Overview

Fundus Photography is a diagnostic procedure used to capture detailed images of the retina, optic disc, and posterior segment. It is essential for documentation and monitoring of retinal diseases.

Fundus photography is crucial for diagnosing and monitoring diabetic retinopathy, macular degeneration, and other retinal disorders. It provides a permanent record for comparison over time.

Indications

Diabetic Retinopathy

Screening and monitoring

Macular Degeneration

Assessment and follow-up

Retinal Vascular Disease

Documentation of findings

Glaucoma

Optic disc documentation

Tumor Monitoring

Choroidal and retinal tumors

Contraindications

Absolute Contraindications

Patient refusal
Severe corneal opacity

Relative Contraindications

Severe photophobia
Recent eye surgery

📋 Equipment Checklist

Check off items as you gather them:

Pre-procedure Preparation

Preparation includes explaining the procedure to patient, dilating pupils if needed, ensuring proper patient positioning, and calibrating the fundus camera.

Step-by-Step Procedure

Step 1: Patient Preparation

Explain procedure, dilate pupils, position patient.

⚠️ Common Mistakes to Avoid:

  • Inadequate explanation
  • Poor positioning

💡 Pro Tip:

Explain that the flash may be bright.

Step 2: Equipment Calibration

Calibrate camera, check settings.

⚠️ Common Mistakes to Avoid:

  • Skipping calibration

💡 Pro Tip:

Always calibrate before use.

Step 3: Image Acquisition

Capture images of posterior pole and periphery.

⚠️ Common Mistakes to Avoid:

  • Poor focus
  • Missed areas

💡 Pro Tip:

Take multiple images for coverage.

Step 4: Image Review

Review images for quality and completeness.

⚠️ Common Mistakes to Avoid:

  • Poor review

💡 Pro Tip:

Repeat if needed.

Step 5: Documentation

Document findings and compare with previous.

⚠️ Common Mistakes to Avoid:

  • Poor documentation

💡 Pro Tip:

Always compare with previous images.

Master Fundus Photo with RxDx

Access 100+ procedure videos and expert guidance with the RxDx app

Post-procedure Care

Post-procedure care involves reviewing images, documenting findings, and comparing with previous photographs.

Complications & Management

Complication Incidence Signs Management Prevention
Patient discomfort Common Photophobia Reassurance Gentle approach
Incomplete images 5-10% Missed areas Repeat imaging Systematic approach
Equipment malfunction Rare Poor images Equipment check Regular maintenance

Clinical Pearls

💡

Explain that the flash may be bright.

🎯

Always calibrate before use.

Take multiple images for coverage.

🔍

Review images for quality.

📊

Always compare with previous images.

⚠️

Document all findings carefully.