Gurney Sam P, Makanjuola Taiwo, Kutubi Muhammad, Parulekar Manoj, Abbott Joseph
Department of Paediatric Ophthalmology, Birmingham Children's Hospital, Birmingham, UK.
Department of Ophthalmology, John Radcliffe Hospital, Oxford, UK.
Arch Dis Child Educ Pract Ed. 2018 Apr;103(2):102-109. doi: 10.1136/archdischild-2016-312378. Epub 2017 Sep 21.
Ophthalmoscopy and red reflex examination are core medical skills required to identify sight-threatening and life-threatening disease. We discuss the predictive utility and limitations of findings with an ophthalmoscope and tips as to how to optimise these. We outline important considerations in three clinical scenarios: an abnormal red reflex, an abnormal optic disc and retinal haemorrhages in the context of child protection concerns.
检眼镜检查和红光反射检查是识别威胁视力和生命的疾病所需的核心医学技能。我们讨论了检眼镜检查结果的预测效用和局限性,以及如何优化这些检查的技巧。我们概述了三种临床情况中的重要注意事项:异常红光反射、异常视盘以及在儿童保护问题背景下的视网膜出血。