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Introduces self
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Confirms name & age of patient
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Explains & gains consent, warning patient of the requirement to
come quite close
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Washes hands
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Asks if patient is in pain
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Inspects around room and patient for aids. Inspects eyes and face for scars, discharge,
periorbital swelling, redness, foreign bodies, corneal abrasions and ulcers
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Ensure room is dimly lit and dilating eye drops have been used
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Switches on the ophthalmoscope light and makes sure it is set to 0
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Holds opthalmoscope correctly
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Looks for red reflex
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Points light nasally to view optic disc
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Examines optic disc (margin, colour, cup-disc ratio)
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Examines quadrants in turn
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Asks patient to look into light to examine macula
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Repeats on other eye
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Thanks patient
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Washes hands
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Requests a full neurological exam and testing of visual acuity, fields, reflexes, eye movements, urine dipstick and blood pressure
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Summarises appropriately with only key findings
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Offer appropriate differential diagnoses.
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Patient global score
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2 comments
commentsHi, do you have any clues as to what kind of retinography findings are we likely to encounter? I know they have some slides in the ILR
ReplyHi! I would recommend going through all those slides as they are the ones that will come up however they may also bring in real patients. They should focus on the most common or cannot miss findings such as diabetes, hypertension and papilloedema. The main thing you should focus on is getting the technique right as that is the vast majority of the station.
ReplyDon't hesitate to ask anything else if I haven't answered the question :)