Forums » Open clinical » General clinical » Are you a good Fundoscopist?
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Are you a good Fundoscopist?
posted at 12/7/2012 11:00 PM BST
on bmj.com
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Posts: 279
First: 2/8/2010 Last: 5/6/2013 |
Alzheimer's disease ( AD ) is the most common cause of dementia.Over the last decades there has been a shift towards identifying early stages of AD which include mild cognetive disorders. Improved methods of screening and early detection are essential to identify cognitively normal individuals who have high risk of developing AD. It has been found that biomarkers which include retinal changes could be detected 25 years before development of structural changes in the brain that lead to development of cognitive changes in AD |
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Re: Are you a good Fundoscopist?
posted at 15/7/2012 3:04 PM BST
on bmj.com
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Posts: 461
First: 29/4/2011 Last: 31/5/2013 |
The problem that we have run into in diabetes is the quality of the fundoscopic examination in the primary care setting. While there is no question that a dilated pupil fundoscopic examination in the hands of an experienced physician is adequate and comparable to retinal photography read by an eye care specialist, such examinations are rare in primary care. Virtually all diabetes retinopathy screening guideline recommend either referral to an eye care specialist or retinal photographs. http://guideline.gov/syntheses/printView.aspx?id=23794 Certainly changes in visual acuity using Snellen charts should be part of primary care visits by the elderly. Whether or not they can play a role in fundoscopic screening is questionable. |
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Re: Are you a good Fundoscopist?
posted at 16/7/2012 4:54 PM BST
on bmj.com
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Posts: 279
First: 2/8/2010 Last: 5/6/2013 |
Early Ophthalmic changes in Alzheimer's disease include narrowing of the retinal veins Ref :- Invest. Ophthalmol. Vis. Sci. May 2007 vol. 48 no. 5 2285-2289  Retinal photographs of a control subject (left) and a patient with Alzheimer’s Disease (right). The retinal veins in the patient appear narrower than those in the control subject
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Re: Are you a good Fundoscopist?
posted at 28/7/2012 8:48 PM BST
on bmj.com
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Posts: 2
First: 25/1/2012 Last: 28/7/2012 |
Actually the proposed early signs of AD are 1.Aspecific and 2.To be put in differential diagnosis with other common conditions in the age classes when AD starts. Cognitive impairment is an earlier and better sign to be detected. This doesn't mean that we have to give up examining eye fundus in our patients, primarily for DM and hypertensive ones but not only. Let's remember that mydriatic drops (tropicamide 0.5 or 1%) are essential to be used for carrying out a proper examination.
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Forums » Open clinical » General clinical » Are you a good Fundoscopist?
