
You explained everything very well..bundle of thanks
thanks man
Very helpful.thank you
Hey what about seeing the ghost mires before the actual mires?
This was very helpful. Thanks!
Very Beautiful Teaching
Thank you, finally got this just awhile ago after watching your vid
that is nice to hear...exactly why I make these videos
Very good. I did learn a lot.
Thank you for the informative video!
Thank you ..
I am pursuing bachelor of optometry in India .
Thank you this was amazing 🤩🤩
Thanks so much for these very helpful tips, I'm very much looking forward to the following video on this topic!
Absolutely incredible
This was so helpful!
Much useful doctor.
Thank you
you're welcome
No discussion about ghost mires? Also in school I thought you start at 1 and then apply more applanation with the knob, not start at 2 and apply less applanation? 2 would also not be a very common expected pressure, as you said in your video, when the average and normal is 10-21, Unless this is a different type of tonometer? please explain if you can
Great video.
thanks
Thank you for this very informative video! I was taught that when I have to adjust the dial showing the mmHg, I do it when the prism touches the cornea, so I can see when the semi-circles get in the right position. What is it behind your suggestion to move the prism back and forth doing this adjustment?
Well you've probably found out since but there's some things for those who don't know. For starters the examples are way off so the movement is too large to make on cornea. Second he is using a disposable tip that isn't quite as smooth as the reusable glass ones. this makes movement and large changes to the dial potentially damage the cornea a bit more.
you can still do the fine tuning of the dial like a few circle widths on cornea with a disposable probe, but it is better to get it close as you can off it.
So if you've been using a glass probe small movements and mostly dialing on cornea is perfectly fine. But as he's is giving a beginner guide I think he opted for a surefire method for both types to make it simpler and safer, erring on the safe side teaching beginners is definitely a good choice.
Thank you I found this very helpful!
Thank you so much for this video! You’ve explained everything I needed to know.♥️
Thank you! Very helpful
Very helpful video thanks Dr.
Awesome video thanks for that
Great teacher
thanks
Brilliant!
thanks
Hey, you are a nice man. Thank you
Loved it, thank you so much.
thanks for the comment
Thank u❤
THANK YOU
Thankyou so much❤
Great job
Amazing! Thanks
Thank you so much 🥰🥰
please make more videos like on a scan,b scan etc
I have a big problem getting the center of the cornea in the first place if I keep moving off the cornea to adjust pressure it’s always off center 😢
Amazing video ! Good job 👍🏻
believe it or not: I watched your videos right before I started filming, so I could try to match your energy level...you can see it wear off towards the end ;-)
Thank you
What about patients with keratoconus? How we should make measure?What image we get?
Excelent. Much didatic. Congratulation
Thank you so much for the very helpful tips. Could you do use a video about the three mirror contact glass please?
Best regards
just tried something out with a 3 mirror today...there might be something coming soon
amazing video, thank you
thank you for the comment. appreciate it. any suggestions for topics, please write
Thanks 🌸
that is really helpful! Hope you will make more video in the future! :D
thanks a lot....i have a lot more planned. just post requests and i will add those topics to my list
Very good 👍
I had this done 2 weeks after lasik surgery since I been on Steroid drops for 2 weeks I was freaking out thinking it would hurt the flap 😩 but I guess doctor knows best
Great training! I'm left-handed and am finding it difficult to master this plus I'm having to take off my glasses to see close. What do you suggest?
One note: You specify that the prism is aligned with the right eye, but that is not true for most slit lamp brands, even Haag-Streit who made your slit lamp, most of their modern models align the prism to the left eye. It would be better to tell people to check their slit lamp and tonometer manufacturers' documentation to see which is the intended alignment eyepiece.
Awesome awesome content
thanks a lot
Why do you have to come off the cornea to change pressure?
Please what illumination and magnification do you use for this test
Loved this! I’m an ophthalmologist tech and this helped a lot. Do a vid about refraction!
thanks, will do
Pls dr what's the most accurate method to measure eyes pressure (specially for keratoconus patients with low cornea thickness around 320 mm)
Plz make the video that explains its physics. Like u promised
So '1' on the knob is equivalent to 10mmhg?
Thank you, but if i have not a fluorsciene and i utilise à White Light, what i woul to do ? Is the result correct??
How can I read ( interpre or interpretation) the result of Bjerrum screen and goldmann perimeter, where the lesion in visual pathway.
Supperb
Illumination on dark room ???
Is the reading accurate if the two edges meet, but with thin mires? Btw , thank you so much for this video! Really helpful for beginners like me.
the thinner the mires the more acurate the reading
@@learnabouteyes very thin mires can cause a false low reading
Thank you for this doc. I recently started working as an ophthalmic technician and im having trouble with this goldmans tonometer. I can't see clearly when I try to look through both sides, that's my eyes fault I guess. I see double vision when I try to look though both sides, however when I try to look through one side, I can see it clearly. I'm nervous because I'm trying to go to optometry school and I know I will eventually have to learn how to use this equipment at both work and eventually school. Any advice? 😭
you can't see the goldmans tonometer with both eyes. it's usually aligned with the right eye. just close the other eye. with time your brain will learn to turn off the left eye
@@learnabouteyes Omg okay thank goodness!! I was having anxiety about that, I'm surprised no one at work told me that I was SUPPOSED to close one eye lol but thanks doc this gave me some relief!
@@nella10123 I don't close my eyes. you won't either after a while. but it helps in the beginning
@@learnabouteyes Doc, if you dont close your eyes when you look through the tonometer, is it normal to see double vision? Btw, I can make myself see double vision if I wanted to on a daily basis( i can make one of my eyes go outward), so is it just my eyes?
In case of unequal size of semicircles joy stick should be moved up or down while in contact with Cornea? kindly clarify,I'm resident in ophthalmology struggling with GAT
no. come off the cornea to move
Can it support Turkish subtitles? Pleaseee🙏🙏🙏
You have not moved away before moving up and down when touching...
dammmm gooodddd❤
Thank you
Greed video. One pointer that might help some students is to ensure the patients forehead remains up against the rest. Patients often will drop back and then unexpectedly push forward. Or your reading seems inconsistent because of their subtle head movements. I will direct my students to your helpful videos. Thanks.
Too complicated method IMHO. IOP measurement by Maklakov method is much easier to perform.