Torch Light Examination
Torch Light Examination is a basic eye examination technique used to assess the external and some internal structures of the eye using a handheld torch. It is simple, quick, and commonly used in clinical settings, camps, or screenings.
🔦 Purpose of Torch Light Examination:
To detect visible abnormalities in the eyes and surrounding structures.
✅ Structures Examined:
1. Eyelids & Eyelashes
- Look for swelling, redness, drooping (ptosis), or styes.
2. Conjunctiva & Sclera
- Check for redness, discharge, or yellowish discoloration (jaundice).
3. Cornea
- Look for clarity, opacity, or foreign bodies.
4. Anterior Chamber
- Depth estimation using shadow test for angle closure risk.
5. Pupil
- Shape, size, reaction to light (direct & consensual reflex).
6. Lens (if visible)
- Opacities can indicate cataract.
7. Eye Movements
Ask the patient to follow the light to assess extraocular muscle function.
🔍 Common Findings:
Redness → Conjunctivitis
Cloudy cornea → Corneal edema or infection
Unequal pupils → Anisocoria
White reflex → Retinoblastoma (in children) or cataract
Shadow on nasal side of iris → Shallow anterior chamber (risk of angle closure glaucoma)
🛠️ Advantages:
- No special equipment required
- Quick screening tool
- Useful in rural or outreach settings.

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