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การคัดกรองโรคตาและส่งต่อในโรงพยาบาลชุมชน
การคัดกรองโรคตาและส่งต่อในโรงพยาบาลชุมชน
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30 2553
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Snellen Chart
Direct Ophthalmoscope
30 2553
Schiotz tonometry
..
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Lid coloboma
Microphthalmos
30 2553
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Congenital Naso
Naso--Lacrimal
Duct Obstruction
Retinopathy of Prematurity
1
20%
20
% Newborn
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Congenital Naso
Naso--Lacrimal Duct Obstruction
: (Epiphora)
: Valve of Hasner
:
< 1
Crigler massage +
Antibiotic eyedrop hs
hs..
:
< 1
Crigler massage +
Antibiotic eyedrop hs
hs..
- > 1
(Probing)
1.Oxygen
Therapy
2.Low Birth
Weight
3.Gestational
Age
..
International
Classification of ROP
Stage 1
Stage 3
Stage 2
Stage 4
Stage 5
..
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4-6
31 -33
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ROP
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Snellen Chart
(206) / +
20//30-2
20
Counting Fingers(CF.) VA
20//40+1
20
Hand Movement(HM.)
Light Projection(PJ.)
Light Perception(PL.) & No PL.
..
(horizontal
nystagmus)) VA < 20
nystagmus
20//70
30 2553
Oculodigital sign
..
..
Nystagmus drum
30-50 .
4 /
(Nystagmus)
( 20/400)
30 2553
..
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Tumbing
Tumbing--E chart
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5-6
..
..
0-1 -
- Penlight examination
-
-
-
-
3-5
- 20
20//40
> 5
- 20
20//30
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-
- Fixation to light, small toy
..
..
Snellen Chart
(206) / +
20//30-2
20
Counting Fingers(CF.) VA
20//40+1
20
Hand Movement(HM.)
Light Projection(PJ.)
Light Perception(PL.) & No PL.
..
Refractive Error
Hyperopia
Myopia
1.
2. (Contact lens
lens)) Hard CL
CL,,
Rigid gas permeable () Soft CL
CL..
3.
..
Cataract
CPG.
1.
2. phakomorphic
glaucoma,, phakolytic glaucoma
glaucoma
3.
1. (Sudden Severe
Visual Loss)
: , ,
,
(Optic Neuritis)
:
(Retinal Detachment),
(central Retinal Artery Occlusion)
2.Perilimbal or Ciliary injection
Diabetic Retinopathy
Stag
Stagee DR
Non - Proliferative Diabetic Retinopathy (NPDR.)
Proliferative Diabetic Retinopathy (PDR.)
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Diabetic Retinopathy
DR.
DM.
Routine Follow Up
0-31
5
> 31
First Trimester 3
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(Retina)
1. Direct Ophthalmoscopy
2. Indirect Ophthalmoscopy
DR
DR
2.
(Fundus Camera)
( .
.. 2542
2542))
( 0-1 )
(1-4 )
(6-12 )
(11
11--20 )
CPG.
1, 2, 4,
6, 9, 12
15
15,, 18 ,
, 2
3,
4
6 2
(Refractive error)
3
.
.. 2542
21
21--40
3
41
41--60
2
>60
CPG.