Direct ophthalmoscopy – salvageable skill or pointless pursuit?

2021 ◽  
Author(s):  
Akshay Narayan
Keyword(s):  
Direct Ophthalmoscopy

Direct ophthalmoscopy for the acute physicia – papilloedema and other abnormalities of the optic nerve head

2002 ◽  
Vol 1 (2) ◽  
pp. 60-63
Author(s):  
B Edmunds ◽  
◽  
P J Francis ◽  
Keyword(s):  
Optic Nerve ◽  
Optic Nerve Head ◽  
Visual Disturbance ◽  
Medical Setting ◽  
Altered Level ◽  
Level Of Consciousness ◽  
Systemic Disorder ◽  
Systemic Examination ◽  
Direct Ophthalmoscopy

Direct ophthalmoscopy is an essential part of the full systemic examination. However, the technique is challenging and time-consuming. In the acute medical setting therefore, it is advisable for the physician to identify the subgroup of patients in whom examination of the fundus is most likely to be helpful. Ophthalmoscopy should be performed where papilloedema is suspected, in those with an altered level of consciousness or other focal neurology, those with an unknown systemic disorder, and those complaining of visual disturbance.

scholarly journals Limitations of direct ophthalmoscopy in screening for glaucoma.

BMJ ◽  
1987 ◽  
Vol 294 (6587) ◽  
pp. 1587-1588 ◽  
Author(s):  
C M Wood ◽  
R C Bosanquet
Keyword(s):  
Direct Ophthalmoscopy

Retinal Hemorrhage After Cardiopulmonary Resuscitatíon

PEDIATRICS ◽  
1990 ◽  
Vol 86 (4) ◽  
pp. 650-650
Author(s):  
Mark G. Goetting
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Good Reason ◽  
Retinal Hemorrhage ◽  
Retinal Hemorrhages ◽  
True Incidence ◽  
Indirect Ophthalmoscopy ◽  
Direct Ophthalmoscopy

In Reply.— Doctor Hertle and associates raise an important point regarding the incidence of retinal hemorrhages after cardiopulmonary resuscitation. It seems likely that the true incidence of retinal hemorrhages may be higher than we reported, because our method of detection is less sensitive than indirect ophthalmoscopy. However, there is a good reason for using direct ophthalmoscopy, because this is the method by which most clinicians would detect retinal hemorrhage. The purpose of our paper was to demonstrate that these hemorrhages can occur following cardiopulmonary resuscitation and are not necessarily due to preceding trauma.

Slit lamp direct ophthalmoscopy

2007 ◽  
pp. 88-90
Author(s):  
Frank Eperjesi ◽  
Hannah Bartlett ◽  
Mark Dunne
Keyword(s):  
Slit Lamp ◽  
Direct Ophthalmoscopy

Evaluation of Competence of Medical Students in Performing Direct Ophthalmoscopy

2014 ◽  
Vol 22 (2) ◽  
pp. 73 ◽  
Author(s):  
EmmanuelOlu Megbelayin ◽  
EdetUduak Asana ◽  
GeorgeDennis Nkanga ◽  
RoselineEkanem Duke ◽  
AffiongAndem Ibanga ◽  
...  
Keyword(s):  
Medical Students ◽  
Direct Ophthalmoscopy

scholarly journals Retinal Changes in Severe Malaria in Bangladeshi Children

2018 ◽  
Vol 42 (3) ◽  
pp. 118-124 ◽  
Author(s):  
Abul Kalam Azad ◽  
Sanat Kumar Barua ◽  
Farid Uddin Ahmed ◽  
Parvez Iqbal Sharif ◽  
Nasir Uddin Mahmud
Keyword(s):  
Severe Malaria ◽  
High Sensitivity ◽  
Plasmodium Falciparum Malaria ◽  
Retinal Hemorrhage ◽  
Clinical Tool ◽  
College Hospital ◽  
Indirect Ophthalmoscopy ◽  
Malarial Retinopathy ◽  
Direct Ophthalmoscopy ◽  
Indirect Ophthalmoscope

Background: In malaria endemic areas diagnosis of severe malaria by microscopy and immunodiagnostic test is confounded by asymptomatic peripheral blood parasitemia. In such settings, retinal changes by ophthalmoscopy showed some diagnostic utility. Contribution of ophthalmoscopy in diagnosis of severe malaria in children is not well studied in Bangladesh. The aim of this study was to describe the retinal findings in children of cerebral and non-cerebral severe malaria by direct and indirect ophthalmoscope and relate their outcome and to determine the course of changes in the fundus. Methodology: In this prospective observational study 130 consecutive children aged between 6 months to 12 years admitted with confirmed severe Plasmodium falciparum malaria in pediatrics ward of Chittagong Medical College Hospital, Chittagong, Bangladesh were assessed by both direct and indirect ophthalmoscopy during the period of April 2008 to March 2009. Results: Out of 130 patients 80 children had cerebral malaria and of these 49 (61.2%) had some degree of retinopathy; 24 (48%) of 50 with non cerebral severe malaria had retinopathy. Predominant retinal changes were Retinal hemorrhage and Macular whitening each in 53 (40.77%) patients, followed by peripheral whitening, Vessels changes and papilloedema in 50 (38.46%), 40 (30.77%) and 14 (10.78%) patients respectively. With indirect ophthalmoscope as reference, direct ophthalmoscopy had a high sensitivity to detect macular whitening, and papilloedema but was less sensitive to detect peripheral whitening and vessel changes. Patients with retinopathy had more chance to had unfavorable outcome (Death) in comparison to the patients who had not {Odds ratio:1.09 (95% CI:1.017-1.167)}. Most of these retinal changes were transient and resolved gradually as clinical condition improved. Conclusion:Features compatible with malarial retinopathy were commonly found in our children with severe malaria. Ophthalmoscopy is an important clinical tool to aid in diagnosis and prognosis in children. However, indirect ophthalmoscopy provides better information than direct ophthalmoscopy. Bangladesh J Child Health 2018; VOL 42 (3) :118-124

An alternative to direct ophthalmoscopy

2016 ◽  
Vol 13 (4) ◽  
pp. 316-316
Author(s):  
Elliott Ah-kee ◽  
Daniel Husni ◽  
Aamir Khan ◽  
Lik Thai Lim
Keyword(s):  
Direct Ophthalmoscopy
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