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Medical signs that can be detected from observation of eye fundus (generally by funduscopy) include hemorrhages, exudates, cotton wool spots, blood vessel abnormalities (tortuosity, pulsation and new vessels) and pigmentation. [3] Arteriolar constriction, seen as "silver wiring", and vascular tortuosities are seen in hypertensive retinopathy.
5 minutes – late staining Fluorescein enters the ocular circulation from the internal carotid artery via the ophthalmic artery . The ophthalmic artery supplies the choroid via the short posterior ciliary arteries and the retina via the central retinal artery , but the route to the choroid is typically less circuitous than the route to the retina.
The idea that fundus can and should correspond to a combining form fundo-drives the formation of an alternate form, fundoscopy (fundo-+ -scopy), which is the subject of a descriptive-versus-prescriptive difference in acceptance.
[9] [10] A fundus camera provides an upright, magnified view of the fundus. A typical camera views 30 to 50° of retinal area, with a magnification of 2.5x, and allows some modification of this relationship through zoom or auxiliary lenses from 15°, which provides 5x magnification, to 140° with a wide angle lens, which minifies the image by ...
Pupil dilation typically begins within 15 minutes and may last for 3–8 hours. [6] [7] After the pupil has been dilated, an ophthalmoscope can be used to examine the fundus. This allows for 15x magnification of the optic disc, also known as the optic nerve head, and retina to better evaluate for any ophthalmic pathology. [9]
There are two techniques used to assess the red reflex listed below. Both are noninvasive, inexpensive, and quick. Dilation of the eyes is unnecessary and not recommended due to the theoretical but rarely seen risks of sympathomimetics and antimuscarinic systemic effects – tachycardia (fast heart rate), hypertension (high blood pressure), and arrhythmia (abnormal heart rhythm).
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The hole represents the cup and the surrounding area the disc. If the cup fills 1/10 of the disc, the ratio will be 0.1. If it fills 7/10 of the disc, the ratio is 0.7. The normal cup-to-disc ratio is less than 0.5. A large cup-to-disc ratio may imply glaucoma or other pathology. [3] However, cupping by itself is not indicative of glaucoma.