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They Do not hurt: Gonioscopy, ophthalmoscopy and tonometry are all part of a complete eye examination and generally do not hurt. Topical anesthetic drops are instilled in the eye at the beginning of the examination. While the bright light of ophthalmoscopy may be briefly uncomfortable, it is generally not painful. ...Read more
Lt.eye mac.pucker.Corrected vision 20/40 µpsia.Amsler grid nl.Corrected vision 20/40.Age 69.Could the macuar pucker cause micropsia?Rt. eye20/30.
Micropsia: Yes, it can if the macular pucker is severe enough. Micropsia is a condition in which objects are perceived to be smaller than they actually are. Micropsia can be caused by optical factors (such as wearing glasses), by distortion of images in the eye (such as optically, via swelling of the cornea or from changes in the shape of the retina such as from retinal edema,macular degeneration, and more ...Read more
No: Those are very common tests done by ophthalmologist who are trained to perform them. When done correctly, there is no pain at all. The eyes are first numbed with an anesthetic eye drop and therefore, no pain is felt. During the tests, an instrument does come in contact with the cornea, but the patient cannot feel anything because the eye is numbed. Aprehension...Yes...Pain...No! ...Read more
Normal field vision test. Dilated optic discs small w/slight asymmetry. Suspicious oct scan. Eye pressure 27. Family history. Suspect for glaucoma?
Unequal pupils = ER: If someone has asymmetrical eye dilation and dizzy spells they should have someone drive them to the ER immediately. They may have a bleed on the brain or a brain tumor. They should NOT wait for a visit with their pcp or go to urgent care. There are some people who have asymmetrical pupils normally - but this is very uncommon. ...Read more
Optic Nerve RNFL OCT shows thinning temporal- both eyes, 20/20 both eyes, IOP 17 both eyes. Retinal exam normal. Is this significant
Response: Since all you provide are some brief findings regarding your retinas, I must conclude these tests were obtained due to some neurological symptoms. These results could be part of Multiple Sclerosis, if other signs and symptoms support the diagnosis. The thinning of the RNFL is notable, and should be followed up. Would a Concierge visit allow more in depth understanding? ...Read more
Yes: Intraocular pressure should always be measured prior to dilation as it typically increases a little after dilation, especially when monitoring for glaucoma. There are a few conditions where it may be checked after and eye doctors will typically recheck pressures after dilation to ensure accuracy of their technician, but as a rule, this should be documented prior to dilation. ...Read more
Progressive macular pucker 20/30 vision, distortion & glaucoma. Visual fIeld good,nerve damage 30-45%.Would vitrectomy cause glaucoma to progress?
Possible: Vitrectomy and glaucoma may have an association. It is suspected that glaucoma occurs more often in patients who have had vitrectomy and subsequent cataract surgery. An ongoing clinical trial is aimed to answer this question with more clarity. PROVE Study. http://www.aaojournal.org/article/S0161-6420(14)00344-3/references AND https://clinicaltrials.gov/ct2/show/NCT01162356 ...Read more
Yes if present : The dilated eye exam is exactly how we inspect the retina, optic nerve , blood vessels, and other parts for diseases. So if a person has diabetes and it is affecting their retina, we will find it and if necessary treat the complications. As it turns out, not having retinopathy (a good thing) doesn't mean that you don't have diabetes. Your primary doctor determines that. ...Read moreSee 2 more doctor answers
Yes: Most common procedure to repair a retinal detachment resulting from a macular hole is a vitrectomy (remove the fluids from the back of the eyeball), replace it with a gas, and position the patient face down for some period of time (sometimes weeks) to allow the hole to close and the detachment to resolve. Most macular holes do not cause a detached retina, but many require a similar operation. ...Read moreSee 1 more doctor answer
Yes: Visual field testing will occasionally pickup small areas of visual field depressions if the floater is particularly large and thick, as some patients may have. Since they move, a repeat visual field should also show the depression to have moved. I would not however expect a large visual field abnormality from a floater and certainly l recommend an exam to rule out any problems by an eye md. ...Read moreSee 1 more doctor answer