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- Mar 8, 2008
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Hi,
im a first year ophthalmology resident and i'm having some doubts when ibspecting/visualizing the whole retina.
I'm confortable using the slit-lamp (usualy i use a 90D lens), the 3 mirror lens and the Indirect Microscope (with 2.2 lens).
My question is: when im inspecting a retina i can't ever be 100% sure i visualized the intire area. When using the 3 mirror lens i never know if i missed an (circunferenced) area between the 2 mirrors and whith the indirect ophthalmoscope i tend to ask te patient to look up, up and left, left, down and left, down, down and right, right, up and up and right; however i never know for sure if i missed an area between the lookin up and up and left or an area between the looking left and left and down, and so on.
Are there any anatomical landmarks u use to be certain you aren't "jumping" any of these areas?
Thanks alot
im a first year ophthalmology resident and i'm having some doubts when ibspecting/visualizing the whole retina.
I'm confortable using the slit-lamp (usualy i use a 90D lens), the 3 mirror lens and the Indirect Microscope (with 2.2 lens).
My question is: when im inspecting a retina i can't ever be 100% sure i visualized the intire area. When using the 3 mirror lens i never know if i missed an (circunferenced) area between the 2 mirrors and whith the indirect ophthalmoscope i tend to ask te patient to look up, up and left, left, down and left, down, down and right, right, up and up and right; however i never know for sure if i missed an area between the lookin up and up and left or an area between the looking left and left and down, and so on.
Are there any anatomical landmarks u use to be certain you aren't "jumping" any of these areas?
Thanks alot