Archive for February, 2012

Library.nu : Assassination Details Revealed (15.02.2012)

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Who or what was responsilbe for causing library.nu to shut down? Was it a technical error? Was it a financial problem? Or was it “The International Publishers Association and the German Publishers and Booksellers Association”?

The International Publishers Association and The German Publishers and Booksellers Association

imageToday, the above two association issued the following “victorious” joint press release not only to reveal the reason behind the shutting down of library.nu, but also, to officially confirm “the death” of library.nu. When reading the press release, you can sense how happy and elated are these people about their “important sucess in the combat against internet piracy”.

I copied thier press release from a pdf file posted in their website. Is this considered as a form of piracy? Would this “illegal copying” cause the shutting down of my blog as well?

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Joint Press Release of the International Publishers Association and the German Publishers and Booksellers Association

Publishers Strike Major Blow against Internet Piracy

Geneva, 15 February 2012

Yesterday, an international alliance of publishers and publishers’ associations achieved an important success in the combat against internet piracy. Despite significant technical and legal obstacles, the alliance was able to locate the alleged operators of both the sharehoster service http://www.ifile.it and the link library http://www.library.nu, and successfully served judicial cease-and-desist orders on both.

The two entities created and operated an “internet library” which made available illegally more than 400,000 high quality e-books for immediate, free and anonymous download. The operators generated an estimated turnover of EUR 8 million (USD 10,602,400) from advertising revenues, donations and sales of premium-level accounts, thereby ranking the sites among the top piracy websites in the world.

“Today, the international book industry has shown that it continues to stand up against organised copyright crime.” says Jens Bammel, Secretary General of the International Publishers Association. “We will not tolerate freeloaders who make unjustified profits by depriving authors and publishers of their due reward. This is an important step towards a more transparent, honest and fair trade of digital content on the Internet.”

“This case demonstrates, in particular in the context of current debates, that systematic copyright infringement has developed into a highly criminal and lucrative business. The fight against piracy is not an impediment on one’s freedom of expression, but a necessity to reinstate the rule of law on the internet. It is not only in the interest of the thousands of people who dedicate their working lives to the development of our cultural heritage, but first of all in the interest of the authors who depend on fair compensation for their work. Whoever ignores how these issues are intertwined, seriously threatens the cultural diversity in our country.“ says Alexander Skipis, CEO of Börsenverein (German Publishers and Booksellers Association).

The close ties between a sharehoster service and a link library meant that the targeted entities were particularly harmful as all illegally uploaded copyright works were made immediately accessible to all internet users. The international publishers were able to assert extensive claims against the service providers who had partially concealed their identities. They were able to obtain a total of 17 interim injunctions from the Landgericht (regional court) of Munich I, and successfully served these in Ireland. In doing this, the participating publishers demonstrate their continued determination to not simply ignore copyright piracy, but to fight the large illegal platforms with all available legal measures.

The international alliance of publishers is coordinated by the German Publishers and Booksellers Association (Börsenverein), the International Publishers Association and German law firm Lausen. The participating publishing houses are Cambridge University Press, Georg Thieme, Harper Collins, Hogrefe, Macmillan Publishers Ltd., Cengage Learning, Elsevier, John Wiley & Sons, The McGraw-Hill Companies, Pearson Education Ltd., Pearson Education Inc., Oxford University Press, Springer, Taylor & Francis, C.H. Beck as well as Walter De Gruyter. The legal proceedings are also supported by the Association of American Publishers (AAP), the Dutch Publishers Association (NUV), the Italian Publishers Association (AIE) and the International Association of Scientific Technical and Medical Publishers (STM).

About the case:

For more information on the legal action, please refer to the background document available here: http://www.internationalpublishers.org/images/stories/copyright/PR/20120214_template_library_nu_facts.pdf

About IPA:

The International Publishers Association (IPA) is the global non-governmental organisation representing all aspects of book and journal publishing worldwide. Established in 1896, IPA’s mission is to promote and protect publishing and to raise awareness for publishing as a force for cultural and political advancement worldwide. IPA is an industry association with a human rights mandate. IPA currently has 65 member associations in 53 countries.

Source: http://www.internationalpublishers.org/images/stories/newsletter/pr_library_nu.pdf

*** Note: I arrived at this piece of new because of a comment made in my blog by “

gilou”. Thank you sir!

