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Fundus Exam Hat

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FUNDUS EXAMINATION

Sunpong Jiamsawad, MD
Ophthalmology department
Sungai-kolok hospital
Fundus
PARTS
Disc
Vessels
Macular
Background
Optic disc
 DISC: LOCATION
 Nasal to geometric axis
 DIAMETER : 1.5mm [1 disc diameter]
 COLOR – Pale pink
 SHAPE – Circular
 EDGES – Regular
 CUP
 C/D ratio : 0.3 – 0.5
Vessels
 RETINAL SYSTEM :
 Vessels in 4 quadrants
 Arteries narrower and
usually cross veins
 Number
 Straight or tortuous?
 Colour and width
 Points of crossing
Vessels
MACULA

Specialised region of retina


 Diameter – 5.5 mm
 Location – 2 DD - temporal margin of disc
 Color – Yellow; deep pigmented
4 zones :
 Fovea -1.50 mm
 Foveola -0.35 mm
Parafovea
Perifovea
Background
 Orange/red background comes
from
 Light directly reflected from
choroidal blood vessels.
 Light reflected from sclera and
transmitted through choroidal
blood vessels.
 Amount of light reflected
 Degree of pigmentation of retina.
 Degree of pigmentation of
choroid.
Optic disc anomaly
Vessels
Macular
Background
Quality of fundus photo
Post test
Quiz 1

A B C
Quiz 2: Which one is the abnormal
optic disc?

A B C
Quiz 3

A B C
Quiz 4

A B
Quiz 5

A B
Quiz 6
 When is the most appropriate time for screen DR ?
 Type 1 DM
 Type 2 DM
Quiz 7
Quiz 8
Quiz 9
Quiz 10
Quiz 11
Quiz 12
Quiz 13
Quiz 14
Quiz 15
Quiz 16
Quiz 17
Quiz 18
Quiz 19
Quiz 20

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