Slit-lamp exam
Definition
The slit-lamp examination looks at structures that are at the front of the eye. The slit-lamp is a low-power microscope combined with a high-intensity light source that can be focused to shine as a slit beam.
Alternative Names
Biomicroscopy
Why the test is performed
The test is used to examine theeyelids, the sclera, conjunctiva, iris, lens, and the cornea.
How the test is performed
While you are seated in the examining chair, the instrument is placed in front of you and you rest your chin and forehead on a support to keep your head steady. Your eyes are then examined through the biomicroscope. A fine strip of paper that is stained with an orange-colored dye (fluorescein) may be touched to the side of your eye. The dye stains the tear film on the surface of the eye to help with the examination. The dye rinses out of the eye with tears.
After this examination, drops may be placed in your eyes to dilate the pupils. The drops take about 15 to 20 minutes to work. The examination is then repeated, allowing the back of the eye to be examined.
How to prepare for the test
No special preparation is necessary for this test.
How the test will feel
Your eyes will be sensitive to lightfor a few hours after the exam if dilating drops are used.
What the risks are
The dilating drops may cause increased pressure in the eye with nausea and pain. This is very rare, but you should IMMEDIATELY return to your doctor's office if you experience either of these symptoms.
Normal Values
Structures in the eye are found to be normal.
What abnormal results mean
The slit lamp exam may detect many diseases of the eye, including:
Review Date: 8/11/2005
Reviewed By: Edward B. Feinberg, MD, MPH, Professor and Chair, Department of Ophthalmology, Boston University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network.
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