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Emergency department ophthalmoscopy: physician confidence and clinical practices.
CJEM
January 2025
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada.
Objectives: Fundoscopy is crucial in the emergency department to identify or rule out serious ocular and neurological conditions. Despite its clinical importance, fundoscopy is often omitted due to the technical challenges associated with traditional direct ophthalmoscopy, particularly for non-ophthalmologists. This study examines emergency physicians' practices, confidence levels, and training related to various modalities of fundoscopy including traditional direct ophthalmoscopes, binocular indirect ophthalmoscopes, panoptic ophthalmoscopes, slit lamp fundoscopy and fundus cameras; and explores the potential role of alternative modalities, such as fundus cameras, in Canadian emergency departments.
View Article and Find Full Text PDFThe Spectrum of Ocular Diseases in the Onchocerciasis-Endemic Focus of Raga in South Sudan.
Res Rep Trop Med
December 2024
Global Health Institute, University of Antwerp, Antwerp, Belgium.
Introduction: Raga County is an onchocerciasis-endemic area in the Western Bahr El Ghazal state of South Sudan, known to have a high prevalence of blindness. The objective of this study was to determine the causes of eye disease and blindness in Raga County as well as to assess the relationship of eye diseases with other prevalent conditions like onchocerciasis and epilepsy.
Methods: We reviewed unpublished pre-community directed treatment with ivermectin (CDTI) data about eye disease and onchocerciasis in Western Bahr El Ghazal including Raga.
Artificial reduction of inter-pupillary distance with indirect ophthalmoscope and effect on stereo-acuity.
Indian J Ophthalmol
January 2025
Department of Ophthalmology, Maulana Azad Medical College, New Delhi, India.
Optic nerve assessment with stereo photographs and ultra-widefield scanning laser ophthalmoscope images.
Clin Exp Optom
December 2024
Consultant, Carlsbad, CA, USA.
Clinical Relevance: Clinical evaluation of the optic nerve using 3-D stereo disc photographs is considered the gold standard for estimating vertical cup-to-disc ratios. Ultra-widefield retinal imaging has gained increasing popularity to document and screen the health of the retina and optic nerve.
Background: Glaucoma is often first identified or suspected based on initial optic nerve assessment.
Article Synopsis
- * Initial visual assessments revealed significant vision loss in the left eye and worsening conditions in the right eye, with diagnostic tests confirming syphilis as the underlying cause of the retinitis.
- * After receiving treatment with benzathine penicillin and doxycycline, the patient's vision improved markedly in both eyes, demonstrating the effectiveness of addressing syphilitic retinitis.
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