In the second of his reviews of the new Heine Omega 600 headset binocular indirect ophthalmoscope, Bill Harvey describes three cases where it proved successful in a domiciliary setting, sometimes for novel reasons.
In a recent review of headset binocular indirect ophthalmoscopy (HBIO), I went through the several advantages offered by this technique. The increased working distance and dynamic positioning make examination of the very young easier than traditional direct ophthalmoscopy and slit-lamp based techniques. Similarly, elderly people with loss of media clarity might be better assessed, especially in the home environment where a slit-lamp evaluation is not easy.
In this short article, I highlight three recent cases where the new Heine Omega 600 headset allowed views that would otherwise have been challenging, if not impossible.
During a routine domiciliary assessment of the mother of six-month-old JB (figure 1a), she asked if it might be possible to have a quick look at the infant to check if all seemed well for his young age. Using dynamic retinoscopy (without cycloplegia), and extensive use of a small toy, a low (+1.00DS) hyperopic spherical correction was confirmed, along with equal pupils and red reflex.
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