Panoptic versus conventional ophthalmoscope

McComiskie, Jayne E; Greer, Ristan M.; Gole, Glen A.

doi:10.1111/j.1442-9071.2004.00810.x

Cited by 23 publications

(32 citation statements)

References 13 publications

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“…23 In most institutions this is likely to be a time-and labour-intensive intervention, requiring access to specialist photographic equipment. Other interventions such as pan-optic ophthalmoscopes 10 and smartphone adaptors 11 have been proposed, but these are not yet common among most frontline clinicians and their educational benefit is still yet to be explored. Presently, we describe a teaching intervention that demonstrates an improvement in both confidence and objective performance amongst medical students performing direct ophthalmoscopy when compared with controls in a randomised trial.…”

Section: Improving Student Competence and Confidencementioning

confidence: 99%

“…Since then, medical students, junior doctors, and general practitioners have consistently reported low levels of confidence in ophthalmoscopy. [4][5][6][7][8] Although some parties have suggested that direct ophthalmoscopy might be replaced by ocular fundus photographs, 3,9 pan-optic ophthalmoscopes 2,10 or by smartphone technology, 11 the reality is that the conventional handheld direct ophthalmoscope remains the most readily accessible tool for fundoscopy to the majority of frontline clinicians. It can be used to quickly and effectively detect a number of lifethreatening and disabling diseases and so remains a diagnostic tool with which all graduating doctors should be familiar.…”

Section: Introductionmentioning

confidence: 99%

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Addressing the ‘forgotten art of fundoscopy’: evaluation of a novel teaching ophthalmoscope

Schulz

Moore

Hassan

et al. 2015

Eye

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Background Direct ophthalmoscopy is an essential skill that students struggle to learn. A novel 'teaching ophthalmoscope' has been developed that allows a third person to observe the user's view of the fundus. Objectives To evaluate the potential use of this device as an aid to learning, and as a tool for objective assessment of competence. Methods Participants were randomised to be taught fundoscopy either with a conventional direct ophthalmoscope (control) or with the teaching device (intervention). Following this teaching session, participant competence was assessed within two separate objective structured clinical examination (OSCE) stations: the first with the conventional ophthalmoscope and the second with the teaching device. Each station was marked by two independent masked examiners. Students were also asked to rate their own confidence in fundoscopy on a scale of 1-10. Scores of competence and confidence were compared between groups. The agreement between examiners was used as a marker for inter-rater reliability and compared between the two OSCE stations. Results Fifty-five medical students participated. The intervention group scored significantly better than controls on station 2 (19.8 vs 17.6; P = 0.01). They reported significantly greater levels of confidence in fundoscopy (7.3 vs 4.9; Po0.001). Independent examiner scores showed significantly improved agreement when using the teaching device during assessment of competence, compared to the conventional ophthalmoscope (r = 0.90 vs 0.67; Po0.001). Conclusion The teaching ophthalmoscope is associated with improved confidence and objective measures of competence, when compared with a conventional direct ophthalmoscope. Used to assess competence,

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Section: Improving Student Competence and Confidencementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Addressing the ‘forgotten art of fundoscopy’: evaluation of a novel teaching ophthalmoscope

Schulz

Moore

Hassan

et al. 2015

Eye

View full text Add to dashboard Cite

show abstract

“…Abordando de maneira mais direta, somente há o trabalho de Mc Comiskie et al em 2004 e outro trabalho de Gill et al também de 2004 como técnica de "screening" para detecção de retinopatia diabética (4,5) . Desde então, é pouco conhecida a diferença técnica entre os dois tipos de oftalmoscópios .…”

Section: Introductionunclassified

Ensino de oftalmologia na graduação médica: Estudo comparativo de aprendizado na oftalmoscopia direta com oftalmoscópio convencional e de campo amplo (Panoptic)

Damasceno¹,

Damasceno²,

Filho³

2009

Rev. bras.oftalmol.

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“…6 The PanOptic Ophthalmoscope is easier to use than the direct ophthalmoscope. Our first experience with fundus photography was to secure a customized smartphone holder to use with the PanOptic, along with the Welch Allyn iExaminer Pro app.…”

mentioning

confidence: 99%

Opinion and Special Articles: Amateur fundus photography with various new devices

et al. 2018

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Times are changing in the way we secure and share patient fundus photographs to enhance our diagnostic skills in neurology. At the recent American Academy of Neurology meeting, the use of a fundus camera and smartphones to secure good-quality fundus photographs of patients presenting with headache to the emergency department (ED) was presented. We were enthusiastic to replicate the success of the Fundus Photography vs Ophthalmoscopy Trial Outcomes in the Emergency Department (FOTO-ED) study in our neurology department, but encountered problems in terms of cost, setup, feasibility, and portability of the device. As neurology residents, we came up with 3 easier options. We present these 3 options as our personal experience, and hope to reignite enthusiasm among neurology trainees to find their own means of performing ophthalmoscopy routinely in the hospital, as it appears that the Internet market is now thriving with many other devices to make this examination easier and more rewarding. Of the options explored above, the Handheld Fundus Camera was a clear favorite among the residents, and we have placed one in our call room for routine use. It travels to the clinic, floor, intensive care unit, and ED when needed. It has enhanced the way we approach the fundus examination and been a fun skill to acquire. We look forward to further advances that will make it possible to carry such a device in a physician's pocket.

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Panoptic versus conventional ophthalmoscope

Abstract: Medical students found the PO much easier to use, with accuracy of rating the VCDR similar to the CO. This comparison would support the wider use of the PO amongst medical students, general practitioners and other primary care providers.

Cited by 23 publications

References 13 publications

Addressing the ‘forgotten art of fundoscopy’: evaluation of a novel teaching ophthalmoscope

Addressing the ‘forgotten art of fundoscopy’: evaluation of a novel teaching ophthalmoscope

Ensino de oftalmologia na graduação médica: Estudo comparativo de aprendizado na oftalmoscopia direta com oftalmoscópio convencional e de campo amplo (Panoptic)

Opinion and Special Articles: Amateur fundus photography with various new devices

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