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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.
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 ...
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.
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]
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 portion of the posterior segment visible during ophthalmoscopy (or fundoscopy) is sometimes referred to as the posterior pole, or fundus. Some ophthalmologists specialize in the treatment and management of posterior segment disorders and diseases. [3]
An example of the Landolt C eye chart (also known as the Japanese eye chart). Numerous types of eye charts exist and are used in various situations. For example, the Snellen chart is designed for use at 6 meters or 20 feet, and is thus appropriate for testing distance vision, while the ETDRS chart is designed for use at 4 meters. [16]
Roth's spots, also known as Litten spots or the Litten sign, [1] are non-specific red lesions with white or pale centres, seen on the retina of the eye and although traditionally associated with infective endocarditis, can occur in a number of other conditions including hypertension, diabetes, collagen vascular disease, extreme hypoxia, leukemia and HIV.