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    Ocular Fundus Drawing

    Uploaded by

    guhan
    This document provides guidance on drawing retinal fundus diagrams. It discusses the basic materials needed like a slit lamp and contact lenses. Common retinal charts like the Amsler Dubois and Bjerrums charts are described for orientation and landmarks. Steps for the drawing process are outlined like examining each quadrant and focusing on key structures. A color coding system is presented for accurately depicting different retinal features like vessels, breaks, edema, and other pathologies. Guidance is given for drawings in cases of retinal detachment. The overall purpose is to create a permanent and detailed graphical record of the fundus exam for reference and publications.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Ocular Fundus Drawing

    Uploaded by

    guhan
    483 views33 pages
    This document provides guidance on drawing retinal fundus diagrams. It discusses the basic materials needed like a slit lamp and contact lenses. Common retinal charts like the Amsler Dubois and Bjerrums charts are described for orientation and landmarks. Steps for the drawing process are outlined like examining each quadrant and focusing on key structures. A color coding system is presented for accurately depicting different retinal features like vessels, breaks, edema, and other pathologies. Guidance is given for drawings in cases of retinal detachment. The overall purpose is to create a permanent and detailed graphical record of the fundus exam for reference and publications.

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    This document provides guidance on drawing retinal fundus diagrams. It discusses the basic materials needed like a slit lamp and contact lenses. Common retinal charts like the Amsler Dubois and Bjerrums charts are described for orientation and landmarks. Steps for the drawing process are outlined like examining each quadrant and focusing on key structures. A color coding system is presented for accurately depicting different retinal features like vessels, breaks, edema, and other pathologies. Guidance is given for drawings in cases of retinal detachment. The overall purpose is to create a permanent and detailed graphical record of the fundus exam for reference and publications.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    483 views33 pages

    Ocular Fundus Drawing

    Uploaded by

    guhan
    This document provides guidance on drawing retinal fundus diagrams. It discusses the basic materials needed like a slit lamp and contact lenses. Common retinal charts like the Amsler Dubois and Bjerrums charts are described for orientation and landmarks. Steps for the drawing process are outlined like examining each quadrant and focusing on key structures. A color coding system is presented for accurately depicting different retinal features like vessels, breaks, edema, and other pathologies. Guidance is given for drawings in cases of retinal detachment. The overall purpose is to create a permanent and detailed graphical record of the fundus exam for reference and publications.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 33

    Ocular Fundus

    Drawing

    Dhipak Arthur B
    24 – 01 – 2019
    Drawing a fundus diagram

    • Documentation
    • Permanent & detailed graphical record
    • Reference at the time of surgery
    • Illustrate publications
    • Transcends language barriers
    Basic Materials
    • Examining table or Reclining chair
    • Slit lamp
    • Goldmann 3 mirror contact lens
    • Fundus lenses
    • Indirect ophthalmoscope
    • Condensing lenses
    • Scleral depressor
    • Color pencils
    • Eraser
    • Drawing charts
    Retinal charts
    Common charts:
    •Amsler Dubois chart
    •Bjerrums chart
    Amsler chart

    Represents
    Pars plana

    Represents
    Ora serrata

    Represents
    Equator
    Bjerrums chart

    Represents Ora
    serrata

    Represents Equator
    Orientation
    • Inverted & reversed image

    • To avoid confusion-

    Place the lower right corner of the chart at


    the right shoulder of the patient
    Drawing
    • Stand on the side of the eye being examined

    • Stand opposite to the quadrant being examined

    • Patient is asked to look in the opposite meridian

    • Move around the patient examining all quadrants periphery


    and then the posterior pole
    Drawing
    • Focus
     Vitreous
     Retina
     Choroid
    • Chart in relation to following landmarks-retinal
    vessels, vortex veins, long posterior ciliary
    arteries
    Colour coding (Morse)
    Colours used

     Blue
     Red
     Green
     Yellow
     Brown
     Black
    Solid red
    • Attached retina
    • Retinal arterioles
    • Haemorrhages (pre-retinal and intra-retinal)
    • Neovascularization
    • Vascular abnormalities\ anomalies
    • Vortex veins
    • Open interior of conventional retinal breaks (tears,
    holes)
    • Open interior of outer layer holes in retinoschisis
    • Normal macula is drawn as a red dot
    Cross lined red
    • Open portion of GRT or large dialyses
    • Inner portion of CRA
    • Inner portion of thin areas of retina
    • Open portion of retinal holes in inner layer of
    retinoschisis
    Solid blue
    • Detached retina
    • Retinal veins
    • Outlines of retinal breaks
    • Outlines of ora serrata
    • Meridional, radial, fixed & circumferential folds
    • Outline of flat neo-vascularization
    • Outline of lattice degeneration [inner ‘x’]
    • Outline of thin areas of retina
    • Intra-retinal cysts  [with overlying curvilinear stripes to
    show configuration]
    Cross hatched blue
     Inner layer of retinoschisis
     White with or without pressure
     Detached parsplana epithelium anterior to
    seperation of ora serrata
     Rolled edges of retinal tears [curved lines]
    Stippled blue
    • Cystoid degeneration

    Interrupted lines

    • Outline of change in area or folds of detached


    retina because of shifting fluid
    Green solid
    • Opacities in the media
    • Vitreous haemorrhage
    • Vitreous membranes
    • Hyaloid ring
    • IOFB
    • Retinal operculum
    • CW spots
    • Pearls of ora
    • Outline of elevated NV
    Green stippled
     Asteroid hyalosis
     Frosting or snowflakes on cystoid
    degenerations, retinoschisis,or lattice
    degeneration
    Hazy Media
    Asteroid hyalosis
    Solid brown
     Uveal tissue
     Pars plana cysts
     Ciliary processess
     Striae ciliaris
     Pigment beneath detached retina
     Outline of CRA beneath detached retina
     Pigment Epithelial Detachment
     Outline of posterior staphyloma        
     Malignant choroidal melanomas
     Edge of buckle beneath detached retina
     Choroidal detachment
    Solid yellow
    • Intraretinal  oedema
    • Intraretinal subretinal hard yellow exudate
    • Deposits in the RPE
    • Detached maculae in some retinal seperations
    • Post-PHC retinal edema
    • Long & short ciliary nerves
    Stippled Yellow
    • Drusen
    Black solid
    • Edge of buckle beneath attached retina
    • Outline of CRA
    • Hyperpigmentation as a result of previous t\t with Cryo\
    PHC\Diathermy
    • Naevi
    • Sheathed vessels
    • Pigment in choroid, or pigmented      epithelial
    hyperpigmentation   in areas of attached retina
    • Pigmented demarcation lines at attached margin of
    detached retina or within detached retina
    HST with
    bridging
    vessel

    Lattice with
    atrophic
    Retinal hole
    hole with
    operculum

    Retinal
    hole
    Lattice
    with
    HST

    Retinal thinning

    PSD
    Giant retinal
    layer with
    rolled edges
    Large
    hole with
    SRF

    Outer layer
    hole

    Retinoschisis
    Cystoid
    degeneration
    Inner layer
    hole
    Retinal Drawing in case of RD:
    Steps
    1. Draw the shape of the detachment accurately
    2. Bullous or shallow
    3. Status of Macula
    4. Demarcation line
    5. Identify and draw the holes
    6. Traction folds
    7. Retinal creases
    8. Fixed folds
    Thank you 

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