Overview

Anterior Segment Photography is a diagnostic procedure used to capture detailed images of the cornea, iris, and lens. It is essential for documentation and monitoring of anterior segment diseases.

Anterior segment photography is crucial for diagnosing and monitoring corneal diseases, iris abnormalities, and lens opacities. It provides a permanent record for comparison over time.

Learn more in our comprehensive RxDx Ophthalmology Course

Indications

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Corneal Disease

Documentation and monitoring

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Iris Abnormalities

Assessment and follow-up

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Lens Opacities

Cataract documentation

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Pre- and Post-Surgical Assessment

Surgical planning and follow-up

✓
Trauma

Documentation of injuries

Contraindications

Absolute Contraindications

✗ Patient refusal

Relative Contraindications

✗ Severe photophobia
✗ Recent eye surgery

📋 Equipment Checklist

Check off items as you gather them:

Pre-procedure Preparation

Preparation includes explaining the procedure to patient, ensuring proper positioning, and calibrating the camera.

Step-by-Step Procedure

Step 1: Patient Preparation

Explain procedure, position patient, calibrate camera.

⚠️ Common Mistakes to Avoid:

  • Inadequate explanation
  • Poor positioning

💡 Pro Tip:

Explain that the flash may be bright.

Step 2: Image Acquisition

Capture images of cornea, iris, lens.

⚠️ Common Mistakes to Avoid:

  • Poor focus
  • Missed areas

💡 Pro Tip:

Take multiple images for coverage.

Step 3: Image Review

Review images for quality and completeness.

⚠️ Common Mistakes to Avoid:

  • Poor review

💡 Pro Tip:

Repeat if needed.

Step 4: Documentation

Document findings and compare with previous.

⚠️ Common Mistakes to Avoid:

  • Poor documentation

💡 Pro Tip:

Always compare with previous images.

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Post-procedure Care

Post-procedure care involves reviewing images, documenting findings, and comparing with previous photographs.

Complications & Management

Complication Incidence Signs Management Prevention
Patient discomfort Common Photophobia Reassurance Gentle approach
Incomplete images 5-10% Missed areas Repeat imaging Systematic approach

Clinical Pearls

💡

Explain that the flash may be bright.

🎯

Take multiple images for coverage.

📊

Always compare with previous images.

⚠️

Document all findings carefully.