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.
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Indications
Screening and monitoring
Assessment and follow-up
Documentation of findings
Optic disc documentation
Choroidal and retinal tumors
Contraindications
Absolute Contraindications
Relative Contraindications
📋 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.
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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.