- © 2008 Canadian Medical Association or its licensors
With the retinal photograph on the cover of a recent issue of CMAJ (May 20) you missed a superb opportunity to point out the many abnormal features in this image and to educate physicians on the value of a careful examination of the eye. One of my retirement projects has been to tidy up my teaching slides and to share them with whoever might be interested. I have been especially interested in sharing my love of the ophthalmoscope, the only device that allows you to actually see nerves and blood vessels. The cover photograph shows florid papilledema, marked vasospasm with an artery to vein ratio of about 1/5 as opposed to the normal 2/3. There are a few fluffy white exudates, a few tiny hemorrhages and maybe a little venous nicking at 7 o'clock.
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Competing interests: None declared.