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Dilated fundus examination

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Title: Dilated fundus examination  
Author: World Heritage Encyclopedia
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Subject: DFE, Pupillary response, Visual impairment due to intracranial pressure, Ishihara test, Punctoplasty
Collection: Eye Procedures
Publisher: World Heritage Encyclopedia

Dilated fundus examination

Dilated fundus examination or dilated-pupil fundus examination (DFE) is a diagnostic procedure that employs the use of mydriatic eye drops (such as tropicamide) to dilate or enlarge the pupil in order to obtain a better view of the fundus of the eye.[1] Once the pupil is dilated, examiners use ophthalmoscopy (funduscopy) to view the eye's interior, allowing assessment of the retina, optic nerve head, blood vessels, and other features. They also often use specialized equipment such as a fundus camera. DFE has been found to be a more effective method for evaluation of internal ocular health than non-dilated examination.[2] It is frequently performed by ophthalmologists and optometrists as part of an eye examination.

Terms such as dilated fundus examination, dilated examination, and dilated patient are, sensu stricto, misnomers, because the participial adjective (dilated or undilated) is not meant to modify the following noun but rather the unexpressed noun "pupil". Expressing dilated-pupil + [noun] is a usage nicety in careful writing, although most physicians do not bother, as the meaning is clear to them regardless.


  1. ^ Exam Information
  2. ^ Parisi, ML; Scheiman, M; Coulter, RS (1996). "Comparison of the effectiveness of a nondilated versus dilated fundus examination in the pediatric population". Journal of the American Optometric Association 67 (5): 266–72.  

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