Is pupil dilation required for fundus photography?

Feb 27, 2023 Source: Cainiu Health
Dr. Cui Xin
Introduction
In clinical practice, fundus photography can be performed with or without pupil dilation. Dilation involves using medication to enlarge the pupil, allowing a clearer view of the fundus. However, in cases of cataract, glaucoma, or pupillary adhesion, dilation is usually not required, as it may lead to increased intraocular pressure and subsequent optic nerve atrophy. In children with relatively transparent lenses who are suspected of having fundus abnormalities, dilation is typically recommended to prevent missed diagnoses.

Whether pupil dilation is needed for fundus photography depends on individual circumstances.

Fundus photography is a method of examining and recording the structural condition of the retina using a fundus camera. Clinically, there are two types: dilated and non-dilated fundus photography. Dilation involves using medication to enlarge the pupil, allowing a clearer view of the fundus. However, in cases of cataracts, glaucoma, or pupillary adhesions, dilation is generally not recommended, as it may increase intraocular pressure and lead to optic nerve atrophy. On the other hand, if a child has a clear lens and signs of retinal abnormalities are observed, dilation is usually necessary to prevent missed diagnoses.

After dilation, a recovery period is required, during which excessive eye use should be avoided.