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Indirect Ophthalmoscope Guide for Optometry

The document provides an overview of the indirect ophthalmoscope, an instrument used for inspecting the fundus of the eye, offering a stereoscopic image with 2x to 5x magnification. It outlines the procedure for using the instrument, including adjustments for optimal viewing, and discusses the advantages and disadvantages of the technique. Additionally, it covers the importance of scleral depression for dynamic viewing of the retina, particularly in cases of potential retinal tears or detachments.

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Amna Shahid
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23 views24 pages

Indirect Ophthalmoscope Guide for Optometry

The document provides an overview of the indirect ophthalmoscope, an instrument used for inspecting the fundus of the eye, offering a stereoscopic image with 2x to 5x magnification. It outlines the procedure for using the instrument, including adjustments for optimal viewing, and discusses the advantages and disadvantages of the technique. Additionally, it covers the importance of scleral depression for dynamic viewing of the retina, particularly in cases of potential retinal tears or detachments.

Uploaded by

Amna Shahid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CLINICAL REFRACTION &

INSTRUMENTATION(OD-146)
BY
Doctor of Optometry

MAIMOONA REHMAT
Lecturer DOVS-FAHS
The University of Lahore
INDIRECT
OPHTHALMOSCOPE
Course description
• After studying this course, students will have basic
knowledge regarding refraction and advance
instruments regarding optometry.
CONTENTS
• Introduction
• Optics
• Method
Introduction
• Indirect ophthalmoscope is an instrument
that is used to inspect the fundus of the
eye.
• It produces a stereoscopic image with
between 2x and 5x magnification.
OPTICS+principle
• High power lens in front of patient
causes the eye highly myopic, so light
rays emerging are convergent and
make real inverted image between the
examining lens and observer.
Procedure
• Adjust the indirect headset
• First, adjust the headband so that the scope is
secure on your head
• Then adjust the pupillary distance and height of
the beam so you can see a full beam with each
eye
• Set the light aperture to the largest spot for a
fully dilated patient
• Use the smallest aperture for smaller pupils
Cont
• Hold a condenser lens in between the
patients eye and indirect ophthalmoscope
• Center the lens on the pupil
• Optimum field of view will be at the focus
of lens
• 5 cm from the pupil using +20DS lens
Condensing lenses
• +20, +30, +14
Scleral depression
• This allows for dynamic viewing of the
retina
• Always perform scleral depression for
patients with signs and symptoms
concerning for retinal tears or detachments
Advantages
• Wide field of view
• Stereopsis
Disadvantages
• Requires more skill
• Decreased magnification
• Requires dilation
• Inverted image

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