Readit News logoReadit News
sokoloff · 2 years ago
At my most recent eye exam, I paid an extra $40 or so to have some kind of digital retinal imaging done (no dilation required) and the amount of detail the doctor could see was phenomenal to my eye (no pun intended).

They were perhaps making more money on it, but seemed to push it as medically superior to the dilation and manual inspection process.

thedanbob · 2 years ago
I'm surprised, I thought the digital imaging was the standard now. The eye doctor I've been going to for several years now only does the new method and doesn't even offer dilation afaik.
dkarl · 2 years ago
Insurance doesn't cover it, so some doctors don't bother with it. I was caught by surprise when I tried out my wife's ophthalmologist. Dilation only, no option for a digital scan, my choices were get dilated or get out. I'm not going back there.
slj · 2 years ago
Here in AUS, essentially every single optometrist requires digital imaging. Oh, and it’s subsidised by the government.You don’t pay a single cent for a prescription. Bonus: If you have private optical health insurance it will likely cover two pairs of prescription glasses per year. Not too bad a deal if you ask me!
BillSaysThis · 2 years ago
Optomap is the (commercial?) name for this. A previous Silicon Valley ophthalmologist I went to swore by it and I saw the value, given a family history of macular degeneration, but out here no one has the very expensive machine.
burnte · 2 years ago
I don't even care if it makes them more profit than drops, I'm MUCH more likely to use the digital system rather than drops, so the value is there for me.
ollien · 2 years ago
My local glasses shop had this as an option, but only at a location that was a bit out of my way. Would have loved to try it, though!
ubermonkey · 2 years ago
There have been "reversal" drops for a while now, right? And with sufficiently dark sunglasses, driving is still not a problem.
bdcravens · 2 years ago
You can drive with dilated pupils, but you may have a hard time reading signs or even reading your speedometer.
mhb · 2 years ago
That's what the pinhole glasses are for.
Jtsummers · 2 years ago
The driving bit seems to have been some editorializing on the submitter's part, the title has been changed to match the article.
tssge · 2 years ago
>For instance, pharmacologically-induced mydriasis causes sensitivity to light (photophobia) and blurred vision, which may make it difficult to read, work and drive.

The article content mentions driving though.

westcort · 2 years ago
Based on structure (but not the Ames test), phentolamine has some genotoxic metabolites. I wonder why they chose that alpha agonist and not a different one (of which there are many).
amluto · 2 years ago
> In both pivotal studies, a statistically significantly greater percentage of subjects experienced their study eyes returning to normal at all time points measured from 60 minutes through 24 hours in the Ryzumvi group compared with placebo.

Thanks, FDA, industry standards, and general statistics education. This means almost nothing.

How much does it help? What fraction of people are helped? Can one still see comfortably in dim light after administration of dilating drops followed by this? Does it also reverse cycloplegia?

icegreentea2 · 2 years ago
Here's the study results: https://clinicaltrials.gov/study/NCT05134974?tab=results

They mostly only studied pupil diameter - there is one visual acuity test measurement (at normal lighting conditions) performed at 6 hours that maybe shows improvement.

amluto · 2 years ago
So the effect on dilation is pretty large. Why doesn’t the headline say that?

The accommodation results are indeed unimpressive.

dr_dshiv · 2 years ago
So now someone can eat shrooms and not have dilated eyes?
rjsw · 2 years ago
I'm guessing this is something specific to the US.
capableweb · 2 years ago
Yes, the FDA is a US-only institution. Full name is: U.S. Food and Drug Administration.
rjsw · 2 years ago
I was commenting on the original title, I meant that being unable to drive due to the after affects of some unknown procedure is a US specific thing.