u/rabies50

Hello all!

I would appreciate people’s thoughts.

How confident are you with your fundoscopy skills being reliable enough to rule out raised ICP in primary care? In more equivocal cases of course.

I have a panoptic ophthalmoscope and still struggle and therefore it is unreliable.

Had a case recently where was querying a blocked VP shunt, spoke to neurosurgery who said look at the discs otherwise patient needs to go ED for a shunt series.

I had to ultimately send the patient to ED as felt unsafe in my ophthalmoscope skills.

Just interested in where others stand? Bolam Testing and all. Thanks !