Can early swelling in the macula be detected easily during dilated eye exam? Or OCT is the only way to diagnose swelling over the macula? If a doctor dilates the eyes, then checks with indirect opthalmoscope and deems the retina normal. Can we be sure that there is no swelling that has been missed?
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Dilatation will be clinical perspective on examination finding by an Ophthalmologist
OCT posterior segment is a non invasive diagnostic imaging which will give findings on exactly what and where is the problem.
Both the above has to correlate each other.
Only on clinical examination if the ophthalmologist( eye surgeon)has observed 1)any changes in retina or
2)If visual disturbance is correlating to changes in retina.
3)Incase of Cataract, retina view on dilatation clinical view will be hazy ,because of Cataract,
In that case also there are few diagnostic tests ( B scan , etc)with which we can find if any changes in retina are there.
To confirm,to find why,and what and where exactly is the problem , how exactly to manage the further treatment options, diagnostic tests are further done.
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Even if there's an early swelling in the macula, it will be associated with a reduction in vision. Sometimes OCT is required to detect subtle swelling in the macula.
An Ophthalmologist will always correlate Vision and clinical examination to decide on whether OCT is required or not.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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