The following is a concise summary of the transcript:
The transcript is a video tutorial on how to perform an orbital exam, which is an evaluation of the eye and the surrounding structures. The speaker, Tom Oberg, is an oculofacial plastic surgeon in Salt Lake City, Utah. He demonstrates the exam on a patient named Meg, and covers the following steps:
- Checking the core five: vision, pressure, pupils, motility and visual fields.
- Checking the optic nerve function with red and brightness desaturation tests.
- Checking for proptosis or exophthalmos with an exophthalmometer.
- Checking for retrobulbar pressure or congestion by gently pressing on the eyes.
- Checking for bony rim fractures by palpating the orbital rims.
- Checking for facial sensation and strength by testing the trigeminal and facial nerves.
- Checking for vascular lesions or tumors by auscultating for bruits and measuring proptosis after valsalva maneuver.
He explains the importance of each step, the possible findings and their implications, and some tips and tricks to perform the exam accurately and consistently. He also mentions some scenarios where the exam is useful, such as trauma, thyroid eye disease, orbital tumors and eyelid surgery. He concludes by thanking the viewers for watching and hoping they found the video helpful.
Here are some key facts extracted from the text:
1. The speaker is an oculofacial plastic surgeon in Salt Lake City, Utah.
2. The speaker demonstrates the basics of an orbital exam, which includes checking vision, pressure, pupils, motility, visual fields, optic nerve function, intraocular pressure, proptosis, bony rims, facial sensation, facial strength, and vascular lesions.
3. The speaker uses various tools and techniques to perform the exam, such as an occluder, a pinhole occluder, a muscle light, a tonopen, a red object, an exophthalmometer, a stethoscope, and a valsalva maneuver.
4. The speaker explains the rationale and significance of each test and what findings to look for in different orbital conditions, such as trauma, thyroid eye disease, orbital tumors, or retrobulbar hemorrhage.