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Medical Forum / General / Vision / March 2007

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eyescope

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bill - 01 Mar 2007 23:04 GMT
My dusty 1998 Edmund Scientifics catalog, there is an item called an
eyescope.
It says that you can "see the inside of your own eye".
Apparently they no longer sell it :(
I see a similiar item, no longer available:
http://boreal.com/category.asp_Q_c_E_537867

 Do you know where to purchase an eyescope (or the equivalent)?
Can you see the retina?
Can you see the optic nerve?

bill
William Stacy - 01 Mar 2007 23:57 GMT
The link you provided says if you use it:

They can see strings of pearls, clusters of circles, radiating lines,
bright stars and other optical wonders.

That is not a description of anything like the inside of the eye, so no,
you cannot see any structure with that kaliedescopic ripoff. The only
way you could see the inside of your own eye is to have someone take a
photo of it:

check out:

http://www.folsomeye.com

>  My dusty 1998 Edmund Scientifics catalog, there is an item called an
>eyescope.
[quoted text clipped - 10 lines]
>
>  
Don W - 02 Mar 2007 15:49 GMT
>,
>  The only
> way you could see the inside of your own eye is to have someone take a
> photo of it:

Dear Dr. Stacy,

 Not exactly true.  There are entoptic phenomena where the eye can
see within the eye.  For example, a patient having a slit lamp exam
can momentarily see his retinal vasculature.  Or the observation of
white cells against a blue (say sky) background has been documented.
And there is the blue arcs phenomena (Purkenje) that one doctor has
proposed (patented) a means of observing glaucoma changes.  Etc.
So....depends how you define see.

Don W
Salmon Egg - 02 Mar 2007 18:37 GMT
On 3/2/07 7:49 AM, in article
1172850549.199160.60840@s48g2000cws.googlegroups.com, "Don W"
<dwilgus@prodigy.net> wrote:

>> ,
>>  The only
[quoted text clipped - 12 lines]
>
> Don W

Sometimes, I see the vasculature spontaneously without trying. I do not
remember the exact conditions.

Bill
-- Fermez le Bush--about two years to go.
Don W - 02 Mar 2007 20:08 GMT
> > Don W
>
> Sometimes, I see the vasculature spontaneously without trying. I do not
> remember the exact conditions.

 Well, if for some reason the light may enter the eye so as to be
reflected off the inside of the eye so as to move the shadow off its
normal position, then the "new" shadow can be seen.  The text Bennett
and Rabbett, "Clinical Visual Optics" shows this in one of their
figures.  But the conditions have to be just right.  Like not too much
"other" light.

Don W.
Mike Tyner - 03 Mar 2007 00:49 GMT
>  Well, if for some reason the light may enter the eye so as to be
> reflected off the inside of the eye so as to move the shadow off its
> normal position, then the "new" shadow can be seen.  The text Bennett
> and Rabbett, "Clinical Visual Optics" shows this in one of their
> figures.  But the conditions have to be just right.  Like not too much
> "other" light.

It's easy to do with a penlight. Just wiggle it while holding it close,
pointing at the sclera.

The image you obtain this way is called "Purkinje's tree."

-MT
William Stacy, O.D. - 03 Mar 2007 06:17 GMT
>>,
>> The only
[quoted text clipped - 12 lines]
>
> Don W

No, it's exactly true, at least with today's available instrumentation.
  Entoptic phenomena are certainly "visible" in the sense that you can
"see"  the shadows of structures within the eye, but you are certainly
not viewing the structures themselves (the floaters and the blood
vessels) as you would be able to do with an ophthalmoscope, a fundus
camera, or directly on the dissection table.

It's just like another entoptic phenomenon, the phosphenes of digital
pressure on the globe.  You are not seeing the physically stimulated
retinal receptors that are causing the appearance of the lights, just
the projected image of them in space.

w.stacy, o.d.
Uncle - 02 Mar 2007 15:26 GMT
>  My dusty 1998 Edmund Scientifics catalog, there is an item called an
>eyescope.
[quoted text clipped - 8 lines]
>
>bill
I have an eyescope from Edmund Scientific. I bought it out of
curiosity and not as a substitute for an ophthalmologist's exam. It
contains a battery and light bulb, a parabolic mirror, and a very
small lens. They claim that it forms a virtual image of the inside of
your eye. An instruction booklet shows typical images of healthy and
unhealthy eyes.  They state that it is not a diagnostic tool, but a
means of self-examination, like a mirror.
I can see lots of floaters in my eyes. Also I can see the scleral
buckle in one eye from a 1976 operation for retinal detachment.  I
cannot see the optic nerve. The images do not have enough resolution
to see any detail.
Since I'm not a doctor, I cannot interpret what I have seen any better
than I've stated.

