Fundoscopy Flashcards
When do you rotate the dial clockwise and what does it do to the light?
When going closer to patient - it brings the field of vision closer by enlarging the light
What do you do with the dial when moving further away?
Rotate dial anti-clockwise to make light smaller
What do you say to a patient after the examination ?
Who brought you here?
If no one, take taxi as tropicamide can cause blurry vision
How far away do you start?
Arms length
With which Hand do you hold the fundoscope if you’re examining the patient’s right eye ?
Right hand, same hand as eye
Once you go towards patient, what do you do?
Scan lateral to medial to find the fundus
And ask pt to move eye up, down, right and left
What is the fundus ?
The ring around optic disc
In what condition do you get optic disc cupping and what does it look like?
The optic disc changes shape within the fundus in glaucoma
Is the fundus / optic disc medial or lateral?
Medial, towards node
Blotchy red stuff would be?
Haemorrhage
What is the centre of the macula?
Fovea
New vessel formation would be seen in? What are these changes called?
Proliferative retinopathy seen in diabetes
Run through the sequence
Ask what brought them in (eye problem)
Explain to pt
Shine the light on your hand and make sure it is set to 0
Examine red lighting reflex from arm’s length
Go closer and dial up and open patient’s upper eyelid
(If looking at right eye, use right hand and YOUR right eye)
Move lateral to medial
Ask patient to move eye in all four directions
Move medial to lateral to find macula
Then swap hands and reset dial to 0
Examine in poorer eye
Thank patient
Explain that the eye drops might make your eyes blurry so get a taxi or someone to pick them up
