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Comparison of the effectiveness of a nondilated versus dilated fundus examination in the pediatric population
M L Parisi1, M Scheiman, R S Coulter
1Pennsylvania College of Optometry, Philadelphia, 19141, USA.
Insights
A dilated fundus examination is more effective for pediatric eye health evaluations than a nondilated exam. Dilation detected numerous posterior pole and peripheral anomalies missed by nondilated methods.
Area of Science:
- Ophthalmology
- Pediatric Optometry
Background:
- A study compared the clinical effectiveness of nondilated versus dilated fundus examinations.
- Assessing intraocular health in pediatric patients is crucial for early detection of anomalies.
Purpose of the Study:
- To evaluate the diagnostic yield of dilated fundus examinations compared to nondilated examinations in children.
- To determine if pupillary dilation improves the detection of posterior pole and peripheral anomalies in pediatric patients.
Main Methods:
- Ninety pediatric patients aged 5–16 years were enrolled.
- Ophthalmoscopy was performed before and after pupillary dilation.
- Both direct and binocular indirect ophthalmoscopy were utilized post-dilation.
Main Results:
- Nondilated exams missed 30 posterior pole anomalies in 23 patients (25.5%).
- Nondilated exams missed 69 peripheral anomalies in 46 patients (51%).
- Dilated examinations significantly increased the detection rate of intraocular anomalies.
Conclusions:
- Dilated fundus examination is a more effective method for assessing pediatric intraocular health.
- Pupillary dilation is essential for comprehensive eye evaluations in children.
- Routine dilated fundus examinations are recommended for pediatric patients to ensure thorough ocular health assessment.
Background:
A study was performed to compare the clinical effectiveness of a nondilated fundus examination to a dilated fundus examination.
Methods:
The population consisted of 90 pediatric patients aged 5 to 16 years. Subjects were randomly selected from patients presenting for a routine eye examination at the Eye Institute of the Pennsylvania College of Optometry. Direct ophthalmoscopy was performed on the subjects before pupillary dilation while direct and binocular indirect ophthalmoscopy were performed post-dilation.
Results:
Twenty-three patients (25.5 percent) had one or more posterior pole anomalies not detected by the nondilated pupil examination. A total of 30 posterior pole anomalies were not detected by the nondilated pupil examination. Forty-six patients (51 percent) had one or more peripheral anomalies not detected by the nondilated pupil examination. Sixty-nine total peripheral anomalies were not detected by the nondilated pupil examination.
Conclusions:
A dilated fundus examination provides a more effective clinical method for evaluating intraocular health in a pediatric population.