Uncle
bill - 02 Mar 2007 19:29 GMT
Uncle,
 Does the eyescope view the eye directly, or are you looking at a
projection of the eye, similiar to this:
http://www.exo.net/~pauld/summer_institute/summer_day2the_eye/seeing_your_retina.html

thanks,
bill

> >  My dusty 1998 Edmund Scientifics catalog, there is an item called an
> >eyescope.
[quoted text clipped - 24 lines]
>
> Uncle
Uncle - 03 Mar 2007 01:51 GMT
>Uncle,
>  Does the eyescope view the eye directly, or are you looking at a
[quoted text clipped - 3 lines]
>thanks,
>bill

It most likely works on the same principle as your above link shows.
The eyescope surface that goes in front of the eye is dull black
surrounding the light, which is very small and dim. So the image must
be formed on the dull black surface.

Uncle
Don W - 03 Mar 2007 03:56 GMT
> >Uncle,
> >  Does the eyescope view the eye directly, or are you looking at a
[quoted text clipped - 10 lines]
>
> Uncle

 I was under the impression that the upper surface (of the Edmund
Scientific device) was a reflective concave mirror.  And it used that
kind of optics for the viewing. Truth??

Don W
Uncle - 03 Mar 2007 15:02 GMT
>> >Uncle,
>> >  Does the eyescope view the eye directly, or are you looking at a
[quoted text clipped - 16 lines]
>
>Don W

Today I opened the eyescope for the second time in several  years
(The first time was to replace the batteries). It is a flashlight with
two AA cells. The parabolic mirror is a flashlight reflector and it
has a flashlight bulb. I removed the front section which goes near the
eye. This is a piece of thin metal with a flat black finish on the
outside. It is elliptical with dimensions of 1.2 by 1.6 inch. In the
center of this section is what appears to be a tiny lens. On the
inside of this section there is a cup-shaped piece that I think
shields the lens from the bulb filament but allows the surrounding
light from the parabolic mirror to hit the lens. I say this because
when I held the front section up to a ceiling light I could see
nothing through the lens. Without this front section the eyescope is a
small flashlight and is as bright as you would expect a small
flashlight to be. As far as I can tell, the purpose of the lens is to
concentrate the light down to a point source. In principle, you could
take an ordinary flashlight and cover the front with black
construction paper with a tiny hole in the center.  If the hole is
small enough, you get the same effect, whatever it is, as the eyescope
gives.
So the parabolic mirror is merely a flashlight reflector, and the
image you get is the same as you see with the small dim flashlight in
a dark room, as described in the earlier link. The eyescope is a more
refined way to get the same phenomenon.

Whether I really saw my scleral buckle I can not be sure. But the
image in the operated eye looks a lot more complicated than the image
in the other eye.
That's all I want to say about the eyescope.

Uncle
William Stacy, O.D. - 03 Mar 2007 20:25 GMT
> Whether I really saw my scleral buckle I can not be sure. But the
> image in the operated eye looks a lot more complicated than the image
> in the other eye.

The other problem with "seeing" your scleral buckle is that the buckle
resides outside the sclera, which is completely opaque.  Even with an
ophthalmoscope, we cannot see the buckle itself, only the "humped up"
chorio-retina beneath the buckle.
Don W - 04 Mar 2007 04:08 GMT
>  Today I opened the eyescope for the second time in several  years
> (The first time was to replace the batteries). It is a flashlight with
[quoted text clipped - 24 lines]
> in the other eye.
> That's all I want to say about the eyescope.

 Thanks for the description.  I did find thru a Google search that
the Eyescope is still being sold, for something like $50 (two
variations of it, I noted).  Hard to believe that just a pinhole
source of light could be pitched for such a price.

Don W
William Stacy, O.D. - 03 Mar 2007 06:06 GMT
> I can see lots of floaters in my eyes. Also I can see the scleral
> buckle in one eye from a 1976 operation for retinal detachment.  I
> cannot see the optic nerve. The images do not have enough resolution
> to see any detail.

