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Why Are Dilated Eye Exams So Important?

Having your eyes dilated during an eye exam may seem like a nuisance. But when you consider the benefits of a dilated eye exam, the temporary blurred vision and sensitivity to light that typically follow are definitely worth it.  

What Are Dilated Eye Exams? 

At some point during a comprehensive eye exam, your optometrist will shine a bright light into your eyes to examine the back of your eye, called the retina. The problem is that bright light causes the size of the pupil’s opening to shrink, which makes it hard for the optometrist to see a large portion of the retina. 

That’s why eye doctors apply special eye drops in each eye to keep the pupils open. A dilated pupil allows for a much more accurate assessment of your eye’s structures, including the focusing lens, blood vessels and tissues at the back of the eye called the retina, as well as the optic nerve and macula. 

Dilating the eyes makes it easier for your optometrist to detect the following conditions and diseases: 

  • Cataracts
  • Glaucoma 
  • Diabetic retinopathy
  • Macular degeneration
  • Retinal tumor 
  • Retinal detachment or retinal tears
  • Eye floaters

It’s important to note that many of these conditions can develop without noticeable symptoms, until they cause vision loss at which point treatment may be more challenging, making dilated eye exams all the more crucial. 

The Dilation Process

First, your eye doctor will apply eye drops to each eye to trigger dilation of the pupil. Your eyes should be fully dilated about 10-20 minutes later. 

Your eyes will remain dilated for 4-6 hours, and during this time you may be sensitive to light. That’s because the larger pupil allows more light than usual to enter the eye. Many patients find it more comfortable to wear sunglasses until their eyes return to normal. 

Reading and using a computer may be difficult with dilated eyes, and your vision may be blurred. Some patients report feeling a tightening sensation in their eyelids, or headaches. 

Dilated eye exams are a crucial part of keeping your eyes healthy. To schedule your comprehensive eye exam, call Eye Trends in Conroe today!

Q&A

#1: At what age should one have a dilated eye exam? 

You should have your dilated eye exam no matter your age. Most eye doctors will dilate a new patient at their first exam regardless of age to get a baseline of their retinal health.

#2: Will I be able to return to work after a dilated eye exam? 

Everyone reacts differently, so it’s hard to tell. If your job requires you to focus on small print or detail, it may be challenging. Typing and writing may also be difficult with dilated pupils. To be on the safe side, book your appointment at the end of your work day, clear your schedule after your eye exam and only plan to do activities which aren’t visually demanding. 

6 Common Myths About Glaucoma

Glaucoma is an eye disease in which increased pressure causes progressive, permanent vision loss and even blindness. Unfortunately, many misconceptions about the disease can leave you misinformed. Below we sort fact from fiction by debunking 6 of the most common glaucoma myths.

Glaucoma Facts vs. Myths

MYTH 1: Glaucoma is a single disease

FACT

Glaucoma is a group of eye diseases; the most common ones are open-angle glaucoma (OAG) and angle-closure glaucoma (ACG).

In open-angle glaucoma, the drainage structure in your eye (called the trabecular meshwork) doesn’t allow the fluid inside the eye to flow out as it should, causing an increase in internal ocular pressure that damages the optic nerve. OAG develops slowly, and usually by the time people perceive symptoms, such as peripheral vision loss, they already have optic nerve damage.

In angle-closure glaucoma, the eye doesn’t drain fluid as it should because the drainage channel between your iris and cornea becomes too narrow, causing increased eye pressure. This pressure damages the optic nerve, leading to vision loss. ACG can occur suddenly or gradually.

MYTH 2: Only the elderly suffer from glaucoma

FACT

Although it’s true that people over 60 are at a greater risk of developing open-angle glaucoma compared to people in their 40s, there are other types of glaucoma that can affect people aged 20 to 50 and even young infants (due to abnormal ocular development).

In addition to age, those with a higher risk of developing glaucoma include:

  • African Americans and Hispanics
  • Individuals with a family history of glaucoma
  • Patients with cardiovascular disease, diabetes, or sickle cell anemia
  • Those who have previously sustained an eye injury
  • People taking steroid medications over the long term

MYTH 3: Glaucoma shows symptoms early on

FACT

The most common form of glaucoma, open-angle glaucoma, shows virtually no signs or symptoms until its later stages when vision loss sets in. Despite what people may think, the increased eye pressure causes no pain. And since peripheral vision is the first to go, you may not recognize vision loss until your vision has become significantly impaired. The only way to detect glaucoma is to undergo a comprehensive eye exam.

MYTH 4: Nothing can be done once you have glaucoma

FACT

While there’s currently no cure for glaucoma, many effective treatment options exist: eye drops, oral medications, as well as laser and surgical procedures that can help slow glaucoma progression. Each treatment option is used to get the fluid to flow properly out of the eye, reducing pressure inside the eye and decreasing damage to the optic nerve.

MYTH 5: Testing for glaucoma is painful

FACT

Actually, testing for glaucoma is practically painless. One of the tests includes a non-contact device that blows a gentle puff of air into each eye to test the intraocular pressure. The sound of the puff may be startling, but it’s over in a second and is painless. With the Goldmann applanation tonometry test, an anesthetic eye drop is inserted into each eye, which may cause a stinging sensation for a few seconds. Your eye doctor will then use a blue light to quickly and gently touch the cornea to precisely measure intraocular pressure. The most accurate of all, however, are visual field testing and OCT (optical coherence tomography), non-invasive imaging, both of which are also painless.

MYTH 6: You can’t prevent glaucoma

FACT

Regular eye exams are the only way to prevent glaucoma, as blindness or significant vision loss can be prevented if the disease is diagnosed and treated in the early stages. That’s why routine comprehensive eye exams which include glaucoma testing are so important.

Getting your eyes checked regularly can ensure that any existing eye problems are detected early enough to prevent or slow ocular damage. Contact Eye Trends in Conroe to book your comprehensive eye exam today!

Frequently Asked Questions with Dr. Michael D. Toups

Q: If one of my parents has glaucoma, does that mean I will develop it as well at some point?

  • A: Having a parent with glaucoma does not mean that the child will automatically develop the condition too. However, those people with an immediate family history (parents, siblings) of glaucoma are at more risk to develop this disease. Patients should have a comprehensive eye examination each year to evaluate the health of the eyes and to look for signs of glaucoma. Some of these signs can be an increase in the pressure of the eyes as well as changes to the appearance of the optic nerve. Many times there are no symptoms noticed by the patient. If there is suspicion of glaucoma, more frequent visits to the eye doctor along with additional nerve testing are often required.

Q: Why do I need to scan my retinas/back of the eye?

  • A: The retina shows us a lot about the overall ocular health as well as systemic conditions that can affect the eyes. Often diabetes, hypertension or high cholesterol can be observed from a retinal scan. Also, retinal scans allow us to diagnose and treat macular degeneration and glaucoma. Scans are often very important for a complete eye check up.

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