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A 22-year-old female asked:

Is a retinal digital photograph any good for seeing possible retinal tears/detachment or is a dilated pupil exam required?

3 doctor answers6 doctors weighed in
Dr. Matthew Goren
33 years experience
Dilated exam: Only way to adequately look for tears.
Dr. Neil Notaroberto
Ophthalmology 30 years experience
Retinal photography: Will not visualize most retinal tears. Some in the mid-periphery will be detected, but the majority will require a dilated retinal examination. The standard of care is a dilated exam. Retinal drawings or photography can be used for documentation.
Dr. Colin McCannel
Retinal Surgery 31 years experience
Exam much better: the best and most thorough way to assess an eye for retinal tears is with a dilated sam with scleral depression. A photograph without dilation is a convenient "short cut" that is inherently imperfect. If no tears are seen that does not mean there are none!

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Last updated May 25, 2015

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