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Samenvatting Optond 2: algemene observatie, covertest en de compenserende fusiebreedte
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samenvatting van het HC algemene observatie, covertest en de compenserende fusiebreedte met plaatjes!
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Optond: Algemene observatie, covertest en compenserende fusiebreedteoogspieren:
Algemene observatie:
- Torticollis (wil het hoofd niet verder draaien omdat de persoon anders dubbelziet)
- Oogstand
- Asymmetrie gezicht
Methode van Hirschberg: Objectieve bepaling van de oogstand
- Snel en makkelijk uit te voeren
- Niet volledig betrouwbaar
Waar let je op?
- Hoek kappa
- Positie reflexbeeldjes
- Nystagmus
- Pupilafwijkingen
- Standsveranderingen tijdens fixeren
- Fixatie
- Helderheid cornea
Scheelzienhoek:
A pupilrand = 15°= 30 prdpt
B pupilrand = 30°= 45 prdpt
C voor limbusrand = 45°= 90 prdpt
Elke mm verschil tussen ogen 7°= 14 prdpt
Het lichtreflex in normale toestand is altijd net iets meer naar binnen dan naar buiten.
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