The protection of eye health and early detection of possible diseases make accurate diagnosis vital. The diagnosis of eye diseases is a comprehensive process performed by a specialist ophthalmologist (eye doctor).
It ranges from taking the patient's medical history to advanced technological examination methods. The fundamental steps and methods used in the diagnosis of eye diseases are as follows:
During this stage, which forms the basis of every eye examination, various tests are performed:
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Visual Acuity Measurement: The patient’s ability to read letters or shapes from different distances is evaluated using standard charts, including the Snellen chart. This indicates how clearly the eye sees.
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Measurement of Refractive Errors: Devices such as an autorefractor or manual methods are used. These methods detect refractive errors like myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. These measurements are essential for determining eyeglass or contact lens prescriptions.
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Intraocular Pressure Measurement (Tonometry): The eye pressure is measured in patients at risk of glaucoma. Non-contact (air puff) or contact methods such as Goldmann applanation tonometry are used.
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Biomicroscopic Examination (Slit Lamp Examination): The front part of the eye is examined using a special microscope with a slit-lamp light source. Eyelids, conjunctiva, cornea, iris, and lens are observed in detail.
Advanced Imaging and Functional Tests:
When necessary, additional tests are performed for more information. These tests include advanced technological imaging and functional assessments to clarify diagnosis.
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Fundus Examination (Fundoscopy): Using an ophthalmoscope, the retina, optic nerve, and retinal blood vessels are directly observed. This examination is important for detecting retinal diseases and glaucoma, and it also shows effects of some systemic diseases on the eye.
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Optical Coherence Tomography (OCT): Displays layers of the retina, optic nerve, and cornea. OCT provides micron-level detailed cross-sectional images revealing the structure and possible abnormalities of eye tissues.
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Visual Field Test (Perimetry): Maps both central and peripheral vision in detail. It is a critical tool for detecting vision loss from glaucoma and retinal or neurological problems.
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Fundus Fluorescein Angiography (FFA): A fluorescent dye is injected into a vein to image retinal blood vessels. It is especially important in diagnosing diabetic retinopathy and macular degeneration, and for determining treatment strategies.
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Specular Microscopy: Provides high magnification to evaluate endothelial cell density, shape, and health—important for contact lens users and patients with corneal disorders.
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Ocular Ultrasonography: Used to examine structures behind the lens, especially in cataract cases, and helps detect intraocular tumors or retinal detachment.
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Corneal Topography: Creates a detailed map of the cornea; critical for diagnosing corneal shape disorders like keratoconus and fitting specialized contact lenses.
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Electroretinography (ERG): Measures the electrical responses of photoreceptor cells in the retina to light, assessing retinal function. It is important in diagnosing and monitoring genetic retinal diseases such as retinitis pigmentosa.
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Visual Evoked Potentials (VEP): Records electrical activity in the visual pathways from the eye to the brain, assessing visual function. It aids in diagnosing optic nerve inflammation and neurological conditions affecting vision.
Allergy and Other Specific Tests:
If eye allergy is suspected, allergy tests can be performed. Blood tests or other laboratory exams may be required to evaluate the ocular effects of systemic diseases.
Timely and accurate diagnosis is crucial in preventing or slowing vision loss in many eye diseases.
Our hospital in Ankara offers comprehensive eye examination and diagnostic services with experienced specialists and modern equipment.