Medical day in Al-Aghwar Al-Janobeiah by the Faculty of Medicine in Mu’tah University

Yesterda I luckily had the chance of participating in a free medical day in Al-Aghwar Al-Janobieh organized by my faculty. This event was under the patronage the head of Mu’tah University, Dr. Abd Al-Rahman Al-Hneati.

Photo0708

[Photo: A speech at the opening ceremony]

Out of 800+ medical studnets in Mu’tah University, I was the only one who participated in this activity. I don’t know why other students were not invited. Personally, I was invited by Dr. Khaleel Al-Salem, my Ophthalmology doctor in Mu’tah University (Thank you my dear doctor!). It felt weird to be the only student. Therefore, I believe that my invitation was a mistake… A beautiful mistake though!

image

Most of the patients were femlaes and children. Most interstingly, and for the first time in my life, I saw children as young as 9 or 10 years seeking medical advice without any adult accompanying them; not a parent, a grandparent, an older sibling, etc.

I attended the Ophthalmology clinic with Dr. Khalil. He examined about 20-30 patients. He freely distributed medications which he brought with him. The number of patients in other clinics was larger. I don’t how much larger, but here is a comment that has been made in a Jordanian website from a person who called himself “a participant in the free medical day”:

More than 100 patients have been seen in the dermatology clinic alone by Dr. Khetam Al-Rfooa, and about 50 patients by Dr. Seham… and others…

فقط لتصحيح المعلومة ان اكثر من 100 مريض قد تم معاينتهم في عيادة الجلدية و حدها من قبل الدكتورة ختام الرفوع و ما يقارب الخمسين مريض من قبل الدكتورة سهام طبيبة النسائية و غيرهم في عيادات العيون د.خليل السالم و الاذنية د هاني الحمايدة الاطفال د امجد الطراونة و الجراحة العامة د سعد و د عبدالله و الباطنية د محمد القاسم من جامعة مؤتة.

المصدر: “يوم طبي مجاني بمناسبة ميلاد الملك في الأغوار الجنوبية “، http://www.almadenahnews.com/newss/news.php?c=117&id=133323

 

How large is the media coverage? Here are google search results as they appear today – Saturday-, one day after the event:

image

 

As you can notice, a total of 3 articles only appear in google news for “يوم طبي مجاني الأغوار الجنوبية”.

An article in addustour newspaper about the event:

 

يوم طبي مجاني في الأغوار الجنوبية بمناسبة عيد ميلاد الملك

الكرك-الدستور-نجاة الحميدات
رعى رئيس جامعة مؤتة الدكتور عبدالرحيم الحنيطي اليوم الطبي المجاني الذي أقامته جمعية البحر الميت للتنمية الصحية في لواء الأغوار الجنوبية الذي استفاد منه 60 شخصا بمناسبة عيد ميلاد جلالة الملك عبدالله الثاني .
وأشار رئيس جمعية البحر الميت للتنمية الصحية أحمد الهويمل إلى أن الجمعية تقدم خدمات عديدة للمواطنين ومنها الرعاية الطبية لمعالجة مرضى لواء الأغوار الجنوبية مبينا مشاركة أطباء إختصاص من مديرية صحة الكرك في (العظام والنسائية والتوليد وأنف وأذن وحنجرة والجراحة والباطنية ) وتحويل الحالات المرضية إلى مستشفيات محافظة الكرك . وأشاد رئيس جامعة مؤتة بالمبادرة الطبية والقائمين عليها لما توفره من مساعدة عاجلة للمواطنين من ذوي الاحتياجات الصحية والحالات العاجلة مؤكداحرص الجامعة على التعاون المثمر مع مؤسسات المجتمع المحلي بما يخدم المواطنين ويعمق الدور الإنساني النبيل لمهنة الطب .

التاريخ : 11-02-2012

المصدر: جريدة الدستور، http://www.addustour.com/ViewTopic.aspx?ac=LocalAndGover20122LocalAndGover_issue1577_day11_id391181.htm#.TzatElHZxsM

Medical day in Al-Aghwar Al-Janobeiah by the Faculty of Medicine in Mu’tah University

Yesterda I luckily had the chance of participating in a free medical day in Al-Aghwar Al-Janobieh organized by my faculty. This event was under the patronage the head of Mu’tah University, Dr. Abd Al-Rahman Al-Hneati.

