Protocol for Indirect Ophthalmoscopy
1. Take consent and councel about the examination like “The use of light
in the procedure will not damage the eye and patient will have to keep
his eyes open during the exam”.
2. Dilate the pupils and put topical anesthetic just before the
examination
3. Make the position of couch such as it is accessible all around.
4. Ask the examiner to dim the room light.
5. Make the patient lie down in a comfortable position such that head is
parallel to the ground.
6. Set your IPD and head straps.
7. Stand on the head side and turn the light of headset on and observe
the red glow and observe any media opacity.
8. Take the condensing lens close to the eye and move it towards the
examiner while keeping your head as far as possible until a focused
image of the fundus is achieved.
9. Now start your examination by focusing on the disc and moving to
the periphery. (coordinated movement of head and lens will give
continuous sweeping image)
10. To make the patient less photophobic first observe the superior and
nasal quadrant while giving patient a target which can be his thumb and
then inferior and temporal quadrant.
11. Ask the examiner to perform scleral indentation.
12. Draw the fundus findings on fundus chart.
13. Pay thanks to the patient.
Tips.
Light should pass through the pupil.
Stand on the opposite side of your target quadrant i.e. To
see superotemporal retina, stand on inferonasal side of
the patient and ask patient to seen superotemporally.
Hand holding the lens should be stable on forehead of the
patient.
1. Take consent and councel about the examination like “The use of light
in the procedure will not damage the eye and patient will have to keep
his eyes open during the exam”.
2. Dilate the pupils and put topical anesthetic just before the
examination
3. Make the position of couch such as it is accessible all around.
4. Ask the examiner to dim the room light.
5. Make the patient lie down in a comfortable position such that head is
parallel to the ground.
6. Set your IPD and head straps.
7. Stand on the head side and turn the light of headset on and observe
the red glow and observe any media opacity.
8. Take the condensing lens close to the eye and move it towards the
examiner while keeping your head as far as possible until a focused
image of the fundus is achieved.
9. Now start your examination by focusing on the disc and moving to
the periphery. (coordinated movement of head and lens will give
continuous sweeping image)
10. To make the patient less photophobic first observe the superior and
nasal quadrant while giving patient a target which can be his thumb and
then inferior and temporal quadrant.
11. Ask the examiner to perform scleral indentation.
12. Draw the fundus findings on fundus chart.
13. Pay thanks to the patient.
Tips.
Light should pass through the pupil.
Stand on the opposite side of your target quadrant i.e. To
see superotemporal retina, stand on inferonasal side of
the patient and ask patient to seen superotemporally.
Hand holding the lens should be stable on forehead of the
patient.
