Feasibility of nonmydriatic ocular fundus photography in the emergency department: Phase I of the FOTO-ED study.

ABSTRACT:

Objectives

Examination of the ocular fundus is imperative in many acute medical and neurologic conditions, but direct ophthalmoscopy by nonophthalmologists is underutilized, poorly performed, and difficult without pharmacologic pupillary dilation. The objective was to examine the feasibility of nonmydriatic fundus photography as a clinical alternative to direct ophthalmoscopy by emergency physicians (EPs).

Methods

Adult patients presenting to the emergency department (ED) with headache, acute focal neurologic deficit, diastolic blood pressure ≥ 120 mm Hg, or acute visual change had ocular fundus photographs taken by nurse practitioners using a nonmydriatic fundus camera. Photographs were reviewed by a neuroophthalmologist within 24 hours for findings relevant to acute ED pat

SUBMITTER: Bruce BB 

PROVIDER: S-EPMC3172688 | biostudies-literature | 2011 Sep

REPOSITORIES: biostudies-literature