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Medical Forum / General / Vision / March 2007Opthalmologist appointment
I have been referred by my optician to an opthalmologist. The reason I have to go is because I mentioned some discomfort in one of my eyes and the optician could see no reason for it. He says the opthalmologist has equipment that means he can do a more thorough examination. I am apprehensive as it sounds serious, what can I expect - will he just look in my eyes, will he test my vision, or will he have to give me anasthetic? Is a referral to an opthalmologist quite common? Thanks. > I have been referred by my optician to an opthalmologist. The reason I have > to go is because I mentioned some discomfort in one of my eyes and the [quoted text clipped - 8 lines] > -- > Message posted via MedKB.comhttp://www.medkb.com/Uwe/Forums.aspx/vision/200703/1 You are lucky to have a responsible optician. I wish mine was ;-( You probably will have to be more specific describing your "discomfort". From your statement only, it could be anything... An ophthalmologist will probably test your vision, your eye pressure, dilate your pupil(s) and look inside your eyes. Don't be afraid and don't worry, none of this hurts and none is invasive. While your pupils are direlated your vision will be fuzzy, so prepare a ride back home. Your pupils will get back to their normal size within several hours. Ms Brainy thanks for replying. I told my optician that it felt like this - if you pushed your finger in your eye then released it, it would cause a dull pain. He has already tested my eye pressure and looked inside my eyes and can see nothing wrong. I mentioned it initially because I know someone who has glaucoma, he has had it since his 20s, so I just wanted to make sure it wasn't something like that. > Ms Brainy thanks for replying. > I told my optician that it felt like this - if you pushed your finger in your > eye then released it, it would cause a dull pain. As the old story goes, "Doctor! When I do *this*, it hurts!" "Don't do that..." Or, Patient> Doctor! When I drink coffee I get a stabing pain in my right eye. Doctor> Try removing the spoon from the coffee cup before drinking coffee. > > Ms Brainy thanks for replying. > > I told my optician that it felt like this - if you pushed your finger in your [quoted text clipped - 3 lines] > "Doctor! When I do *this*, it hurts!" > "Don't do that..." >> I have been referred by my optician to an opthalmologist. The reason I have >> to go is because I mentioned some discomfort in one of my eyes and the [quoted text clipped - 15 lines] > home. Your pupils will get back to their normal size within several > hours. Accordingly, bring your darkest sunglasses with you even if you have a reliable friend to drive you home. The glare will be miserable. I've had to drive home myself on occasion, and it was possible, but REALLY unpleasant and sufficiently dangerous that you wouldn't want to do it unless you had to.  SignatureCheers, Bev ============================================ Buckle Up. It makes it harder for the aliens to suck you out of your car. > Accordingly, bring your darkest sunglasses with you even if you have a > reliable friend to drive you home. The glare will be miserable. I've had > to drive home myself on occasion, and it was possible, but REALLY unpleasant > and sufficiently dangerous that you wouldn't want to do it unless you had to. Agreed, I thought too that I could drive home in the daylight hours with dark shades. But it was the glare of the reflected sunlight off of the rounded surfaces of cars that got to me. Best to get a friend to drive. Don W. > Agreed, I thought too that I could drive home in the daylight hours > with dark shades. But it was the glare of the reflected sunlight off > of the rounded surfaces of cars that got to me. Best to get a friend > to drive. My Ophthalmologist gives me reversing drops so I don't have that problem. They work pretty fast. SignatureCharles > My Ophthalmologist gives me reversing drops so I don't have that > problem. They work pretty fast. > > -- > Charles So what are the side effects of doing something like this? Don W. > So what are the side effects of doing something like this? I have had no side effects but it could cause redness. SignatureCharles W <dwil...@prodigy.net> wrote: > > So what are the side effects of doing something like this? > > I have had no side effects but it could cause redness. > > -- > Charles So if it so trivial a procedure, then why is it not offered to those who have to do solo appointments and drive back by themselves?? Don W. > So if it so trivial a procedure, then why is it not offered to those > who have to do solo appointments and drive back by themselves?? It is not a procedure. It is eye drops. I would ask your doctor. He will either say he does not use the reversing drops or he will give them to you if you want to use them. I don't know how long they have been available. I have been going to Ophthalmologist every year for 30 years and it was only about three years ago that I was offered the reversing drops. SignatureCharles > It is not a procedure. It is eye drops. I would ask your doctor. He > will either say he does not use the reversing drops or he will give > them to you if you want to use them. I don't know how long they have > been available. I have been going to Ophthalmologist every year for 30 > years and it was only about three years ago that I was offered the > reversing drops. I think Rev-Eyes (dapiprazole) has been around since the early 90's. But I think it was discontinued about 3-6 months ago. I can't find "dapiprazole" in my favorite drug database, or on the B&L web site. It had a short shelf life, but there is probably some still around. I bought one bottle and never used it up. It helped a little, but it stung pretty bad, was terribly expensive and only