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FLORIDA STATE BOXING COMMISSION 1940 NORTH MONROE STREET TALLAHASSEE, FLORIDA 323991016 PHONE: 850.488.8500 FAX: 850.922.2249 DILATED OPHTHALMOLOGICAL EXAMINATION (To be performed ONLY by an OPHTHALMOLOGIST

How to fill out dilated ophthalmological exam

How to fill out a dilated ophthalmological exam:

1. Begin by ensuring that you have all the necessary equipment and forms needed for the exam, including a dilating agent, eye drops, an ophthalmoscope, and a patient information sheet.
2. Before starting the exam, explain the procedure to the patient, including why it is necessary and any potential side effects they may experience.
3. Gather the patient's medical history, including any previous eye conditions, surgeries, allergies, or medications they are currently taking. This information will help in evaluating their eye health and potential risks.
4. Record the patient's basic information, such as their name, date of birth, and contact details, on the patient information sheet.
5. Perform a comprehensive visual acuity test to measure the patient's ability to see clearly at different distances. This can involve using an eye chart and asking the patient to read specific lines or letters.
6. Next, administer the dilating eye drops as per the recommended dosage. These drops will enlarge the patient's pupils, allowing for a better examination of the back of the eye.
7. Wait for approximately 20-30 minutes for the eye drops to take effect. During this time, provide the patient with sunglasses to protect their eyes from the bright lights.
8. Once the eyes are dilated, use an ophthalmoscope to examine the patient's retina, optic nerve, blood vessels, and other structures at the back of the eye. Check for any abnormalities or signs of eye diseases.
9. Take detailed notes of your findings, including any observations or potential concerns you may have regarding the patient's eye health.
10. After the exam, discuss the results with the patient, explaining any findings or recommendations for further evaluation or treatment if necessary.
11. Provide the patient with post-exam instructions, such as avoiding driving for a few hours due to temporary blurred vision caused by the dilating drops.
12. Finally, document the entire exam in the patient's medical record, including the date, time, findings, and follow-up instructions.

Who needs a dilated ophthalmological exam?

1. Individuals with certain risk factors, such as a family history of eye diseases like glaucoma or macular degeneration, may need regular dilated eye exams to detect early signs of these conditions.
2. People with diabetes are at a higher risk of developing diabetic retinopathy, a condition that affects the blood vessels in the retina. Dilated eye exams are crucial for monitoring and managing this condition.
3. Patients experiencing new or worsening eye symptoms like blurred vision, floaters, or flashes of light may require a dilated ophthalmological exam to identify the underlying cause of their symptoms.
4. Individuals over the age of 60, even in the absence of specific risk factors, should consider regular dilated eye exams as part of their overall eye health maintenance.
5. Those with a history of eye trauma or surgery may need periodic dilated eye exams to assess any long-term effects or complications.
6. Patients with certain systemic conditions such as hypertension, autoimmune diseases, or high cholesterol levels may require dilated eye exams to screen for associated eye problems.
7. Children with certain eye conditions or developmental delays may need dilated eye exams to monitor their eye health and ensure proper visual development.
8. People who are on specific medications that can have ocular side effects should undergo regular dilated eye exams to detect any potential issues.

Remember, it is crucial to consult with an eye care professional to determine the frequency and necessity of a dilated ophthalmological exam based on individual circumstances and medical history.

For pdfFiller’s FAQs

What is dilated ophthalmological exam?

A dilated ophthalmological exam is an eye examination where the pupils are dilated to allow for a more thorough evaluation of the retina and optic nerve.

Who is required to file dilated ophthalmological exam?

Individuals who have certain medical conditions or are at a higher risk for eye diseases may be required to undergo a dilated ophthalmological exam.

How to fill out dilated ophthalmological exam?

To fill out a dilated ophthalmological exam, a trained eye care professional will perform the examination, which typically involves using eye drops to dilate the pupils and then using various instruments to examine the eyes.

What is the purpose of dilated ophthalmological exam?

The purpose of a dilated ophthalmological exam is to detect and monitor eye diseases, such as diabetic retinopathy, glaucoma, and age-related macular degeneration.

What information must be reported on dilated ophthalmological exam?

The dilated ophthalmological exam report typically includes details about the patient's medical history, visual acuity, intraocular pressure, and findings from the dilated eye examination.

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