Post-Dilation Eye Exam: Common Concerns and Care Tips - Ophthalmology

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Post-dilation examination inquiry?


Hello Doctor, I went to the ophthalmology department this morning for a check-up on my floaters and had my pupils dilated twice.
After the examination, the doctor said there was no bleeding or rupture, and I should just follow up.
I have a few questions: During the examination, I followed the doctor's instructions to move my eyes up, down, left, and right, but sometimes I felt like I saw the light source from the doctor and noticed something like blood vessels.
Also, when I was asked to look straight ahead with both eyes, I saw a small black spot, although the doctor said that was a floater.
Is this normal? Will I continue to see bright lights like this? Additionally, after the dilation, I did experience some light sensitivity, but after 2-3 hours at home, I took a shower and washed my face.
Is that okay? The doctor also prescribed me Sulmezle 4% and Eyehelp 0.01% eye drops, but I forgot to ask if I should wait 4-8 hours after experiencing light sensitivity before using them, or if I can use them at noon or in the evening.
Thank you for taking the time to read my questions.

Yi, 20~29 year old female. Ask Date: 2020/07/22

Dr. Gao Pilin reply Ophthalmology


Hello Yi: The condition after the examination should not differ from before, as dilation does not change any of your conditions; it only causes temporary light sensitivity and blurred vision.
The symptoms during dilation will disappear once the pupils return to their normal size, so there is no need to worry.
After dilation, you can still use these two types of eye drops; you do not have to wait for the pupils to constrict.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should seek care at a medical facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/07/22

More Info


Post-dilation eye exams can often lead to a variety of concerns, especially for patients who may not be familiar with the effects of dilation and the subsequent care required. It’s great that you had your eye exam and received a thorough check-up. Here are some insights regarding your questions and concerns.


Understanding Dilation Effects
When your eyes are dilated, the pupils widen to allow more light in, which helps the doctor examine the retina and other internal structures of the eye. However, this can lead to temporary side effects, such as increased sensitivity to light (photophobia) and blurred vision. These effects can last for several hours, depending on the type of dilation drops used and your individual response to them.


Concerns About Visual Disturbances
You mentioned seeing "blood-like strands" and small black spots while looking at the light source during your exam. This is not uncommon. The "blood-like strands" you observed could be related to the floaters (or "flying spots") that many people experience, especially when their eyes are dilated. Floaters are typically harmless and are caused by tiny clumps of gel or cells inside the vitreous, the clear gel that fills the space between the lens and the retina.
The small black spots you see could also be floaters or shadows cast by the vitreous gel on the retina. If your doctor has assured you that there are no signs of retinal tears or bleeding, this is a positive indication. However, if you notice a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, it’s crucial to seek immediate medical attention, as these could be signs of a more serious condition.


Post-Exam Care
Regarding your concern about washing your face and showering after dilation, it is generally safe to do so. However, be cautious about getting soap or shampoo in your eyes, as they can cause irritation. If you feel any discomfort or unusual sensations after washing your face, it’s best to consult your eye doctor.


Eye Drops Usage
As for the eye drops prescribed (Sulmezle 4% and Eyehelp 0.01%), it’s important to follow your doctor’s instructions regarding their application. Typically, you can start using these drops as directed, even if you are experiencing some light sensitivity. If your doctor did not specify a waiting period after dilation, you can likely use them as soon as you feel comfortable. However, if you have any doubts, it’s always best to contact your eye care provider for clarification.


Conclusion
In summary, the visual disturbances you are experiencing post-dilation are likely related to the effects of the dilation itself and the presence of floaters, which are common and usually harmless. Continue to monitor your symptoms, and if you notice any significant changes or new symptoms, do not hesitate to reach out to your eye doctor. Following the prescribed care regimen with your eye drops will also help in maintaining your eye health. Remember, regular check-ups and open communication with your healthcare provider are key to managing any eye-related concerns effectively.

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