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Link: Dilation Dilemma

Posted by Amanda Dexter on July 28, 2016 at 9:00 AM
Amanda Dexter
Dr. Amanda K. Dexter received her optometric training at Southern California College of Optometry in Fullerton, California, where she was Class of 2010 Valedictorian. She also completed a residency in Primary Care and Ocular Disease at the Veteran's Affairs Hospital in San Diego, California. Dr. Dexter is the Manager and Program Coordinator for OptoPrep, the premiere online study resource for the NBEO Part I & II.


Advances in imaging have allowed for greater patient convenience and satisfaction. But are they a substitute for the tried-and-true practice of dilation?

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Advances in technology have given optometrists the ability to better view the posterior segment without subjecting patients to dilation. In particular, the development of ultra-widefield imaging (UWFI) by companies such as Optos, Centervue and Heidelberg Engineering provides optometrists with an adjunctive tool of objective retinal documentation. For asymptomatic patients undergoing routine eye examination, we may ask ourselves if dilation is really necessary. Are ancillary procedures such as UWFI appropriate substitutes for dilation in low-risk patients? 

Read the full article from Review of Optometry

Dr. Dexter's Take

The discussion of the frequency (or necessity) of a dilated fundus examination often results in a heated debate in which all parties have their own ideas as to when they feel it is necessary to dilate their patients. There is no specific guideline in regards to dilations, except for the fact that AOA states that pharmacologic dilation is generally required for the thorough evaluation of ocular structures. Some clinicians feel that Optomap imaging gives a wide enough field of view that dilations shouldn't be required as often, while others believe that even with imaging, all patients (no matter age and ocular health status) should have a dilated exam yearly. What do you think? 

The Top 15 Tips and Tricks for Studying for Part I of NBEO®

NBEO-Tips-large.pngWe’ve put together a ton of great tips and tricks for studying for Part I of NBEO along with two tailored study programs that will help you thoroughly prepare for the big day. Remember, you’ve made it this far and you can totally do this!

Some of the Top 15 Tips include:

  • Familiarize Yourself with the Test Format
  • Tackle the Weak Subjects Early
  • Start Sooner and Ease Into It
  • ...and 12 more!

NBEO Part I Study Guide The Top 15 Tips and Tricks for Studying for Part I

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