Very confused

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

Star12

New Member
10+ Year Member
15+ Year Member
Joined
Jun 28, 2005
Messages
7
Reaction score
0
I am trying to learn how to use 3 mirror lens and i am confused on orientation. If I see lesion at 3oclock in mirror does it mean it is really at 9oclock? What if lesion at 10 oclock - where on mirror would it be? Is orientation same for all mirrors (gonioscopy mirror, midperipheral mirror, etc). Is orientation same for 4 mirror Possner? Please pardon my English and thank you
 
I am trying to learn how to use 3 mirror lens and i am confused on orientation. If I see lesion at 3oclock in mirror does it mean it is really at 9oclock? What if lesion at 10 oclock - where on mirror would it be? Is orientation same for all mirrors (gonioscopy mirror, midperipheral mirror, etc). Is orientation same for 4 mirror Possner? Please pardon my English and thank you

Think of it this way, you are looking around a corner with a flat mirror, in this case, of the edge of the pupil. When the mirror is at 4:00 o'clock, you are looking at 10:00 o'clock, and so forth, 180 degrees away, and your image is sense-oriented. Up is up, outer edge of mirror is outer edge of retina, etc. Why? It is a flat mirror and a flat (plano) lens. All flat mirrors without any intervening refractor will do this, so the same is true for all of your mirrors.
 
Thank you OrbitSurg but I am still confused! I know to look at superior retina you look in inferior mirror and that left-right orientation is still same (too see lesion at 6 oclock look in 12 oclock mirreur; to see lesion at 11oclock look in 7 oclock mirreur). But what about nasal-temporal? If you want to see real lesion at 3oclock you look in 9oclock mirror no? If you want to see lesion in 8oclock mirror where do you look at - the 2 oclock mirror or 4 oclock mirror? This is very stressing to me and is nowhere in any textbooks.
 
Thank you OrbitSurg but I am still confused! I know to look at superior retina you look in inferior mirror and that left-right orientation is still same (too see lesion at 6 oclock look in 12 oclock mirreur; to see lesion at 11oclock look in 7 oclock mirreur). But what about nasal-temporal? If you want to see real lesion at 3oclock you look in 9oclock mirror no? If you want to see lesion in 8oclock mirror where do you look at - the 2 oclock mirror or 4 oclock mirror? This is very stressing to me and is nowhere in any textbooks.

Some of the gonioscopy textbooks will show you this orientation, and there can be questions on boards and OKAPS about his exact topic.
If you want to go easy on yourself early on, the only consider the center of the mirror, and think of it as one clockhour at a time. That eliminates the orientation part of the question, and you can concentrate on finding what you need to find. The center of the mirror will see directly across the "clock", so yes, look at 3 to see something at 9. Look at 2 to see something at 8, etc.

Now, with the wider view lenses, you can see about 3 clock hours at a time. This is where the confusion usually comes in. If you have the mirror in the superior position, looking at 12 shows you 6, looking at 11 shows you 7, and looking at 1 shows you 5.
Now, let's say you want to look at something at 8. There are basically three ways to do it.
(1) You can have the mirror centered on 2, and 8 will be directly across from the center, and that's the easiest way to picture it.
(2) You can have the mirror centered on 1, but look at the 12 position.
(3) Or you can have the mirror centered on 3, but look at the 4 position.

All three of these approaches will show you the 8 o'clock position. The good side of that is that you have options for how to do something. The downside of it is that it's easy to overthink it and confuse yourself.
It helps if you draw it out, and move a mirror around your drawing.
 
Some of the gonioscopy textbooks will show you this orientation, and there can be questions on boards and OKAPS about his exact topic.
If you want to go easy on yourself early on, the only consider the center of the mirror, and think of it as one clockhour at a time. That eliminates the orientation part of the question, and you can concentrate on finding what you need to find. The center of the mirror will see directly across the "clock", so yes, look at 3 to see something at 9. Look at 2 to see something at 8, etc.

Now, with the wider view lenses, you can see about 3 clock hours at a time. This is where the confusion usually comes in. If you have the mirror in the superior position, looking at 12 shows you 6, looking at 11 shows you 7, and looking at 1 shows you 5.
Now, let's say you want to look at something at 8. There are basically three ways to do it.
(1) You can have the mirror centered on 2, and 8 will be directly across from the center, and that's the easiest way to picture it.
(2) You can have the mirror centered on 1, but look at the 12 position.
(3) Or you can have the mirror centered on 3, but look at the 4 position.

All three of these approaches will show you the 8 o'clock position. The good side of that is that you have options for how to do something. The downside of it is that it's easy to overthink it and confuse yourself.
It helps if you draw it out, and move a mirror around your drawing.


Thank you, thank you, thank you! I was tormenting myself over this and you and Orbitsurg really saved me!
 
Top