Retinal Diagramming and Peripheral Retina Exam (M2) Flashcards

1
Q

What structures are in the inner circle of the retina diagram?

A

posterior pole, disc, and major vasculature

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2
Q

What structures are in the middle circle of the retina diagram?

A

peripheral retina (posterior border of ora serrata and termination of photoreceptors)

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3
Q

What structures are in the outer circle of the retina diagram?

A

pars plana (anterior limit to the fundus)

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4
Q

What is in the very center of the retina diagram?

A

the fovea

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5
Q

What is the radius of the inner circle of a retinal diagram in DD? 1. Middle circle? 2

A
  1. 6 DD

2. 4 DD

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6
Q

What is a detailed examination and drawing of the fundus that goes beyond the standard funduscopy of a normal visit called?

A

extended ophthalmoscopy

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7
Q

What are the symptoms or conditions that warrant peripheral retinal examination?

A
  1. flashes, floaters, films, curtains, spots, etc

2. previous retinal surgeries

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8
Q

Where do most retinal tears occur?

A

anterior to the equator

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9
Q

What are the risk factors of rhegmatogenous retinal detachment?

A
  1. myopia
  2. lattice degeneration
  3. previous cataract surgery
  4. trauma
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10
Q

What is the preferred method of evaluating peripheral vitreoretinal pathology? 1. What may complement it? 2

A
  1. indirect ophthalmoscopy with scleral depression

2. slit-lamp biomicroscopy with mirrored CL or a small indirect condensing lens

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11
Q

What are the ANSI standards recommendation for the time of continuous viewing of the retina for BIO?

A
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12
Q

What percentage of the retina is beyond the vortex veins?

A

30-40%

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13
Q

What direction should the lens be tilted to view the inferior views during peripheral fundoscopy? 1. superior views? 2

A
  1. down (superior edge closer to globe)

2. up

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14
Q

What kind of image does the Hruby lens create for the examiner?

A

erect, stereoscopic, virtual image

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15
Q

What is the type of lens (in diopters) for the central lens of the 3-mirror gonio? 1. What does it view? 2

A
  1. 64 D

2. posterior pole

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16
Q

What is the angle of the rectangular lens of the 3-mirror? 1. What does it view? 2

A
  1. 67deg

2. anterior equator to posterior ora

17
Q

What is the angle of the trapezoidal lens of the 3-mirror? 1. What does it view? 2

A
  1. 73deg

2. equatorial fundus

18
Q

What is the angle of the semi-circular (ā€œDā€) lens of the 3-mirror? 1. What does it view? 2

A
  1. 59deg

2. ora serrata and pars plana

19
Q

What are the advantages to 3-mirror fundoscopy?

A
  1. optics of lens clear and glare-free
  2. magnification is greater than BIO
  3. stereoscopic view of peripheral retina
20
Q

What are the disadvantages of 3-mirror fundoscopy?

A

difficult to obtain fundus views/photos afterwards

21
Q

What direction should the lens be tilted to obtain a more peripheral view during 3-mirror fundo?

A

same direction as mirror of interest