dark adaptometer test

[vm26]

Is this a legit test for early AMD? Just had a vision exam and this was recommended to me

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[estes8000]

I see no benefit in the test given your circumstances. AMD is generally found in people 55 years of age and older. Dark adaptation testing is never part of the routine work-up for this disease. There are other degenerative and hereditary macular conditions where the test may be useful.

 

[Dusn]

Did they ask you to pay out of pocket for it?

 

[vm26]

Did they ask you to pay out of pocket for it?

They would run it through my insurance but I have a high deductible plan so it would cost me $250 out of pocket. Apparently they sell supplements for prevention.

I'm a rad and need to work for a long time so this is a bit scary

 

[MstaKing10]

By "vision exam" I am assuming you saw an optometrist? Read up on the AREDS2 vitamins and study. They are only indicated for those with macular degeneration and moderate to severe cases to boot. There is NO evidence that vitamins prevent AMD if one has no evidence of disease. The only test to assess wether you have AMD that I would reccomend is a complete dilated eye exam by a board certified general ophthalmologist and possibly imaging based on their assessment. Even genetic testing is controversial but most agree unnecessary to make the diagnosis and stratify risk. Get check by and ophthalmologist!

 

[vm26]

By "vision exam" I am assuming you saw an optometrist? Read up on the AREDS2 vitamins and study. They are only indicated for those with macular degeneration and moderate to severe cases to boot. There is NO evidence that vitamins prevent AMD if one has no evidence of disease. The only test to assess wether you have AMD that I would reccomend is a complete dilated eye exam by a board certified general ophthalmologist and possibly imaging based on their assessment. Even genetic testing is controversial but most agree unnecessary to make the diagnosis and stratify risk. Get check by and ophthalmologist!

Thanks! Vision exam by OD. I mentioned some slight issue adapting to night vision when 1st driving on dimly lit roads and then this was his suggestion after he magnified an image of my retina and pointed out some subtle abnormality. All other tests were more or less normal (aside for slight issue that I use reading glasses for). Had an exam 2 years elsewhere and there was no mention of this but they did not have the dark adaptometer test/equipment.

Was also told that all my sunglasses are inadequate for eye protection as they are not polarized. Of course he sells the polarized ones as well.

 

[Dusn]

What a crook.

You have my permission/encouragement to leave him a horrible Yelp review to protect future patients. People who practice snake oil medicine and bill for it just ruin everyone’s reputation in the eyes of the public.

I’d go see a retina specialist. An OCT of the retina is a test I’d consider, as it is quick, easy, safe and very detailed imaging of the macula to make sure nothing is wrong there (it can bring up incidentalomas however).

Just general advice for everyone: Don’t smoke. Eat green leafy vegetables and a Mediterranean diet.

 

[vm26]

What a crook.

You have my permission/encouragement to leave him a horrible Yelp review to protect future patients. People who practice snake oil medicine and bill for it just ruin everyone’s reputation in the eyes of the public.

I’d go see a retina specialist. An OCT of the retina is a test I’d consider, as it is quick, easy, safe and very detailed imaging of the macula to make sure nothing is wrong there (it can bring up incidentalomas however).

Just general advice for everyone: Don’t smoke. Eat green leafy vegetables and a Mediterranean diet.

Thank you all! I really appreciate the feedback

 

[increscence]

Guys, is this materially different from a photostress recovery test we used to do in residency with a muscle lamp and an eye chart...?

 

[Slide]

They would run it through my insurance but I have a high deductible plan so it would cost me $250 out of pocket. Apparently they sell supplements for prevention.

I'm a rad and need to work for a long time so this is a bit scary

Yeah dude I think you got marked and scammed. Unfortunately useless ancillary testing paid out of pocket is more common in our field than expected. Dusn hit all the high points. Just tell your friends to avoid that guy too!