Brown spots in eyes

Eyes are the windows to the soul, and eyes should not get sick under normal circumstances. Once they get sick, it will affect our health, so everyone should protect their eyes. When you find brown spots in your eyes, you may consider that it is caused by retinal or eye bleeding, and you need to go to the hospital to check the eye problem.

General eye examination, including ocular appendages and anterior segment examination. Ocular appendages examination includes eyelid, conjunctiva, lacrimal apparatus, eyeball position and orbital examination. Eyelid examination: generally performed under natural light by inspection and palpation. Main observations:

①Whether there are congenital abnormalities of the eyelids, such as eyelid defect, narrow palpebral fissure, ptosis, etc.

② Abnormalities of the eyelid skin, such as redness, swelling, heat, pain, subcutaneous emphysema, lumps, etc.

③ Abnormal eyelid position, such as comparing the width of the bilateral palpebral fissures and whether the eyelids are everted inside or outside.

④ Abnormalities of eyelid margin and eyelashes. Examination of lacrimal apparatus: including lacrimal gland and lacrimal duct.

Check whether there is a mass in the lacrimal gland area, pay attention to whether the lacrimal point is everted or blocked, whether there is redness, swelling, tenderness and fistula in the lacrimal sac area, whether there is secretion from the lacrimal point when squeezing the lacrimal sac, and use instruments to check the amount of tear secretion and whether the lacrimal duct is narrowed or blocked.

Conjunctival examination: pay attention to the color, smoothness and transparency of the conjunctiva, and the presence or absence of congestion, edema, papillary hyperplasia, follicles, scars, ulcers and new masses.

Eyeball and orbital examination: During the examination, attention should be paid to the size, shape, position and movement of the eyeball, and whether there is involuntary nystagmus.

Anterior segment examination of the eyeball: including examination of the cornea, anterior segment of the sclera, anterior chamber, iris, pupil, and lens.

Corneal examination: pay attention to the size, transparency, surface smoothness, new blood vessels, curvature and perception of the cornea. Scleral examination: pay attention to whether the sclera is yellow, nodules, congestion and tenderness.

Anterior chamber examination: pay attention to the depth of the anterior chamber, whether the aqueous humor is turbid, blood, pus, foreign matter, etc. Iris examination: pay attention to the color and texture of the iris, whether there are new blood vessels, atrophy, nodules, cysts, adhesions, and whether there is iris root separation, defect, tremor and bulging.

Pupil examination: pay attention to the size, position, and shape of the pupil, whether there is exudate, organized membrane, and pigment in the pupil area, and whether the pupil has direct light reflex, indirect light reflex, and near reflex.