Direct Opthalmoscopy

Question 1

Summarise the steps and reflexes which are tested.
(Pupillary Reflexes and Fundoscopy carried out)

BOTH EYES

Answer 1

MAKE SURE ON THE CORRECT SETTING- type of light
-use your right eye for their right vice versa

1) Red reflex- 1m away (0 level)
2) Light reflexes- pupil constriction when light is shone
3) swinging light test- between both pupils (both should do the same thing)
-4) Assessment of the Optic Disc and Retina (Fundoscopy) -SETTING 10

MUST HAVE EYE ON OPTHALMASCOPE TO SEE OPTIC DISC !!!!!! (MAIN TIP!)

hold the opthalmascope in the right hand for right eye vice versa

Question 2

How is Red reflex carried out?

Answer 2

• Stand at arms length away from the patient
• Use 0 lens magnification as we are testing the eyes normal function
• go down from 10 and goes into more focus

Question 3

What is the red reflex?

Answer 3

AT ZERO

This is when a light is shined using the opthalmscope into the retina of the eye it becomes a red colour.
-Right and left eyes are compared

Question 4

Summarise assessment of optic discs and retina

Answer 4

STAND AT ANGLE
right arm right eye
-Blood vessels
-Optic disc
*ask patient to look in the direction where inspecting the retina (e.g inspecting superior retina- patient looks UP)

Question 5

Carrying out an accurate Pupillary Reflex

Answer 5

MUST Shine the light from the side of the eye
1) tell patient MUST look directly ahead of them
2) watch one eye for constriction
3) next attempt watch other eye for consensual Papillary Reflex

(MUST be tested separately)