Photo0708

[Photo: A speech at the opening ceremony]

Out of 800+ medical studnets in Mu’tah University, I was the only one who participated in this activity. I don’t know why other students were not invited. Personally, I was invited by Dr. Khaleel Al-Salem, my Ophthalmology doctor in Mu’tah University (Thank you my dear doctor!). It felt weird to be the only student. Therefore, I believe that my invitation was a mistake… A beautiful mistake though!

image

Most of the patients were femlaes and children. Most interstingly, and for the first time in my life, I saw children as young as 9 or 10 years seeking medical advice without any adult accompanying them; not a parent, a grandparent, an older sibling, etc.

I attended the Ophthalmology clinic with Dr. Khalil. He examined about 20-30 patients. He freely distributed medications which he brought with him. The number of patients in other clinics was larger. I don’t how much larger, but here is a comment that has been made in a Jordanian website from a person who called himself “a participant in the free medical day”:

More than 100 patients have been seen in the dermatology clinic alone by Dr. Khetam Al-Rfooa, and about 50 patients by Dr. Seham… and others…

فقط لتصحيح المعلومة ان اكثر من 100 مريض قد تم معاينتهم في عيادة الجلدية و حدها من قبل الدكتورة ختام الرفوع و ما يقارب الخمسين مريض من قبل الدكتورة سهام طبيبة النسائية و غيرهم في عيادات العيون د.خليل السالم و الاذنية د هاني الحمايدة الاطفال د امجد الطراونة و الجراحة العامة د سعد و د عبدالله و الباطنية د محمد القاسم من جامعة مؤتة.

المصدر: “يوم طبي مجاني بمناسبة ميلاد الملك في الأغوار الجنوبية “، http://www.almadenahnews.com/newss/news.php?c=117&id=133323

 

How large is the media coverage? Here are google search results as they appear today – Saturday-, one day after the event:

image

 

As you can notice, a total of 3 articles only appear in google news for “يوم طبي مجاني الأغوار الجنوبية”.

An article in addustour newspaper about the event:

يوم طبي مجاني في الأغوار الجنوبية بمناسبة عيد ميلاد الملك

الكرك-الدستور-نجاة الحميدات
رعى رئيس جامعة مؤتة الدكتور عبدالرحيم الحنيطي اليوم الطبي المجاني الذي أقامته جمعية البحر الميت للتنمية الصحية في لواء الأغوار الجنوبية الذي استفاد منه 60 شخصا بمناسبة عيد ميلاد جلالة الملك عبدالله الثاني .
وأشار رئيس جمعية البحر الميت للتنمية الصحية أحمد الهويمل إلى أن الجمعية تقدم خدمات عديدة للمواطنين ومنها الرعاية الطبية لمعالجة مرضى لواء الأغوار الجنوبية مبينا مشاركة أطباء إختصاص من مديرية صحة الكرك في (العظام والنسائية والتوليد وأنف وأذن وحنجرة والجراحة والباطنية ) وتحويل الحالات المرضية إلى مستشفيات محافظة الكرك . وأشاد رئيس جامعة مؤتة بالمبادرة الطبية والقائمين عليها لما توفره من مساعدة عاجلة للمواطنين من ذوي الاحتياجات الصحية والحالات العاجلة مؤكداحرص الجامعة على التعاون المثمر مع مؤسسات المجتمع المحلي بما يخدم المواطنين ويعمق الدور الإنساني النبيل لمهنة الطب .

التاريخ : 11-02-2012

المصدر: جريدة الدستور، http://www.addustour.com/ViewTopic.aspx?ac=\LocalAndGover\20122\LocalAndGover_issue1577_day11_id391181.htm#.TzatElHZxsM

Elective course of clinical training in the USA: My horrible experience!

Elective Reqest- Jameel Khaleel Hijazeen - Mu'tah University*** This is a imaginary letter to a person who will enter my Blog and help me accomplish a dream of mine. Time is runnig out and this dream is most likely not going to be fulfilled… What is most important to me is that when other friends of mine have accomplished this dream, I will not be angry or feeling sorry, simply because I will have asked for help from all those whom I thought they could offer it! My blog is my last place to seek help! What I am requesting might be hard… yes… it is a DREAM! ***

Sir,

My name is Jameel Hijazeen. I am a 5th-year Medical student in Mu’tah University. In the period of June-August 2012, I am required by my faculty to do “two-months of clinical training in two of the major branches of medicine” (Please, to see the elective request, click on the resized image above).

