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Originally Posted by mikeod
"For care reasons" likely refers to situations where the patient is being followed for some retinopathy and the better image quality through dilation is preferred. Patients with diabetic retinopathy, hypertensive retinopathy, macular degeneration, choroidal nevi, glaucoma, or other conditions such as early cataract may be better served by dilating. For screening purposes, the undilated view may suffice. Should a suspicious area be noted, a dilated exam would be desirable.
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The only condition I'm aware of having is a slow developing cataract in one eye that was first diagnosed several years ago. So far it doesn't interfere with reading or distance vision.
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I'm not sure why you avoid dilated exams, and it really doesn't matter for this discussion, but, if the problem of light sensitivity/glare is the stumbling block, there are reversal drops that can be effective depending on the type of drop used to dilate the pupil.
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I'm not worried about light sensitivity. Dilation just seems to me to cause "trauma" to the eyes. Although, I don't suppose any eye doctor would ever suggest that. Have there ever been any long term studies where they compare dilated patients to a control group that doesn't get dilated?