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Published byVernon Marsh Modified over 9 years ago
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Guide to performing an Eye Exam with an Ophthalmoscope
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Tool: Ophthalmoscope “Front” Facing the Patient “Back” Facing the Doctor
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Anatomy of the Eye
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Step 1: Have the patient sit down o Have the patient sit down facing the doctor – Dr. should be slightly to the side of the patients’ eye being examined (look at figure above) o Turn on the ophthalmoscope by pressing the green button and rotating the upper part of the handle
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Step 2: Examine the eye from afar o Put the ophthalmoscope up to your eye so the light points toward your patient's face. o View your patient's eye through the opposite side of the ophthalmoscope. You should be able to see a "red reflex" of the patient's fundus, not unlike red eye in a flash photored eye
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Step 3: Examine the eye closer o Move toward the patient's eye until you are close to his/her face. Close the eye you are not using to look through the ophthalmoscope. o Look for details of the person's fundus – You may need to turn the number dial at the top of the ophthalmoscope in order for it to be in focus
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Step 4: Note details of Fundus o Try to view specific landmarks on your patient's fundus, such as the optic nerve (a large yellow disk), arterial and venous arcades emanating from the disk, and the macula
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Pathology Non-proliferative diabetic retinopathy Damage to retina of the eye due to long-term diabetes Hemorrhage Bleeding in the eye Fundus Flavimaculatus or Stargardt Disease Yellowish flecks around macula Autosomal recessive condition which causes macular degeneration
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Pathology - Glaucoma Healthy Eye Note: Cup is 50% of Disc Glaucoma Eye Note: Cup is almost 100% of disc
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Repeat, if Necessary
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