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Slit-lamp exam

Biomicroscopy

The slit-lamp examination looks at structures that are at the front of the eye.

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Eye
Slit-lamp exam
Eye lens anatomy

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How the Test is Performed

The slit-lamp is a low-power microscope combined with a high-intensity light source that can be focused as a thin, slit-like beam.

You will sit in a chair with the instrument placed in front of you. You will be asked to rest your chin and forehead on a support to keep your head steady.

The health care provider will examine your eyes, especially the eyelids, cornea, conjunctiva, sclera, and iris. Often a yellow dye (fluorescein) is used to help examine the cornea and tear layer. The dye is added either by touching a small strip of paper to your eye or by adding it as an eyedrop. The dye rinses out of the eye with tears as you blink.

Next, drops may be placed in your eyes to widen (dilate) your pupils. The drops take about 15 to 20 minutes to work. The slit-lamp examination is then repeated using another small lens held close to the eye, so the back of the eye can be examined.

How to Prepare for the Test

No special preparation is needed for this test.

How the Test will Feel

Your eyes will be sensitive to light for a few hours after the exam if dilating drops are used.

Why the Test is Performed

This test is used to examine the:

Normal Results

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:

This list does not include all possible diseases of the eye.

Risks

If you receive drops to dilate your eyes for the ophthalmoscopy, your vision will be blurred.

In rare cases, the dilating eyedrops cause:

Related Information

Anterior
Conjunctiva
Iris
Sclera
Cataract - adult
Corneal injury
Age-related macular degeneration
Presbyopia
Retinal detachment
Retinal artery occlusion
Retinitis pigmentosa
Sjogren syndrome

References

Atebara NH, Miller D, Thall EH, Brodie SE. Ophthalmic instruments. In: Yanoff M, Duker JS, eds. Ophthalmology. 6th ed. Philadelphia, PA: Elsevier; 2023:chap 2.5.

Chuck RS, Dunn SP, Flaxel CJ; American Academy of Ophthalmology Preferred Practice Pattern Committee, et al. Comprehensive adult medical eye evaluation preferred practice pattern. Ophthalmology. 2021;128(1):1-29. doi.org/10.1016/j.ophtha.2020.10.024. Published November 12, 2020.

Prokopich CL, Hrynchak P, Flanagan JG, Hynes AF, Chisholm C. Ocular health assessment. In: Elliott DB, ed. Clinical Procedures in Primary Eye Care. 5th ed. Philadelphia, PA: Elsevier; 2021:chap 7.

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Review Date: 2/12/2023  

Reviewed By: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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