Ophthalmoscope

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jjmcentee@hotma

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Just about ready to purchase an Ophthalmoscope, MS1 and plan on a future in Ophthamology.

Can you recommend a model/brand.

I think I am going to go with the panoptic set, are there an disadvantages to this set over the basic Welch Alyn?

Looking for opinions.
 
jjmcentee@hotma said:
Just about ready to purchase an Ophthalmoscope, MS1 and plan on a future in Ophthamology.

Can you recommend a model/brand.

I think I am going to go with the panoptic set, are there an disadvantages to this set over the basic Welch Alyn?

Looking for opinions.

If you're planning a career in ophthalmology, I would recommend that you get the Welch Allyn scope.

1. The five (5) degree spot is an excellent way to roughly determine whether you have a large or small optic nerve.

2. In practically all emergency rooms and other hospital facilities, the Welch Allyn is pretty much the standard.

3. I think the Panoptic would more likely be something for someone who occasionally sees the fundus. As an ophthalmologist, you are expected to see the fundus well.

4. The prevalence of the non contact funduscopy and the slit lamp makes purchasing the Panoptic somewhat moot, I think.

IMHO of course,
Richard Hom OD FAAO
 
jjmcentee@hotma said:
Just about ready to purchase an Ophthalmoscope, MS1 and plan on a future in Ophthamology.

Can you recommend a model/brand.

I think I am going to go with the panoptic set, are there an disadvantages to this set over the basic Welch Alyn?

Looking for opinions.


I recommend Welch-Allyn, and not because their direct ophthalmoscope is better than Heine or Propper or others; it isn't. But their handles and power supplies are ubiquitous, and parts and supplies are cheaper than for other brands and they make just about the best retinoscope you can buy. If you buy a retinoscope as an ophthalmology resident, you will already have a handle and charger that is compatible. It is also good that W-A stuff is tough as nails, and IMHO a little more durable than other brands, particularly the handles. Don't buy the 2,5v sets, though.

You won't use a direct ophthalmoscope much once you go into ophthalmology. Indirect ophthalmoscopy (headlamp) and slit-lamp indirect technique is the favored exam method in the specialty. Unless you do a clerkship in ophtho or with a very progressive neurology service, you aren't likely to learn to use the indirect until residency. The new 5x direct ophthalmoscope is likewise not going to get much use if you go into ophthalmology. I suggest sticking with the basic coaxial model.

One nice little extra to get is a Finhoff transilluminator and the little cobalt filter that can slide onto the tip. That setup is handy for fluorescein stain examinations.

I would not overspend on LiIon battery upgrades for the handle, unless that is the only available type of rechargable battery; the NiMH is adequate.

You might approach a radiology resident or path resident and ask whether they would want to unload their diagnostic set. They never use them, and they probably would sell them for a lot less than new.
 
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