Ophthalmology Book

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Funduscopic Exam

Aka: Funduscopic Exam, Ophthalmoscopy, Retinal Exam
  1. See Also
    1. Funduscopic Changes in Hypertension
  2. Pupil Dilation
    1. Medications
      1. Tropicamide 0.5% - 1% (Mydriacyl)
        1. Blue eyes more sensitive, lasts longer
        2. Start with 0.5% concentration
      2. Phenylephrine hydrochloride 2.5% (Ak-Dilate)
        1. Shorter acting
    2. Contra-indications to use
      1. Shallow anterior chamber OR angle-closure Glaucoma
      2. Following pupillary signs after Head Injury
      3. Iris supported intraocular lens implantation
        1. (square/hexagonal pupil 'sputnik')
  3. Exam Protocol
    1. Red Reflex
    2. Optic Disc
      1. Cup Disc Ratio
        1. Ratio of horizontal diameter of the cup to disc
        2. Abnormal Cup:Disc >0.5 suggests Glaucoma
    3. Retinal Circulation
    4. Macula
    5. Retinal Background
  4. Findings
    1. Increased Intracranial Pressure
      1. Papilledema
      2. Absent venous pulsations
    2. Retinal or subhyoid hemorrhage
    3. Blood in center of disc
      1. Suggests Subarachnoid Hemorrhage
    4. Choked disc with engorged veins
      1. Suggests Methanol Intoxication

Ophthalmoscopy (C0029090)

Definition (MSH) Examination of the interior of the eye with an ophthalmoscope.
Definition (CSP) examination of the interior of the eye through an ophthalmoscope, an instrument consisting of lenses, light source and pierced concave mirror that directs reflected light through the pupil.
Concepts Diagnostic Procedure (T060)
MSH D009887
ICD9 16.21
SnomedCT 53524009, 164739003, 274798009, 141906001, 164733002, 370998006
HL7 FS
English Ophthalmoscopies, Ophthalmoscopy, NOS, Ophthalmoscopic examination, NOS, Funduscopy, NOS, Fundoscopy, Fundoscopy NOS, Ophthalmoscopy-fundoscopy, fundoscopic examination, fundoscopic exam, fundoscopic examination (physical finding), ophthalmoscopy (procedure), fundoscopy, ophthalmoscopy, Fundoscopy NOS (procedure), funduscopy, Funduscopy, Ophthalmoscopic examination, Ophthalmoscopy (procedure), Fundoscopy, NOS, Clinical evaluation of optic fundoscopy (procedure), Clinical evaluation of optic fundoscopy, Fundoscopic evaluation, Ophthalmoscopy
Italian Esame del fundus, Oftalmoscopia
Japanese 眼底検査, ｶﾞﾝﾃｲｹﾝｻ
Swedish Oftalmoskopi
Spanish evaluación clínica de fundoscopia óptica, evaluación clínica de fundoscopia óptica (procedimiento), Fundoscopy, fundoscopia, fondo de ojo, oftalmoscopia, examen oftalmoscópico, fondo de ojo, SAI (procedimiento), fondo de ojo, SAI, fundoscopia, SAI, oftalmoscopia (procedimiento), Fundoscopia, Oftalmoscopia, Oftalmoscopía
Czech oftalmoskopie, Fundoskopie
Finnish Silmäntähystys
Russian OFTAL'MOSKOPIIA, ОФТАЛЬМОСКОПИЯ
French Examen du fond d'oeil, Ophtalmoscopie
Croatian OFTALMOSKOPIJA
Polish Wziernikowanie dna oka, Oftalmoskopia
Hungarian Fundoszkópia
Portuguese Fundoscopia, Oftalmoscopia
Dutch fundoscopie, Oftalmoscopie
German Fundoskopie, Ophthalmoskopie
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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