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  • Funduscopic Exam

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Funduscopic ExamAka: Ophthalmoscopy, Retinal Exam

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  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.
ConceptsDiagnostic Procedure (T060)
ICD916.21
MSHD009887
EnglishClinical evaluation of optic fundoscopy, Fundoscopic evaluation, Fundoscopy, Funduscopy, Ophthalmoscopic examination, Ophthalmoscopies, Ophthalmoscopy
Spanishevaluacion clinica de fundoscopia optica, examen oftalmoscopico, fondo de ojo, fundoscopia, oftalmoscopia
Parent Conceptsvisual system diagnosis (C0679571), Diagnostic Techniques, Ophthalmological (C0011910), Diagnostic Radiology Modality (C1547664), Diagnostic procedures on orbit and eyeball (C0176292), Ophthalmoscopy (C0029090), Retinoscopy (C0455973), Duplicate concept (C1274013), Procedure by device (C1285536)
SourcesAOD, CSP, HL7V2.5, ICD9CM, MSH, MTH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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