At our practice, we pride ourselves on providing our patients with the best possible standard of care. Because of this, we would like to perform the Optomap Retinal Examination on all our patients.
By taking advantage of the retinal imaging process, you are being proactive in diagnosing and monitoring disease and problems such as:
These conditions can lead to serious health problems, including partial vision loss or blindness, and often develop without warning.
Please Note: A dilated retinal exam with central retinal imaging may still be needed in addition to the Optomap to evaluate complex eye health and vision problems. The doctors will make that determination during your exam.
Most major vision insurance companies cover retinal imaging with a $39.00 copay. We offer this service at our office to all our patients with a $30.00 copay. There is no charge for Children under 18.
Printed Patient Name:_________________________________________
Patient signature:__________________________________________ Date:_______________________________
- DOES NOT REQUIRE DILATING DROPS. You may not need to be dilated today, potentially eliminating a 30-minute wait and avoiding side effects such as blurry vision, and light sensitivity which can last up to 4 hours.
- This non-invasive procedure allows your doctor to see a much broader and more detailed view of the peripheral retina than is possible with conventional retinal photography methods. The Optomap provides an eye wellness scan, like that of dilation, delivering a wider view. Is as fast as taking a picture.
- Will be saved in your file and establishes an invaluable baseline imaging, enabling your optometrist to make important comparisons during your annual eye exam.
By taking advantage of the retinal imaging process, you are being proactive in diagnosing and monitoring disease and problems such as:
- Diabetes
- Glaucoma
- High blood pressure
- Macular degeneration
- Retinal holes & Detachments
These conditions can lead to serious health problems, including partial vision loss or blindness, and often develop without warning.
Please Note: A dilated retinal exam with central retinal imaging may still be needed in addition to the Optomap to evaluate complex eye health and vision problems. The doctors will make that determination during your exam.
Most major vision insurance companies cover retinal imaging with a $39.00 copay. We offer this service at our office to all our patients with a $30.00 copay. There is no charge for Children under 18.
Printed Patient Name:_________________________________________
Patient signature:__________________________________________ Date:_______________________________