I don't doubt you can see floaters, as anyone with them can plainly see
them without the help from any device at all. But you cannot see your
own scleral buckle with that piece of junk, that's for sure. You're
seeing something I'm sure, but it sure as hell isn't the buckle.

w.stacy, o.d.
Salmon Egg - 04 Mar 2007 07:30 GMT
On 3/2/07 10:37 AM, "Salmon Egg" <salmonegg@sbcglobal.net> wrote:

> Sometimes, I see the vasculature spontaneously without trying. I do not
> remember the exact conditions.

I rediscovered one situation for seeing this vasculature. If I am in a
bright light and close my eyes or go into a darkened room I notice a network
that I take to arise from blood vessels in the retina.

Bill

-- Fermez le Bush--about two years to go.
Kathy - 04 Mar 2007 13:40 GMT
I have numerous retinal problems, and have been using Edmund's eyescope for
over 10 years.

I also have a scleral buckle, and I am not sure if I am seeing it or not.
But I do see a thin black line that encircles that eye, and it is not on the
unoperated eye.

I also can see my cataract which shows as a solid black circle, drusen,
which appears as small yellow circles, and macula edema which shows as
reddish circles. I once saw a jagged black line, which my doctor confirmed
was a retinal tear.

I find the eyescpope an invaluable tool in aiding myself  to check the
health of my own eyes, and am disappointed to hear they no longer sell it.
Don W - 04 Mar 2007 15:10 GMT
> I have numerous retinal problems, and have been using Edmund's eyescope for
> over 10 years.
[quoted text clipped - 10 lines]
> I find the eyescpope an invaluable tool in aiding myself  to check the
> health of my own eyes, and am disappointed to hear they no longer sell it.

 Still being sold.  Check Google for "eyescope".  There are some
outfits that do.

Don W
William Stacy, O.D. - 04 Mar 2007 19:50 GMT
> I have numerous retinal problems, and have been using Edmund's eyescope for
> over 10 years.
>
> I also have a scleral buckle, and I am not sure if I am seeing it or not.
> But I do see a thin black line that encircles that eye, and it is not on the
> unoperated eye.

What exactly do you mean by "encircles that eye"?  Do you mean you see
your eye in space with like a saturn's ring around it? What detail of
the eye you are seeing inside that ring makes you think it's your eye?

> I also can see my cataract which shows as a solid black circle

That is not a catract for sure.  Cataracts don't come in circles.  Ever.

, drusen,
> which appears as small yellow circles,

Well it's true that drusen can be yellowish, but again, they are not
circles but spots.

 and macula edema which shows as
> reddish circles.

You are not seeing macular edema.  Again, that comes as a spot, not a
circle.

 I once saw a jagged black line, which my doctor confirmed
> was a retinal tear.

You wouldn't need an eyescope to see such an event, even if it were
possible.  Retinal tears are often visible to the recipient without any
device at all.

> I find the eyescpope an invaluable tool in aiding myself  to check the
> health of my own eyes, and am disappointed to hear they no longer sell it.

I'm afraid you are seeing things.
Kathy - 05 Mar 2007 19:33 GMT
Dr. Stacy,

I have been reading this newsgroup for quite a while now,and very rarely
post anything,  and have always respected your opinion on things. However,
I am definitely not "seeing things". The surgeries I have had correspond to
what I see within the eyescope. I wish I could draw a picture of what I see.

In reference to the "buckle", I see a light gray circle with a dark black
boundary around the entire circle. When my eye is dilated, I can see more of
the gray circle beyond the black boundary. However, this part is a darker,
more splotchy gray color. It almost looks like the surface of the moon,
while the inner gray circle is relatively smooth. I also have an IOL
implant, so maybe this is what I am seeing instead. I do know on the
unoperated eye, the entire gray circle is smooth looking with no black
boundary separating it.

You are correct in that the cataract, drusen, and edema show as spots, and
not circles. I should not have used that term. The drusen though has a
definite black border around the spots with a yellow center. I also see
floaters, and long strings of what look like pearls in the unoperated eye. I
am aware you can also see floaters without the aid of the eyescope, but it
does make it a lot easier to spot them.

Of course, I am not a medical professional, nor a master in understanding
optics. And, I certainly don't have the imagination to make up these things.
I was only trying to help the original poster and tell of my experience with
the eyescope.

Kathy
William Stacy - 05 Mar 2007 20:13 GMT
>Dr. Stacy,
>
[quoted text clipped - 3 lines]
>what I see within the eyescope. I wish I could draw a picture of what I see.
>  

You should be able to draw it if you can view it, even if only roughly.

