BIO procedure in practicing ODs

[Retinopathy]

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A few questions about BIO and you!

(1) How often do you perform BIO on your patients? (routinely, when your patient presents with retinal disease, whenever you have time, not at all?....)

(2) Do you perform BIO with the patient sitting upright in the chair or do you have the patient laying down on the chair?

(3) What type of BIO do you use? (Brand name, wired, wireless, spec mount, incandescent light or LED?)

(4) What are the pros and cons about your BIO?

(5) What power condensing lens do you use? If you use something other than 20D, why?

 

[eyestrain]

1) On "routine" patients - generally the first time I see them and then every other year or so after that. For disease patients - as necessary.

2) Upright

3) Welch Allyn, wireless, incandescent

4) pros: cheap cons: no clue, it's a BIO there's not that much difference

5) 20D just because that's how I've always done it. I've used 28D (i think) at an office before. I didn't like it.

As an aside, I'm becoming more and more of a fan of using my 90 at the slit lamp to do peripheral retina exams. Especially on those patients who I'm not dilating. Even with pretty small pupils you get way the hell out there with a 90D. I probably pick up more lattice and retinal hole type stuff with my 90 than I do with my BIO. Maybe I just suck at BIO.

 

[JMU07]

They taught us lying down but I (and most of my staff docs) prefer doing it sitting up. Some patients can't be laid back, some patients freak out about it, etc. It's just easier not to recline them in my opinion.

I've also started trying the 90 D for a peripheral exam. It takes some work at first, I wouldn't say I'm good at it yet by any means but it's very useful.

 

[Meibomian SxN]

A few questions about BIO and you!

(1) How often do you perform BIO on your patients? (routinely, when your patient presents with retinal disease, whenever you have time, not at all?....)

(2) Do you perform BIO with the patient sitting upright in the chair or do you have the patient laying down on the chair?

(3) What type of BIO do you use? (Brand name, wired, wireless, spec mount, incandescent light or LED?)

(4) What are the pros and cons about your BIO?

(5) What power condensing lens do you use? If you use something other than 20D, why?

1) Depends. Mostly on high myopes but sometimes on average patients also.
2) Sitting up.
3) Any brand, you'll get used to whatever brand you're using on a daily.
4) Some are brighter than others.
5) Pan Retinal, so that I can see more. If I need to examine a specific area in detail I go to the slitlamp with a Super 66.

 

[blazenmadison]

(1)BIO definitely on retinal disease/flashes/floaters. Peripheral 90D on all patients. I use a digital wide field 90D. Like the poster above, sometimes I see more with the 90D than BIO. One of my preceptors during optometry school did not perform BIO at all.
(2) Upright.
(3) Keeler Wireless
(4) Pros: wireless Con: expensive, heavy
(5) 20D

 

[362.04]

(1) How often do you perform BIO on your patients? (routinely, when your patient presents with retinal disease, whenever you have time, not at all?....)

I perform BIO on almost 90% of my patients and every day.

(2) Do you perform BIO with the patient sitting upright in the chair or do you have the patient laying down on the chair?

I think it depends upon the complaint. Most of the time, I have the patient either sitting on a waiting room chair rather than the examination chair because I can get a better range of views with that procedure.

(3) What type of BIO do you use? (Brand name, wired, wireless, spec mount, incandescent light or LED?)

. I have used many. In my opinion, the kind should not be of major significance. If you decide to practice in several settings upon graduation, it is imperative that you adopt a flexible and adaptable attitude in order to be comfortable doing BIO. Personally, i routinely use the Keeler and the Welch Allyn because that is what the clinics have.

(4) What are the pros and cons about your BIO?

. I like the Keeler portable wireless a lot. I'm starting to think that the wireless is much nicer than a tethered one. However, it is still a bit too heavy when you're doing it for 8+ hours.

(5) What power condensing lens do you use? If you use something other than 20D, why?

Typically, I still use the 20D on every patient. On half of the patients, I will use the 14D. To me, if I can get a good 14D view, I might not use a 90D examination. One of the advantages of a BIO 14D view over a 90D slit lamp examination is the control of the lids. It is much easier with the BIO.

 

[southwesternOD]

I use BIO on every comprehensive exam and on follow-ups if there are symptoms suggestive of retinal disease. I perform BIO standing and move patients head and chair for best view. I use a Keeler, which I like. I use a 20D- havent been comfortable with other powers.