However, early detection of keratoconus is the most vital reason for practitioners to re-arm themselves with their trusty retinoscopes
Alongside scissoring of retinoscopy reflex and 'oil-drop' effect when the red reflex of the fundus is viewed either with an ophthalmoscope or retinoscope
, careful attention must be paid to the pattern of refractive changes in children.
At the time in the UK I was working in a well-equipped practice near London, and my retinoscope
and ophthalmoscope were merely 'display items' in the corner of my consulting room.
Attending the OSCE, the pre-reg is required to bring their retinoscope
and ophthalmoscope, even though they may not use them.
Therefore, it is imperative that the pre-reg is confident in using their retinoscope
to obtain a refraction base, before moving on to subjective retraction to fine-tune and obtain the final spectacle prescription.
(4) In this case, the stimulus is the dimmed light source of the retinoscope
in a darkened room.
Begin with the retinoscope
alongside the target, with the child telling you about the picture (or with the parent pointing to the picture to hold attention).