OCANZ Clinical Guidelines
What are the CONDITIONS that commonly indicate pupil dilation. - Answer- Diabetes Uveitus Pigmented fundus legion Suspected or diagnosed glaucoma Lattice degeneration or other peripheral retinal lesion Penetrating Trauma Recent blunt trauma Cataract Hypertension High Myopia History of metastatic Cancer What are the SYMPTOMS that commonly indicate pupil dilation. - Answer- Flashes and floaters New Distortion Unexplained reduction in or loss of visual field Recent blunt trauma What else could require pupil dilation? - Answer- Relevant FOH Smal pupils Unsteady Fixation Nystagmus Essential Stereo Viewing Systemic medications Good digital imaging What is deemed a significant rise in IOP following dilation, for which the Optometrist should consider referring for further investigations? - Answer- 3mmhg What is the risk of inducing angle closure with a dilating agent? - Answer- 1 in 5000 What clinical presentations are considered contraindications for pupil dilation? - Answer- Iris Fixated IOL's Narrow Angles Active Corneal Disease Subluxed posterior chamber IOL Hyphaema When pupil reactions need to be preserved Px under miotic therapy for angle closure glaucoma Pentrating ocular injry Known hypersensitivity to mydriatic drug How long duri
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