eye dilation

Discussion in 'Eye-Care' started by gudrun17, Oct 12, 2005.

  1. gudrun17

    gudrun17 Guest

    My husband had his eye dilated yesterday afternoon for numerous
    tests--they kept adding more dilating drops as time went on--and his
    eye is still dilated 24 hours later--does that indicate some problem or
    just that the doctors used a lot of drops? He is now on a topical
    steroid drop for inflammation--could that lengthen the period of
    gudrun17, Oct 12, 2005
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  2. gudrun17

    LarryDoc Guest

    Dilation for routine examination generally lasts a few hours. Sometimes
    more potent drops or multiple dosing is required and that can cause the
    effect to last considerably longer. But your statement that he was
    given steroid drops for inflammation adds another possibility: if he is
    being treated for an internal ocular condition requiring steroids, part
    of that treatment may be to keep the pupils dilated for one or more

    Why not just pick up the telephone and call the doctor and ask!

    --LB, O.D.
    LarryDoc, Oct 12, 2005
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  3. gudrun17

    gudrun17 Guest

    Thanks. I only asked here because he had just had a long conversation
    with his doctor's office and forgot to ask about the dilated eye. His
    pupil gradually went back to normal in the next couple of hours so he
    didn't bother to call back. I've had my eyes dilated for exams and
    photos and various other tests and my pupils have never been
    completely normal until the next morning, but I've never had dilation
    last into the next day--that's why it concerned me. I assume that for
    some people, dilation lasts longer than for others.
    gudrun17, Oct 13, 2005
  4. gudrun17

    Neil Brooks Guest

    I believe that's true of light-eyed people, too: Dilation takes less
    and lasts longer.
    Neil Brooks, Oct 13, 2005
  5. Yeah, this happens to me every time I get my eyes dilated (i.e., every
    time I go in for an ocular assessment ... which is once a year). Last
    year my doc commented that my eyes dilate "very, very quickly" ... they
    also take forever to go back to normal. I'm not light-eyed per se ...
    but my eyes are medium brown I guess ... ah well ... 'tis life.
    silverblue001, Oct 13, 2005
  6. gudrun17

    gudrun17 Guest

    My husband is blue-eyed so maybe that is one reason. But I have brown
    eyes and they still stay dilated the rest of the day--not just a few
    hours. It occurred to me that although his appointment was at 2:30 and
    he was dilated then, they gave him more dilating drops at 5:30--he was
    there until almost 6--so maybe that's why it lasted into the next day.
    gudrun17, Oct 13, 2005
  7. gudrun17

    Dr. Leukoma Guest

    Dilation from Tropicamide typically lasts about 4 hours. With
    cyclopentolate, 6 - 24 hours. With homatropine, 24 - 48 hours.
    Atropine, 72 + hours.

    When treating something like iritis/anterior unveitis, prolonged
    cycloplegia is desireable for therpeutic reasons. I had a patient call
    me on my cell from Florida. She evidently suffered a contact
    lens-related corneal abrasion. She saw a local OMD, who put her on
    antibiotic/steroid combo, but she was in terrible pain, had to get
    ready for an overseas flight and couldn't function. I called in an RX
    for cyclopentolate, which caused prompt relief of the eye socket pain.
    It's amazing how that can make a difference.

    Dr. Leukoma, Oct 13, 2005
  8. gudrun17

    gudrun17 Guest

    Dr. L, thank you for your explanation of the various dilation
    medications. I'm glad you replied. At this point my husband doesn't
    even really have a diagnosis. He's had a fluorescein angiogram,
    ultrasound, OCT and now he is having an MRI. The retina specialist put
    him on prednisone to see if that would bring down the inflammation. He
    says all these tests are giving contradictory results and he is still
    not sure what is the problem. There is an elevated area in the retina
    but he can't figure out what is causing it. He did mention posterior
    uveitis or scleritis but says it doesn't really look that much like
    those. Maybe we should go to another retina specialist.
    gudrun17, Oct 14, 2005
  9. gudrun17

    Dr. Leukoma Guest

    It sounds like the prolonged dilation was more for diagnostic testing
    than for any therapeutic treatment.

    I routinely send patients to retinal specialists who work in a large
    group setting. It seems like they all have their areas of
    specialization, and so sometimes a patient may be seen by two or three
    retinal specialists within the same group.

    Dr. Leukoma, Oct 14, 2005
  10. gudrun17

    gudrun17 Guest

    Interesting. My husband has been seen by two of the retina specialists
    in the group but they both seem baffled. MRI was normal, btw--no mass.
    Angiogram showed some leakage from a hole, but the retina specialist
    didn't say where the hole is. Ultrasound showed the elevation of the
    retina but it consists of normal "eye material", according to what he
    told my husband. Haven't heard the results of the OCT yet. Just from my
    own research it sounds most like central serous retinopathy but I would
    think any retina specialist could tell that when he sees it. There are
    four retina specialists in that practice; I hope they put their heads
    together. Since the problem seems to be going away with the prednisone,
    maybe we'll never know what it was. I think they have done every
    possible test.
    gudrun17, Oct 14, 2005
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