Risks of Handheld Fundus Cameras: Eye Examination Concerns - Ophthalmology

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Handheld fundus camera: Side effects of fundus examination?


Hello, Dr.
Gao.
When I went to the optical shop to get my lenses, the optometrist provided a free handheld fundus camera for a retinal examination.
They mentioned that they would provide the data for confirmation by an ophthalmologist later.
However, while using the handheld fundus camera, I had to repeat the photos for both eyes 4 to 5 times because the images were not clear enough.
Each time, I spent several minutes looking at the red dot on the black screen (which I assume was for focusing) before taking the photo (which involved a very bright flash of white light).
The entire process took about 30 minutes.
After returning home, my eyes did not feel particularly uncomfortable, but I checked the manual for the handheld fundus camera, which mentioned that there is a risk of damaging the retina during the imaging process.
I am concerned whether the multiple exposures within that half hour could pose a risk to my eyes.
Thank you, Dr.
Gao!

Johnny, 40~49 year old female. Ask Date: 2024/07/29

Dr. Gao Pilin reply Ophthalmology


Hello: A handheld fundus camera does use flashes to capture retinal images during a fundus examination.
Generally, this method of examination is considered safe.
Although the instructions mention a risk of retinal damage, this typically refers to prolonged, frequent, and high-intensity exposure.
Within normal medical practices and safety limits, this risk is very low.
You mentioned that each eye was photographed 4 to 5 times, and the entire process lasted about 30 minutes.
While this examination took longer than usual, if you did not experience any significant discomfort during the imaging process and have not had any uncomfortable symptoms after returning home, the likelihood of retinal damage is very low.
The retina has a certain tolerance for brief flashes, and occasional multiple exposures are unlikely to cause long-term harm to the eyes.
However, if you still feel concerned or experience any unusual symptoms, such as blurred vision, eye pain, or other discomfort, it is advisable to see an ophthalmologist as soon as possible to ensure the health of your eyes.
Wishing you good health.

Reply Date: 2024/07/29

More Info


The use of handheld fundus cameras for eye examinations has become increasingly common due to their convenience and ability to provide quick assessments of the retina. However, concerns about potential risks, particularly to the retina, are valid and deserve careful consideration.

Firstly, it is important to understand how handheld fundus cameras work. These devices utilize a bright flash of light to capture images of the retina, which is the light-sensitive layer at the back of the eye. The process typically involves focusing on a specific point in the eye, which can require multiple attempts to obtain a clear image, as you experienced during your examination. While the bright flash may cause temporary discomfort or glare, it is generally safe when used correctly.

Regarding the specific concerns you raised about the risk of retinal damage from repeated exposures during your examination, it is crucial to note that the risk of significant harm is quite low under normal circumstances. The mention of potential retinal damage in the device's manual usually pertains to extreme cases, such as prolonged exposure or improper use of the device. In a clinical setting, trained professionals follow safety protocols to minimize risks.

The retina has a certain degree of resilience to brief flashes of light. Occasional exposure, even if repeated several times, is unlikely to cause lasting damage, especially if you did not experience any immediate discomfort or visual disturbances during or after the examination. The fact that you felt fine afterward is a reassuring sign that your eyes likely tolerated the procedure well.

However, it is essential to remain vigilant about your eye health, particularly if you have pre-existing conditions such as high myopia or other retinal issues. If you notice any unusual symptoms following the examination, such as blurred vision, flashes of light, or an increase in floaters, it would be wise to consult an eye care professional promptly. Regular eye examinations are crucial for monitoring any changes in your vision or retinal health, especially if you have risk factors that could predispose you to retinal problems.

In summary, while there is a theoretical risk of retinal damage associated with the use of handheld fundus cameras, the actual risk during a standard examination is minimal, especially when performed by trained personnel. Your experience of multiple exposures during the examination, while lengthy, is unlikely to have caused harm, particularly since you did not experience any discomfort. Nonetheless, maintaining regular check-ups with your eye care provider is essential for ongoing monitoring of your eye health. If you have any lingering concerns, do not hesitate to reach out to your eye doctor for further reassurance and guidance.

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