Difficult to dilate patients

[pugdogs]

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I am seeking input regarding approx. percentage of patients that need to be re-dropped to fully dilate. Our number/% of difficult to dilate patients seem to be increasing; pathology, dark pigmentation, and s/p trauma account for the problems - but the percentage seems to be increasing. We have not changed gtts or technique.

Thanks for your input.

 

[7ontheline]

Why does this matter?

 

[Meibomian SxN]

Make them sit there with their eyes closed for as long as they can take it, especially the brown iris