And we'll start with funduscopy using our ophthalmoscope. Now, the key to doing a good funduscopic exam is to have the pupils be dilated, so the best thing you should do, if possible, is to use dilating drops such as tropicamide 1% solution. Make sure the patient does not have glaucoma and make sure you don't need to look at the pupil size a little later in the day, because the eyes will stay dilated for at least several minutes to an hour. If you don't have access to dilating drops, then the best thing to do is to make the room a little darker and then have the patient look in the distance as far in the distance that he can within your room, that will enable the eyes to dilate somewhat.
-"Sir, could you please look off in the distance at the corner right there ?"
And I'm going to now turn my ophthalmoscope on.
-“And look over there.”
I keep the head steady with my hand I use my inner eye and I see the pupillary reflex from here, the red reflex, then come on in and check out the fundus.