Nonmydriatic retinal photography in the evaluation of acute neurologic conditions

• Type of Material: Article
• Authors: Samuel Bidot, Emory University; Beau Benjamin Bruce, Emory University; Nancy Newman, Emory University; Valerie Biousse, Emory University
• Language: English
• Date: 2013-12
• Publisher: American Academy of Neurology (AAN)
• Publication Version: Final Published Version
• Copyright Statement: © 2013 American Academy of Neurology
• Final Published Version (URL): http://dx.doi.org/10.1212/01.CPJ.0000437089.75536.fd
• Title of Journal or Parent Work: Neurology: Clinical Practice
• ISSN: 2163-0402
• Volume: 3
• Issue: 6
• Start Page: 527
• End Page: 531
• Grant/Funding Information: V. Biousse serves on the editorial boards of the American Journal of Ophthalmology and the Journal of Neuro-ophthalmology; receives publishing royalties for Walsh and Hoyt’s Clinical Neuro-Ophthalmology (Williams and Wilkins) and Neuro-Ophthalmology Illustrated (Thieme); and receives research support from Anabasis and Research to Prevent Blindness.; Supported in part by an unrestricted departmental grant (Department of Ophthalmology) from Research to Prevent Blindness, Inc., New York, and by NIH/NEI core grant P30-EY06360 (Department of Ophthalmology).; N. Newman serves as an associate editor for the Journal of Neuro-Ophthalmology, on the editorial board of the Journal of the Neurological Sciences, and as executive editor of the American Journal of Ophthalmology; receives publishing royalties for NeuroOphthalmology Illustrated (Thieme, 2009), Walsh & Hoyt’s Clinical Neuro-Ophthalmology The Essentials, 1st and 2nd editions (Lippincott Williams & Wilkins, 1999, 2008), Walsh & Hoyt’s Clinical NeuroOphthalmology, 5th and 6th editions (Lippincott Williams & Wilkins, 1998, 2005), and Blue Books of Neurology: Neuro-Ophthalmology (Butterworth Heinemann Elsevier, 2008); serves as a consultant for Santhera Pharma, Trius Pharma, and Anabasis; received the Research to Prevent Blindness Lew R. Wasserman Merit Award; and has provided expert testimony on the topic of papilledema.; S. Bidot receives research support from Berthe Fouassier’s Foundation (Paris, France) and Philippe Foundation (New York, NY).; B. Bruce serves as a consultant for Kaiser Permanente of Georgia for the CDC Vaccine Safety Datalink; receives research support from Teva Pharmaceuticals, Pfizer, Novartis, and the NIH; and was a recipient of the Practice Research Fellowship.
• Research Categories: Health Sciences, Opthamology; Biology, Neuroscience

Abstract

Ocular fundus examination is a fundamental component of the neurologic examination. Finding papilledema in headache patients or retinal arterial emboli in stroke patients can be extremely useful. Although examination of the ocular fundus with a direct ophthalmoscope is an important skill for all neurologists, it is rarely and unreliably performed. Nonmydriatic ocular fundus photography, which allows direct visualization of high-quality photographs of the ocular fundus, has been recently proposed for screening neurologic patients in urgent care settings such as emergency departments. This new technology has many potential applications in neurology, including e-transmission of images for remote interpretation.