>In reference to the "buckle", I see a light gray circle with a dark black
>boundary around the entire circle. When my eye is dilated, I can see more of
[quoted text clipped - 5 lines]
>boundary separating it.
>  

I would bet you are seeing a reflection of the edge of the IOL.

>You are correct in that the cataract, drusen, and edema show as spots, and
>not circles. I should not have used that term. The drusen though has a
[quoted text clipped - 3 lines]
>does make it a lot easier to spot them.
>  

It may enhance your ability to see floaters but it could also be that
you are seeing reflections of debris in your tear layer.  Hard to tell
from the description of the device.

>Of course, I am not a medical professional, nor a master in understanding
>optics. And, I certainly don't have the imagination to make up these things.
>I was only trying to help the original poster and tell of my experience with
>the eyescope.
>  

Sorry if I was abrasive, but see my next post.
Don W - 04 Mar 2007 23:07 GMT
Kathy,

 Forgot to ask the last time.  Is there any sort of a diagram of the
optics that might come with your eyescope?

 Just exactly how did your doctor comment on your observations?

Don W
Kathy - 05 Mar 2007 18:57 GMT
Don,

The booklet that came with it does not have a diagam of the optics, but I
can tell you how it describes how it works. This is taken directly from the
booklet.

"The Eyescope is a specially designed optical pinhole and light diffuser
incorporating parabolic mirror and a lens light inside of it. The light from
the Eyescope is so tiny that it is equivalent to starlight, about half the
strength of a phosphorescent night light".

I once brought it in for my retinal specialist to see it. This was several
years ago, so I hardly remember what he said. But, I do remember him saying
it projects an image of the different layers of the eye. He also told me to
continue using it to check my own eyes and to make an appointment if I
noticed anything different. I see him every two months as it is, so he must
feel it has some credibility.

Kathy
William Stacy - 05 Mar 2007 19:24 GMT
>I once brought it in for my retinal specialist to see it. This was several
>years ago, so I hardly remember what he said. But, I do remember him saying
[quoted text clipped - 3 lines]
>feel it has some credibility.
>  

I doubt very much he said that.  Unless he's a quack, and I doubt that
too.  Maybe he was just humoring you.
Dave Bell - 05 Mar 2007 20:02 GMT
> >I once brought it in for my retinal specialist to see it. This was several
> >years ago, so I hardly remember what he said. But, I do remember him saying
[quoted text clipped - 5 lines]
> I doubt very much he said that.  Unless he's a quack, and I doubt that
> too.  Maybe he was just humoring you.

Gosh! It must be wonderful to be so certain of things in life...  After 40
years as an engineer, I still haven't achieved the acme of knowledge, that
I have nothing to question or learn.
William Stacy - 05 Mar 2007 20:18 GMT
>  
>
[quoted text clipped - 17 lines]
>I have nothing to question or learn.
>  

Hey it's pretty easy to be certain of some things in this business.  If
that device really worked, don't you think all of us in the profession
would have one so we could see inside our own eyes?  Especially at the
price offered!  That way we wouldn't have to resort to shining a
retinoscope or ophthalmoscope at our own eyes via a mirror (hard to do
and the view is terrible)....

Yep, some things are easy, and being certain of those doesn't mean one
doesn't question or learn...
Don W - 06 Mar 2007 00:35 GMT
> Yep, some things are easy, and being certain of those doesn't mean one
> doesn't question or learn...- Hide quoted text -

 Well, putting aside the lighting question (of course, a big aside)
you would agree it is possible to construct an concave mirror that
when looked into at a certain distance, allows the retina to be
focused back (reflected) onto the retina.  Say move the focal point to
get the biggest image of the retina through the pupil.

Don W

.
William Stacy - 06 Mar 2007 00:45 GMT
>>Yep, some things are easy, and being certain of those doesn't mean one
>>doesn't question or learn...- Hide quoted text -
[quoted text clipped - 7 lines]
>get the biggest image of the retina through the pupil.
>  

I don't know why it would have to be concave, as a flat mirror should
work just fine.  But you hit on the problem, which is the amount of
light it would take to accomplish the feat would be huge and would
dazzle the retina so much the secondary reflected image would be lost.  
If you've ever had a fundus photo taken, you could appreciate the amount
of light required to even pick up a primary fundus image by a camera.  
If you haven't, just bring a flash camera within an inch of your eye,
look at the strobe and fire it off.
Don W - 06 Mar 2007 01:57 GMT
> >  Well, putting aside the lighting question (of course, a big aside)
> >you would agree it is possible to construct an concave mirror that
[quoted text clipped - 10 lines]
> If you haven't, just bring a flash camera within an inch of your eye,
> look at the strobe and fire it off.

