FINDINGS: Optic nerve ONH

1
FINDINGS Optic nerve (ONH)

• C/D horizontal/vertical
• I.e. 0.3/0.3
• Depth 3DD 1mm
• flat
• shallow
• moderate
• deep

cup
disc
2
FINDINGS Optic nerve (ONH)

• Color
• normal pink
• abnormal pale
• Margins
• normal distinct
• abnormal
• blurry or indistinct
• peripapillary change
• crescent (scleral/choroidal)
• atrophy
• pigment (RPE)

3
FINDINGS ArteriesVeins (A/V)

• Check after 1st bifurcation
• ratio of artery to vein
• normal 2/3 or 3/4
• Abnormal 1/4 or 1/2

4
FINDINGS Arteries Veins (A/V)

• A/V Changes
• crossing changes
• attenuation or tortuous
• dilated
• tapering
• beading or nicking

nicking
5
FINDINGS Peripheral fundus

• VARIATIONS
• Common
• Dense even pigment
• Dark
• dark coloration
• Tigroid
• pigment variation
• Blond
• very little pigment

6

• Normal Abnormal
• (h/v) range from 0--1
• note Depth flat/shallow/moderate/deep
• Pink Pale
• Distinct Indistinct(Blurry)
• Note cresent scleral/choroidal/pigment
• () (-)
• Flat/uniformly pig elevated/mottled/depo
  sits
• () (-)
• 1/2 (3/4 or 2/3)
• note changes nick/attenuation

C/D neural retinal rim color
margin SVP Macula FLR A/V Vitreous Perip
hery
7

• Normal Abnormal
• () (-)
• Pink Pale
• Distinct Indistinct(Blurry)
• Flat/uniformly pig elevated(fluid)/mottl
  ed
• () (-)
• 1/2 (3/4 or 2/3)
• note changes nick/attenuation
• clear cells/PVD

SVP neural retinal rim color
margin Macula FLR A/V Vitreous Periphery