Worldwide, the most advanced country in Medicine is undoubtedly the United States. What is more, if you are a doctor who is to be accepted for residency in the USA, one of the things that will tremendously support your CV is having “US experience”. Therefore, a dream of mine is to do my two months of clinical training in internal medicine in the form of an elective in the United States.

 

How did it all begin?

Starting from exactly 8 months ago, I started searching for how a Jordanian medical student from Mu’tah University can obtain such training.

Soon after my search started, I realized how expensive, complicated, and demanding is such a “dream” is. These are the main reasons:

1. Most universities\hospitals require expensive application fees and training fees. What is ‘interesting’ is that your application fees are ‘non-refundable’ even if you are not accepted.

2. Most universities\hospitals require having finished a USMLE step.

3. Most universities\hospitals require TOEFL (not required if you had finished a USMLE step or are recommended as a good English speaker)

4. Few universities\hospitals accept students from outside the US (Sometimes, an exception can be made if you are recommended).

5. Few universities\hospitals acknowledge Jordanian universities. Even fewer universities acknowledge Mu’tah University.

6. Applying for these universities\hospitals requires hours of papers filing, preparation, and sending.

 

What is the solution then?

I asked older students who know about this issue, all of them summarized the way in which someone can be accepted into two: Pure luck or having someone recommending you for acceptance. Till today, two students in my batch have already obtained an elective via the second way (one in the USA and another in France).  Via the first way, not a single students of the 5th year in Mu’tah University has obtained an acceptance; How surprised am I!.

For the above reasons, I did not contact any university\hospital. As a result, I was left with the second option.

image

Here is a list of the people I contacted:

# My faculty: No formal programs are available that are meant for sending faculty students to western countries. Nonetheless, certain efforts have been given. I deduced that because Dr. Omar Nafia Al-Ajarmeh, the vice dean, thankfully, contacted a certain University in the USA to accept some of Mu’tah students. In an email reply hanged on one of the boards in the faculty, a part of the response was, “Your university is not recognized by (certain accreditation committee)… Therefore, students from Mu’tah University cannot be accepted for electives in our university”.

# An uncle of mine: A thoracic surgeon in a western country since the 1980s. He had performed more than 4,500 operations. My uncle apologized and denied the presence of any friends of him in the US who could help. He advised me to seek help from my faculty doctors!

# Dr. Nabil S: An American-Jordanian doctor whom I met in a medical conference that was held in Amman. I took a list of the doctors who participated in that conference and showed them to another Uncle of mine to see if he knew anyone of them. For my huge surprise, he turned out to know the brother of this Dr. Nabil S. My uncle contacted his brother. Dr. Nabil, to my happiness, emailed me showing his readiness to help me. From the beginning, unfortunately, it was a hard road full of multiple obstacles!

The first obstacle that face me was that his hospital only accept students for obeserverships not for electives (It is enough to know that if you are an observer, you are never allowed to be in the hospital unless your sponsoring doctor is. What is more humiliating, you can never touch or simply talk to a patient). Reluctantly, I agreed. Do I have any other options so as to refuse this “great opportunity”?

Nevertheless, things got even worst. The doctor sent an acceptance for a two-month observership in family medicine; a branch which my faculty does not accept. So, I asked for the observership to be changed. Because I thought that I am going to remain under the supervision of the same doctor, I did not specifically talk about my wish to be accepted in the internal medicine department. As a result, I was accepted in the surgery department and at the same time, was told by an administrative in the hospital that I can only be accepted for one month… How worst can things be more than this? I emaild my complaints for two times… Dr. Nabil never responded!

# An American young Jordanian doctor: All my information about this doctor are from a blog that he has. Despite realizing how hard it is for a young doctor to recommend others for such a hard thing as an elective, and despite my little knowledge of him, I rudely contacted him. With a big heart, he showed readiness to help (as I expected). Unfortunately, the hospital where he works did not offer electives. At that point, I decided to bother him no more and so sent him no further requests. If my faculty, my relatives, and the friends of my relatives could not help, why would I bother a person that does not know anything about me to help?

The above is a list of the persons whom I contacted. I do not carry any bad feelings about them for not being able to help. On the contrary, whenever I talked to anyone about my elective, I felt ashamed because of my consuming their time and efforts!

