Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Natl Med J India. 2023 Sep-Oct;36(5):291-294. doi: 10.25259/NMJI_208_21.
Background Fundus examination is an integral part of the clinical evaluation of patients with medical emergencies. It is done at the bedside using a portable direct ophthalmoscope. Smartphone fundus photography (SFP) is a novel technique of retinal imaging. We evaluated the use of SFP by a physician in medical emergencies and compared it with direct ophthalmoscopy (DO) findings of the ophthalmologist. Methods We did a prospective study on patients admitted with medical emergencies with an indication for fundus examination. The SFP was done by the physician, and its findings were noted. These were compared with the DO findings of the ophthalmologist. Results Of the 182 patients studied, 111 (61%) had fundus findings by SFP and 95 (52.5%) by DO. Papilloedema (21.4%), haemorrhages (20%) and Roth spots (12.5%) were most common. DO missed early papilloedema and findings in the peripheral retina. Conclusions SFP is as effective as DO, in detecting retinal findings in patients with medical emergencies and can be performed at the bedside by the physician.
眼底检查是对急诊患者进行临床评估的重要组成部分。它在床边使用便携式直接检眼镜进行。智能手机眼底摄影（SFP）是一种新颖的视网膜成像技术。我们评估了医生在急诊中的 SFP 使用情况，并将其与眼科医生的直接检眼镜（DO）检查结果进行了比较。
我们对有眼底检查指征的急诊入院患者进行了前瞻性研究。由医生进行 SFP，并记录其检查结果。这些结果与眼科医生的 DO 检查结果进行了比较。
在研究的 182 名患者中，有 111 名（61%）通过 SFP 发现眼底病变，有 95 名（52.5%）通过 DO 发现眼底病变。视乳头水肿（21.4%）、出血（20%）和 Roth 斑（12.5%）最常见。DO 错过了早期视乳头水肿和周边视网膜的病变。
SFP 在检测急诊患者的视网膜病变方面与 DO 一样有效，并且可以由医生在床边进行。