lasted about 2 weeks once opened. -MT > I think Rev-Eyes (dapiprazole) has been around since the early 90's. But I > think it was discontinued about 3-6 months ago. Can't see why it would have been discontinued.... ;-) http://tinyurl.com/2mgexe CONCLUSIONS: Our data suggest limited utility for Rev-Eyes with a young population. The recovery rate of near visual acuity and amplitude of accommodation is identical with or without Rev-Eyes. ://tinyurl.com/2mgexe > > CONCLUSIONS: Our data suggest limited utility for Rev-Eyes with a > young population. The recovery rate of near visual acuity and > amplitude of accommodation is identical with or without Rev-Eyes. Yes but, the sentence before your "tinyurl" says, "Our results confirm that a statistically significant reduction in pupil diameter is achieved 60 minutes after installation of Rev- Eyes". Then it goes on with your injected quote. So ..... how can it affect pupil size significantly and not affect acuity? Don W. > Then it goes on with your injected quote. So ..... how can it affect > pupil size significantly and not affect acuity? It had no substantial effect on _near_ acuity. Shrinking the pupil might reduce the haze/fog that accompanies wide dilation (peripheral optics are sloppy). But there are no sympathetic receptors in the ciliary body so dapiprazole can't improve accommodation. -MT I just came back from an eye exam, in which one pupil was dilated. I drove 40 minutes in rush hour traffic, accompanied by the Southern Arizona sun. I wore dark sunglasses, and had no problem driving back home. However, if 2 pupils are dilated, or if it's after sunset, BEWARE! With 2 dilated pupils you'll see very little, and at night the glare from the lights around you will be unbearable and confusing. If you cover or close the dilated eye and use only the other eye, you'll lack depth perception and should be overly cautious. Comclusion: Get somebody to drive you home! >Comclusion: Get somebody to drive you home! > Always a good idea, esp. if you are going to a retina specialist who like to use the stronger dilaters. It's really very much a your mileage may vary situation, because some peoples pupils get way bigger than others, and of course some people have greater sensitivity to light than others. I've never used or offered the Reveyes because of the major redness it can cause. w.stacy, o.d. > > Then it goes on with your injected quote. So ..... how can it affect > > pupil size significantly and not affect acuity? [quoted text clipped - 8 lines] > > -MT Not to nitpick, but are we really talking about near acuity or accomodation? Or driving against blinding light? Don W. > ://tinyurl.com/2mgexe >> [quoted text clipped - 7 lines] > pupil diameter is achieved 60 minutes after installation of Rev- > Eyes". That explains it; my house is only 20 minutes away. > Then it goes on with your injected quote. So ..... how can it affect > pupil size significantly and not affect acuity? Doesn't that just involve depth of field? Sharpness wasn't the problem, it's the godawful head-splitting brightness. SignatureCheers, Bev _|-_|-_|-_|-_|-_|-_|-_|-_|-_|-_|-_|-_|-_ When you stop bitching, you start dying. > I think Rev-Eyes (dapiprazole) has been around since the early 90's. But I > think it was discontinued about 3-6 months ago. I can't find "dapiprazole" [quoted text clipped - 7 lines] > > -MT It would seem to me that is one is given a drug to reverse the actions of the other, then one would have to worry about the time constants of the two interacting drugs. If the second would overwhelm the first, then one would be stuck with the reversed effect, i.e., smaller pupils, as the end result, having to wear that effect off. Don W. > It would seem to me that is one is given a drug to reverse the > actions of the other, then one would have to worry about the time > constants of the two interacting drugs. If the second would overwhelm > the first, then one would be stuck with the reversed effect, i.e., > smaller pupils, as the end result, having to wear that effect off. That probably figured into the decision about how strong to make the final product. But there are four major categories of neurotrophic drugs that act on the pupil. Sympathetic agonists like epinephrine stimulate dilation, and antagonists interfere with dilation. Dapripazole (Rev-eyes) was a sympathetic antagonist, which paralyzed the dilating fibers. But it seemed to me the effects were too wimpy to worry about "overshooting." -MT > It helped a little, but it stung pretty bad, was terribly expensive and only > lasted about 2 weeks once opened. I do recall it stung a little but not bad enough to bother me. I found it helped a lot, very fast on me in reversing the dilation. SignatureCharles > W <dwil...@prodigy.net> wrote: >> > So what are the side effects of doing something like this? [quoted text clipped - 3 lines] > So if it so trivial a procedure, then why is it not offered to those > who have to do solo appointments and drive back by themselves?? I've had them and it made no difference. I generally forget to ask for them. SignatureCheers, Bev _|-_|-_|-_|-_|-_|-_|-_|-_|-_|-_|-_|-_|-_ When you stop bitching, you start dying. > So if it so trivial a procedure, then why is it not offered to those > who have to do solo appointments and drive back by themselves?? I've done this many times. I would rather not, but it can be done. I once took dilating drops for a full week. Fortunately, it was just one eye, so I just put a patch over it when I drove. I understand that he might put drops in my eye and will make sure I don't drive home. What else might be part of the examination? > I understand that he might put drops in my eye and will make sure I don't > drive home. What else might be part of the examination? http://www.nlm.nih.gov/medlineplus/ency/article/003434.htm |
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