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ARIZONA BOXING AND MIXED MARTIAL ARTS COMMISSION DILATED EYE EXAM REPORT OF EYE EXAMINATION FOR PROFESSIONAL BOXER / UNARMED COMBATANT TO BE PERFORMED BY AN OPTOMETRIST OR OPHTHALMOLOGIST Last NameFirst
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How to fill out dilated eye exam
How to fill out dilated eye exam
01
To fill out a dilated eye exam, follow these steps:
02
Schedule an appointment with an eye care professional or ophthalmologist.
03
Arrive at the appointment on time.
04
Provide your medical history and any relevant information to the eye care professional.
05
Inform the eye care professional if you have any allergies or are currently taking any medications.
06
Prepare yourself for the exam by wearing comfortable clothing.
07
Expect the eye care professional to dilate your pupils using eye drops.
08
Wait for about 20-30 minutes for the eye drops to take effect.
09
Sit in front of the eye examination equipment.
10
Follow the instructions given by the eye care professional during the exam.
11
Answer any questions or perform any required actions during the exam.
12
Allow the eye care professional to examine your eyes under different magnification and lighting conditions.
13
Stay still and keep your eyes open as directed by the eye care professional.
14
Avoid looking directly at bright lights during the exam.
15
Wait for the effects of the eye drops to wear off before driving or operating machinery, as they may temporarily impair your vision.
16
Discuss the results of the exam with the eye care professional and ask any questions you may have.
17
Follow any further instructions or recommendations provided by the eye care professional.
18
Keep a record of your dilated eye exam for future reference or if needed by other healthcare providers.
Who needs dilated eye exam?
01
Dilated eye exams are typically recommended for the following individuals:
02
- People with diabetes, as they are at higher risk for diabetic retinopathy.
03
- Individuals with a family history of eye diseases, such as glaucoma or macular degeneration.
04
- Those experiencing symptoms of eye problems, such as blurry vision, loss of peripheral vision, or floaters.
05
- Individuals with certain medical conditions, including high blood pressure and autoimmune disorders.
06
- People over the age of 40, as age-related eye diseases become more common with age.
07
- Those who have previously been diagnosed with an eye disease or condition.
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What is dilated eye exam?
A dilated eye exam involves the eye doctor using eye drops to dilate or widen the pupils in order to examine the back of the eye, including the retina and optic nerve.
Who is required to file dilated eye exam?
Individuals who have certain eye conditions or risk factors for eye diseases may be required to undergo a dilated eye exam as recommended by their eye care provider.
How to fill out dilated eye exam?
To fill out a dilated eye exam, you will need to visit an eye care provider who will perform the exam using eye drops to dilate the pupils and examine the back of the eye.
What is the purpose of dilated eye exam?
The purpose of a dilated eye exam is to allow the eye care provider to thoroughly examine the back of the eye to check for signs of eye diseases or conditions that may not be visible during a regular eye exam.
What information must be reported on dilated eye exam?
The information reported on a dilated eye exam may include details about the eye condition being evaluated, the findings of the examination, and any recommendations for treatment or further evaluation.
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