The “Fundoscopy Conspiracy”: My L.I.G.H.T. system to Actually See the Retina
- The Review Course in Family Medicine
- 2 hours ago
- 3 min read
"I HAD NO IDEA that switch existed!"
Watch the video here
For years, I hated fundoscopy. It seems I'm not the only one.
It was uncomfortable for the patient. Frustrating for me. And despite being taught repeatedly how to use a direct ophthalmoscope, I still felt like I could barely see anything useful.
Then I realized something important:
We’ve been taught fundoscopy the wrong way.
After years of trial and error, I've been teaching my residents the 5-step fundoscopy system that completely changed how I examine eyes.
Since using it, I’ve consistently been able to visualize the retina — and one time, it helped me catch a life-threatening diagnosis.
A patient later came back to my clinic and said:
“You saved my life.”
I replied, "no, the neurosurgeon did."
But he was still grateful I picked up his papilledema and sent him to ER!
You can do it too.
I've now put the complete system for free in a video.
Even though I've been posting clincial videos online for over a decade now, I've never had so many colleagues approach me in clinic about a video until this one.
"I HAD NO IDEA that switch existed!"
I want to teach you the exact system I use every day.
The mnemonic is simple:
LIGHTS
Because sometimes the biggest problem with fundoscopy… is that nobody ever showed us how to turn the lights on properly.
Watch the video here
L = Lights Off
I = Instruct
G = Glare Reduction
H = Head to Head
T = Target
LIGHTS.
Try it on your next patient.
You may be surprised what you finally start seeing.
Watch the video here
Want to stop sweating when you have a patient with red eye?
Your next patient has a painful red eye. How would you like to be able to confidently tell them if it is Blinding... Or Benign?
I have 4 spaces remaining in my newest deep dive mini course: Red Eye Demystified: The Mini Course (Beta version)
After giving a red eye lecture to thousands of residents, NPs, and family doctors, I kept hearing one thing over and over:
"That was great! I'd love a more in-depth version!!"
So, Im finally making what I keep getting asked for!
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WHAT: Red eye mini course (Beta version)
FORMAT: Four informal live zoom, small group discussions, 45 minutes each
FORMAL AND PRETENTIOUS? Hell no. think of it like:
we are meeting at lunch in clinic,
you brought me a case,
and we have a fun chat where I show you my approach.
GOAL: at the end, you'll be excited you see red eyes in clinic
CAPACITY: I want to have lots of discussion so
a) this version will have a limited capacity
b) please only sign up if you'll unmute and talk and give me feedback
COST: $75, includes all 4 sessions - this one's a beta so I'm charging less and will be asking for your feedback!
DATES: All times 12pm Pacific / 3pm Eastern
1. Fri Jun 5 - Session 1: Red eye red flags… but everyone has red flags
2. Fri Jun 12 - Session 2: The 3 Minute History: Essentials
3. Fri Jun 19 - Session 3: The 3 Minute Exam (and fundoscopy simplified)
4. Fri Jun 26 - Session 4: Putting it all together, referrals, and managing when referral isn't needed
SIGN UP - Friday Midday Cohort
>>> SIGN UP HERE <<< and I'll you send the zoom links. (You can e-transfer instead if you prefer just hit reply) All times 12pm Pacific / 3pm Eastern
NOT INTERESTED? Please email mail@thereviewcourse.com and tell me what format would be more helpful?





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