 Well, the mirror would be concave to move the focal point somewhere
at the center of the pupil.  (Longitudinal axis).  Otherwise one would
be contrained by a flat mirror to the lesser view provided only by the
area of the pupil.

 Not true about the "huge amount of light".  There is one paper I had
come across where the author (an eye doctor, I believe) discusses the
construction of a homemade ophthalmoscope.  Made out of a couple of
AAA's and a small penlight bulb, incased in a rolled one sided
reflective paper tube, plus an angled mirror with pinhole .  He saw
quite a few details, macula, optic nerve, of his friends, cats, as he
reported.  One of the letters commenting on the paper said they
couldn't wait for his design of a homemade sigmoidoscope.  Thought
that was pretty cruel at the time.

Don W
William Stacy - 06 Mar 2007 02:05 GMT
>   Well, the mirror would be concave to move the focal point somewhere
> at the center of the pupil.  (Longitudinal axis).  Otherwise one would
> be contrained by a flat mirror to the lesser view provided only by the
> area of the pupil.

True, but it would at least be in focus.  Constructed as you suggest
will put the image out of focus on the retina.

>   Not true about the "huge amount of light".  There is one paper I had
> come across where the author (an eye doctor, I believe) discusses the
[quoted text clipped - 3 lines]
> quite a few details, macula, optic nerve, of his friends, cats, as he
> reported.

Sorry, but it would take a huge amount to directly view YOUR OWN fundus
details, because you have to take that dim retinal reflex and bounce it
back onto the viewer's own retina which is simultaneously being dazzled
by the main light source. No hope of seeing anything but the bright
light.

The home made ophthalmoscope is only good (if I can allow that term)
when viewing SOMEONE ELSE'S fundus.
Don W - 06 Mar 2007 19:00 GMT
Well, OK, I am convinced that the "Eyescope" as presently still
sold, consists of supplying a pinhole light source backed up by a
parabolic mirror.  And the images produced are due to the internal
reflections and refractions of the eye (termed entoptic).  These
images are described in separate chapters in Helmholtz's "Treatise on
Physiological Optics"  (Vol 1, Chapt 15) and the above mentioned
Bennett (Chapt 22).  These references include a complete chapter on
these effects and what produces them.  Some of the advertising of what
the Eyescope can do borrows exactly from Helmholtz's descriptions.  As
to people using this device and "seeing things", they are probably
seeing the same things that Helmholtz saw and chose to document.
 As to the diagnostic merit of these observations, probably
debatable.  Especially here.

Don W.
Salmon Egg - 05 Mar 2007 23:47 GMT
On 3/5/07 10:57 AM, in article
NKZGh.9386$Jl.9200@newsread3.news.pas.earthlink.net, "Kathy"
<auriga24@REMOVEmindspring.com> wrote:

> I once brought it in for my retinal specialist to see it. This was several
> years ago, so I hardly remember what he said. But, I do remember him saying
> it projects an image of the different layers of the eye. He also told me to
> continue using it to check my own eyes and to make an appointment if I
> noticed anything different. I see him every two months as it is, so he must
> feel it has some credibility.

It also gives you something to do and keeps you off the street. You probably
do not annoy him as much as compared to not occupying your time. That way.

Bill
-- Fermez le Bush--about two years to go.
Kathy - 06 Mar 2007 16:29 GMT
Wow. That hurt.

I have never claimed that I see the exact image a doctor sees when he looks
into my eyes. All I attempted to do was to explain that there are some
things within the eye that are easily distinguishable using the eyescope.

I thought I was helping. Apparently, that is not the case. I have been told
that I am seeing things, that I am a liar, my doctor is a quack, and that I
am annoying.

For the record, I see one of the most respected retinal specialists in the
country. I have had just about every retinal disease you can think of along
with a handful of surgeries to correct them. My doctor tells me I am
somewhat of an unusual case in that I acquired these problems at a
relatively young age.

It was my hope that I could occasionally answer someone's questions here
from a patient's point of view. The eyescope thread was one where I thought
I could lend some insight with my own experience with it. I truly do no
understand why my post was met with such hostility, but I will not make the
mistake of posting on this newsgroup again.

Thanks guys for running me off.

Kathy
 
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