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Baseline color and black and white red-free filtered images are taken prior to injection. The black and white images are filtered red-free (a green filter) to increase contrast and often gives a better image of the fundus than the color image. A 6-second bolus injection of 2-5 cc of sodium fluorescein into a vein in the retina; Local injection
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.
Fundus photographs without an interpretation are seen as obsolete. The records should be legible, and contain suitable patient information and clinician details. The interpretation of fundus photographs that are glaucomatous must contain a description of the vertical and horizontal cup to disc ratio, vessel pattern, diffuse or focal pallor ...
A fundus photo, showing the optic disc as a bright area on the right where blood vessels converge. The spot to the left of the centre is the macula.The grey, more diffuse spot in the centre is a shadow artifact.
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).
The most common agents used to dilate the pupil are phenylephrine (2.5% in pediatrics or 10% in adults) and tropicamide (0.5% or 1%). While phenylephrine stimulates receptors that contract the dilator muscle of the pupil, [6] tropicamide blocks stimulation of the pupillary sphincter muscle to allow for relaxation. [7]
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In children, optic disc drusen are usually buried and undetectable by fundoscopy except for a mild or moderate elevation of the optic disc. With age, the overlying axons become atrophied and the drusen become exposed and more visible. They may become apparent with an ophthalmoscope and some visual field loss at the end of adolescence. [7]