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ALTERS FOCUS
BRIGHTNESS
RED
and red free light
GREEN +
ALTERS SIZE OF LIGHT
0 for red reflex
and blue light for use with fluoroscein
+10 for front of eye
(small better for undilated pupils)
0 for fundus
DIRECT OPHTHALMOSCOPY
Best in dark room with dilated pupil (tropicamide)
Remember magnification is high, therefore only small area seen at one time
Ask patient to look in the direction of what you are trying to see, and approach from the opposite direction
Look at OPTIC DISC (colour, contour, cup), VASCULAR ARCADES and MACULA
FOVEA
RETINAL VESSELS
(vascular arcades)
AG 20
Anne Gobbett 2018 SEI