INDICATIONS FOR DILATED FUNDUS EXAMINATION
The doctors of the Eye Institute of South Jersey, PC, David R. Pernelli, MD and Terrance K. Heacox, Jr., OD recommend that all patients have a dilated fundus examination during their initial comprehensive evaluation and as deemed necessary for prevention, diagnosis and treatment of ocular disease. Dilation of the pupil enables the doctor to evaluate the interior of the eye for any changes to the optic nerve, the retina, the macula and vessels which could be indicative of retinal holes, retinal tears, ocular tumors, the detection of glaucoma, age related macular degeneration and diabetic retinopathy. This examination is of the utmost importance for patients with diabetes, hypertension, moderate nearsightedness, cataracts and vision in only one eye.
This examination requires the instillation of drops in each eye. The drops contain an agent that allows the pupil, the dark opening in the iris (the colored part of the eye) to become larger. Widening the pupil lets more light into the eye facilitating the ability for the doctor to inspect the back of the eye.
RISKS AND COMPLICATIONS
Dilating drops will cause blurred vision and may cause light sensitivity. This may last for a few hours to as many as 24 hours and may affect one’s ability to drive, work and perform near vision tasks. Disposable sunglasses are provided for comfort from light sensitivity but it is recommended that the patient bring their personal sunglasses to the examination.
Other alternatives may be available but there is no other means of examination that is as effective for examining the back of the eye.
PATIENT’S CONSENT AND ACCEPTANCE OF RISKS
I have read the above information (or it was read to me). I understand that it is impossible for me to be informed of every possible complication that may occur. By signing below I agree, understand and accept the risks, benefits and alternatives of a dilated fundus examination. I have been offered a copy of this document.