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Dilated fundus examination (DFE) is a diagnostic procedure that uses mydriatic eye drops to dilate or enlarge the pupil in order to obtain a better view of the fundus of the eye. [1] Once the pupil is dilated, examiners use ophthalmoscopy to view the eye's interior, which makes it easier to assess the retina , optic nerve head , blood vessels ...
Visual acuity with eye chart at Near 15.7 inches (400 mm) and without (sc: Latin sine correctore) correctors (spectacles); Ncc is with (cc: Latin cum correctore) correctors. See Visual_acuity#Legal_definitions
The pupil is a hole through which the eye's interior can be viewed. For better viewing, the pupil can be opened wider (dilated; mydriasis) before ophthalmoscopy using medicated eye drops (dilated fundus examination). However, undilated examination is more convenient (albeit not as comprehensive), and is the most common type in primary care.
Dilation and constriction of the pupil Pupillary response is a physiological response that varies the size of the pupil , via the optic and oculomotor cranial nerve. A constriction response ( miosis ), [ 1 ] is the narrowing of the pupil, which may be caused by scleral buckles or drugs such as opiates / opioids or anti-hypertension medications.
For example, retinoblastoma, a neuroblastic tumor that can cause a dampened or even white reflex, occurs in 1 in every 20,000 children. [4] Regardless of the effectiveness, it is a fast, inexpensive , and noninvasive exam that could identify ocular pathology which with early identification can alter the course of the disease.
For an adequate test, vision must not be entirely lost. In dim room light, the examiner notes the size of the pupils. The patient is asked to gaze into the distance, and the examiner swings the beam of a penlight back and forth from one pupil to the other, and observes the size of pupils and reaction in the eye that is lit.
In this example the first eye, with a −1.00 diopter prescription, is the stronger eye, needing only slight correction to sharpen the image formed, and hence a thin spectacle lens. The second eye, with a −4.00 diopter prescription, is the weaker eye, needing moderate correction to sharpen the image formed, and hence a moderately thick ...
It is a subjective test, relying on the patients responses. Miscommunication between the clinician and patient may result in inaccuracies. The results can be misinterpreted if the clinician does not take note of the orientation of the striations. Extensive suppression may interfere with perception of the second stripe. [1]
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