Dr. Paul Irsigler - Grauer Star
Dr. Paul Irsigler - Netzhauterkrankung

Diagnosis

In this section you will find a summary of the most important services included in an eye examination:

Anamnesis interview:

Please bring along your eyeglasses as well as a current list of pre-existing conditions and medications.

Examinations:

  • Measurement of your eyeglasses, determination of the objective refraction by auto-refractometer, determination of the thickness of the cornea by optical pachymetry, determination of your subjective visual acuity and refraction by phoropter.
  • Examination of binocular vision, eye movements and eyelid position.
  • Diagnosis of strabismus,  examination of stereo vision and, if necessary, examination of the field vision.
  • Biomicroscopic examination at the slit lamp:
    Examination of anterior and middle eye segments includes examination of eyelids, conjunctiva, cornea, sclera, iris, intraocular fluid, pupils, eye lens and vitreous body.
    The posterior eye segment is examined with an additional fundus lens or with an indirect ophthalmoscope. This allows examination of vitreous body, optical nerve, retina and blood vessels of the optic fundus.
    Eye pressure is measured by applanation tonometry. In some cases medical dilatation of the pupil may be necessary,  which regularly lasts for at least three hours. Driving on that day is prohibited by law.
  • A photographic documentation of the retina is prepared by using a fundus camera.

OCT (optical coherence tomography):

OCT GerätThe OCT (optical coherence tomography) from Heidelberg Engineering provides non-contact, medical imaging technology. It is an important diagnostic device that provides insights to the eye that are impossible with any other method. It facilitates safe detection of minute changes to the structure or thickness of retina and optical nerve fibres.
The new papilla module detects pathological changes at the optical nerve papilla and displays these by high-resolution imaging, thus allowing early diagnosis and therapy of glaucoma.

The examination is painless and free of radiation exposure. It is conducted with laser light.

Therefore, examination with the Spectralis OCT is absulutely harmless, involves no contact to the eye and takes only a few minutes.
The images generated by the Spectralis-OCT provide the key to diagnosis and therapy of both wet and dry macular degeneration.

Moreover, this new measuring device plays an important part in diagnosis and therapy of diabetic retinopathy, macular holes and other retinal diseases as well as glaucoma. Follow-up examinations reflect the success of surgical or conservative treatment and provide indications for further therapy, if necessary.

OCT images of the central part
of the retina

Normale Schichtung der Netzhautmitte

Normal stratification of the central
part of the retina

Makulaödem – Schwellung der Netzhautmitte

Makular oedema – swelling in the
central part of the retina

Makulaloch durch Glaskörperzug

Makular hole caused by
vitreous traction

Durchgreifendes Makulaloch

Full-thickness macular hole

Epiretinale Membran

Epiretinal membrane

OCT images of the optical nerve

Analyse eines gesunden Sehnerven

OCT image and analysis of a healthy optical nerve

Analyse eines an Glaukom erkrankten Sehnerven

OCT image and analysis of an optical nerve affected by glaucoma

During this examination a laser beam scans the most significant segments of retina and optical nerve papilla. Medical dilatation of the pupil is not necessary for this examination.


Based on the images a computer calculates all data that are necessary for a comprehensive evaluation. These data are saved and used as a reference in a follow-up examination. 
This allows even minute changes to be detected right away.
A fee of EUR 95 will be charged for this special examination.

Review:

Each examination is concluded by explaining examination results and therapy options. Therefore, an initial examination will take 30-45 minutes, on average.

Ophthalmologic examinations for mother-and-child passport:

Examinations performed on children similarly include determination of refraction and examination of anterior and posterior eye segments. These require a dilatation of the pupils. Please plan for 30-40 minutes for this examination as well.