Opinion

Moneo writes: In the public interest of full disclosure

Moneo
The patient should be told how much of the retina has been viewed

I have just finished reading the Clinical Notes section of the College of Optometrists Winter In Focus. In Clinical Notes Dr Susan Blakeney, the College’s Clinical Adviser tackles the interesting question of how much of the retina is sufficient to view when examining a patient.

She talks about how nowadays it is commonplace to view the retina with a Volk lens but, interestingly she goes on to say: ‘I would now not want to be without a fundus camera in practice as it is an invaluable tool in helping to ascertain objectively whether the fundus has changed since previous visits.’ However, as she rightly points out, the fundus camera is actually a very limited device in that it only images a very small part of the fundus. She also comments that this is an argument made by people who use ultra widefield imaging.

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