Doctor insights on:
Goldmann Visual Field Exam
In glaucoma exam what does it mean when Dr. says there is "questionable change" to the optic nerve. No change in visual field test.
Just had my annual plaquenil exam with OCT. All normal. Now I have to come back for a 10-2 visual field test. Isn't this normally all done on 1 visit?
Depends: Offices run with various schedules and demands. I would guess that the field machine to do the 10-2 field test was in use when you were in the office and instead of having you wait some period of time before the test, that they could schedule that test alone at a later date so you would not have to wait. Other offices might schedule all tests on one visit- best to ask prior to next appointment. ...Read more
Just saw eye doc for plaquenil exam.Now have to go back in a week for 10-2 visual field study. Is this a quick test or do I need to see doc again?
Yes to visual field: In general plaquenil is a very safe medication. The recent guidelines are to get a baseline eye exam when starting plaquenil and then once per year. They are screening you for a rare complication from plaquenil called maculopathy. This is very rare but the rate slightl goes up after being on the drug after 5 years. So yes go get the visual field test. ...Read more
I have visual trails (bursts of light that cross my visual field). Never happened before, please help?
Vitreous or migraine: The clear gel that fills eyeball is normally attached to the inside of the eye. As we get older it can become more liquid (watery) and detaches from the back of the retina causing flashes as it pulls on the retina. This is made worse when reading, looking side to side, basically with eye movement. Scintillations (flashes) occur with atypical migraine- with or without headache. ...Read more
No: Many insurance companies are not covering for only loss of visual field. (medicare requires loss of levator muscle (true ptosis) or not pay. There are many degrees of vf loss, some will cover upper lid surgery when vf loss is >30% measured by vf analysis. Insurance co are following medicare lead and are denying except for muscle functional loss. ...Read moreSee 1 more doctor answer
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