During an ophthalmoscopy, the pediatrician will use either a direct or an indirect ophthalmoscope. The procedure typically involves the following steps: 1. Dilation of the pupil using eye drops to get a better view of the retina. 2. The child is asked to focus on a fixed point while the doctor examines the eye. 3. The doctor looks through the ophthalmoscope, which shines a light into the eye, allowing them to see the internal structures.