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KMID : 1039620130030040415
Korean Journal of Family Practice
2013 Volume.3 No. 4 p.415 ~ p.421
Interpretation of Ophthalmoscopy
Bae Su-Hyun

Cho Be-long
Son Ki-Young
Han Min-Kyu
Kim Min-Kyu
Han Na-Rae
Lee Jung-Un
Lee Dong-Ryul
Lee Seung-Hwa
Lee Duck-Joo
Kim Kwang-Min
Abstract
With increasing life expectancy, the importance of managing complications of chronic disease is also increasing. Evaluation of the retina, choroid, and optic nerve using ophthalmoscopy allows observation of blood vessels and the optic disc directly, and is the only non-invasive test of its kind. Using this test, we can observe and follow-up on vascular complications caused by diabetes, hypertension, and other chronic diseases, and it can be performed in the cases of glaucoma, macular degeneration, or other visual fi eld defects that cause ocular disease that can be diagnosed at an early stage. Referral to a specialist is considered if the test results noted lesions of narrowing artery diameter or retinal vessel or retinochoroidal bleeding and exudation. Other cases which may warrant referral include retinal nerve fi ber layer defect, intraocular pressure (IOP) measured over 21 mm Hg or difference of IOP in both eyes over 5 mm Hg, or cup/disc (C/D) ratio measured over 0.6 or difference of C/D ratio in both eyes above 0.2. Acute glaucoma-associated symptoms such as headache or visual fi eld defect are also indications of referral to a specialist. If contrast enhanced computed tomography (CT) or endoscopy is performed on the same day with ophthalmoscopy, ophthalmoscopy should be conducted before CT or endoscopy.
KEYWORD
Ophthalmoscopy, Chronic Disease, Retinal Evaluation
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