It is generally accepted that in order to have a complete eye examination, our pupils should be dilated.
We explain to patients that examining the fundus of our eyes without dilation is like trying to see a room through a keyhole instead of opening the door wide.
If a patient has a problem related to the front of the eye, such as conjunctivitis (pink eye), then we may not needle the patient.
However, if the patient has a symptom related to the fundus of the eye, such as flies or symptoms of retinal detachment, then we should definitely put drops for mydriasis.
We cannot force the patient to have a mydriasis, but if necessary we should explain why.
Mydriasis is common practice even in young, healthy patients. Patients of any age may have a serious problem in the bottom of their eye or eyes, such as a cracked or detached retina.