 

Can you help me get accepted for a two-month

elective in internal medicine in the US?

image

You might consider it a small favor, but with this “small” favor, you are changing the life of a doctor-to-be forever!… It is like the “small step” of Neil Armstrong:

“That’s one small step for [a] man, one giant leap for mankind”[1]

Neil Armstrong, 2:56 UTC July 21, 1969.

 

 

[1] Source: “Neil Armstrong”, http://en.wikipedia.org/wiki/Neil_Armstrong, retrieved: 07.02.2012.

Scientific Research in the Arab World: Reality or fiction?

imageLast year, during the period from June 26-30, I attended the 25th conference of NAAMA (National Arab American Medical Association) in Le Meridien Hotel in Amman. During the conference, I heard many Arab American doctors stressing the importance of Medical Research for medical students who want to pursuit their higher studies in the USA and other western countries.

Because of how much this subject was stressed, I went back to my faculty with the goal of starting a research in whatever field of medicine. I set up this goal only to be later on shocked by how unrealistic is such a goal!

Frankly speaking, my university curriculum does not require students neither to prepare nor to publish any medical research as part of their undergraduate studies. In the USA, on the other hand, it is a different story. Dr. Wael K. Al-Delaimy, an Iraqi-American professor told me during the same conference:

Dr. Wael K. Al-Delaimy

Dr. Wael K. Al-Delaimy

“In contrary to the situation in our Arab countries, before graduating, US students are required to prepare at least one research”

The above sad fact is the most important obstacle that faced me. Firstly, I will find hardship in finding a professor that will be available solely for the aim of helping me in doing a research. Secondly, the huge time that any student will spend in doing a research would not be compensated with marks. Certainly, this will affect the university marks of the students who will be subtracting time from studying their university curriculum and investing it in a research.

Dr. Aiman Hamdan, a Jordan Unviersity of Science and Technology graduate (second batch), who is now a cardiologist in the United States and certified with seven boards, had the following to say regarding this sad fact:

Dr. Aiman Hamdan

Dr. Aiman Hamdan

“During my University years in JUST, if my father knew that I am doing a research and not studying to get high marks, he would have KILLED me!”

Source: Dr. Aiman Hamdan said the above comment in a lecture he gave –with other Arab-American doctors- about studying in the USA in King Abdullah University Hospital in Irbid in June 2011 as part of the activities of NAAMA’s 25th conference.

Despite the hardship mentioned above, I enrolled in two researches; lucky me!

image“Finally,” I happily thought, “I will be doing what students in developed country are doing!”.  “But could this be a reality? Is that possible?” I found hardship in accepting this very happy piece of news. But at the end… Why should I not hope? How are students in Harvard university better than me?[3]

I felt like I was finally going to achieve something! I will not only be graduating with a certificate, but also, having mastered how to prepare and publish a research! I felt too proud of the notion of having my name on a published research in a medical journal. Can you imagine how important is this achievement?

imageMy happiness did not last long. The first research ended because we discovered that we were collecting “useless” data that no conclusions can be drawn from it [Update 09.04.2012: This was a wrong conclusion. Things went differently than I and my colleagues calculated… It is one of the times in which you are happy when your calculations turn out to be wrong! Read more!]

The second reserach was very succesfful. However, due to deduction of the amount of credit our supervising doctors will get from including us in the publication, I refused to be included in the publication “initially”. Still, the supervising doctor refused but to include us in the publication. “I have an enlightening plan!” The doctor said. “I came back from abroad with a main aim of letting you do what I was taught abroad”. Truthfully, this doctor is sacrificying a lot by including us in the publication. What he is doing would be normal where he studied abroad, but is the situation the same here in the Arab world? Do universities in the arab wrold care about scientific research? Do our universities provides incentives to both doctors and students to do scientific research?

