Fundoscopic Findings


Findings in visual / eye emergencies on fundoscopic exam 

By Valeria Chew 



Optic disc - look for swelling, cupping 

Retina - hemorrhage, pallor, detachment 

Surrounding vessels - nicking, hemorrhage 






  • Associated with increased ICP 

  • Optic disc looks swollen, pale 



Central Retinal Artery Occlusion 

  • Sudden, painless vision loss 

  • Retinal edema, “cherry red spot” 



Central Retinal Vein Occlusion 

  • Sudden, painless vision loss 

  • “Blood and thunder” dilation and tortuosity of vessels, blurring of optic disc 




Retinal Detachment 

  • Associated with vision loss / flashers  

  • Main finding: loss of a lot of landmarks, retina looks lifted/pale 

  • Urgent opthal consult needed!