Tool Ophthalmoscope Front Facing the Patient Back Facing the Doctor Anatomy of the Eye Step 1 Have the patient sit down 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 ID: 776560
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Slide1
Guide to performing an Eye Exam with an Ophthalmoscope
Slide2Tool: Ophthalmoscope
“Front”
Facing the Patient
“Back”
Facing the Doctor
Slide3Anatomy of the Eye
Slide4Step 1: Have the patient sit down
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)Turn on the ophthalmoscope by pressing the green button and rotating the upper part of the handle
Slide5Step 2: Examine the eye from afar
Put the ophthalmoscope up to your eye so the light points toward your patient's face. 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 photo
Slide6Step 3: Examine the eye closer
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. 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
Slide7Step 4: Note details of Fundus
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
Slide8Pathology
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
Slide9Pathology - Glaucoma
Healthy Eye
Note: Cup is 50% of Disc
Glaucoma Eye
Note: Cup is almost 100% of disc
Slide10Repeat, if Necessary