Frankly speaking, it seems that we have a problem… a big problem… How did I come up with this conclusion? But most importantly, who is responsible?

image

Every year, a report is published on the Academic ranking of World Universities (ARWU), commonly known as the Shanghai ranking. During the year 2011, the following statistics came out:

Universities that have been included in the top 500 world universities on the Shanghai ranking 2011:

Arab Universities[1]

Israeli Universities[2]

A. King Saud University (201-300)B. King Fahd University of Petroleum & Minerals (301-400)C. Cairo University (401-500) A. The Hebrew University of Jerusalem (57)B. Technion-Israel Institute of Technology (102-150)

C. Tel Aviv University (102-150)

D. Weizmann Institute of Science (102-150)

E. Bar-Ilan University (301-400)

F. Ben-Gurion University of the Negev (301-400)

G. University of Haifa (401-500)

Total: 3 universities Total: 7 universities
Arab countries v.s. Israel

Arab countries v.s. Israel

To summarize the above table:
Israel, a country with less than 8 million people, has 7 universities among the top 500 universities in the world. While 22 Arab countries with 355 million people, have only 3 universities in the same list!

Finally, and again and again, the first step in solving any problem is to recognize its existence in the first place. Is there a problem in our universities in the Arab world? It is left to your judgment!

So… I belive it is too unfair to attribute the problem to a single doctor, a single university, or a single country! As you can read above, it is a problem of…

[1] “KSU ranked leading arab university by shanghai world rankings”, King Saud University, http://enews.ksu.edu.sa/2011/08/20/ksu-shanghai-world-ranking, retrieved: 05.02.2012

[2] Reuveni, R. “Israel’s Universities are among the 500 top universities in the world” http://thejewishpeopleandisrael-beesting.blogspot.com/2011/09/israels-universities-are-among-500-top.html, retrieved: 05.02.2011

[3] According to 2011 Shanghai Academic Ranking of World Universities, the world ranking of Harvard university is “1”!

What is the difference between direct and indirect ophthalmoscopes (ophthalmoscopy)?

This is a summary of the differences between direct and indirect ophthalmoscopes (ophthalmoscopy). I searched the internet for a page that answer this question adequately, but did not find any. Luckily, I found the answer in a book entitled: “Textbook of opthalmology” (2nd edition, 2001) by E. Ahmed. This is a table of the differences mentioned in this book only. I didn’t use any other source.

Update 15/01/2014:
This post is now a famous one in my Blog. It brings me a lot of visits (4465 visits so far). I need to thank the doctor who asked me to research this topic. Dr. Khalil Alsalem thanks a lot 🙂

Direct Ophthalmoscopy Indirect ophthalmoscopy
Magnification About 15 times 5 times when a +13D condensing lens is used
Diameter of the field of observationview Smaller (about 10o in diameter) Wider (about 37o in diameter)
Brightness There is relatively low brightness There is relatively greater brightness
Structures seen Central retina only Peripheral retina seen (by using a scleral depressor in addition to the indirect ophthalmoscopy itself)
Image of the fundus that is seen Virtual & erect image Real & inverted image
Stereopsis Image formed is not stereoscopic Binocular indirect ophthalmoscopy provides better stereopsis
Retina anterior to the equator Not well seen (seen with difficulty) Seen better
Scleral indentation Difficult Can be easily done in binocular indirect ophthalmoscopy
Visualization in hazy media Poor Better

What is the difference between direct and indirect ophthalmosopes (ophthalmoscopy)?

imageimage image

This is a summary of the differences between direct and indirect ophtalmoscopes (ophthalmoscopy). I searched the internet for a page that answer this question adequately, but did not find any. Luckily, I found the answer in a book entitled: “Textbook of opthalmology” (2nd edition, 2001) by E. Ahmed. This is a tabulation of the differences mentioned in this book only. I didn’t use any other source.

Update 15/01/2014:
This post is now a famous one in my Blog. It brings me a lot of visits (4465 visists so far). I need to thank the doctor who asked me to research this topic. Dr. Khalil Alsalem thanks a lot 🙂

Direct Ophthalmoscopy Indirect ophthalmoscopy
Magnification About 15 times 5 times when a +13D condensing lens is used
Diameter of the field of observation\view Smaller (about 10o in diameter) Wider (about 37o in diameter)
Brightness There is relatively low brightness There is relatively greater brightness
Structures seen Central retina only Peripheral retina seen (by using a scleral depressor in addition to the indirect ophthalmoscopy itself)
Image of the fundus that is seen Virtual & erect image Real & inverted image
Stereopsis Image formed is not stereoscopic Binocular indirect ophthalmoscopy provides better stereopsis
Retina anterior to the equator Not well seen (seen with difficulty) Seen better
Scleral indentation Difficult Can be easily done in binocular indirect ophthalmoscopy
Visualization in hazy media Poor Better