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Do Eye Doctors Dilate Your Eyes During an Eye Exam?

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If you’ve ever had your eyes dilated for an eye exam, you might remember the feeling. It may have been hard to read your phone, or bright light may have made you squint for hours afterward. The good news is that eye care has evolved, and you now have options that can make your visit to Cherry Creek Eye Physicians & Surgeons more comfortable.

Most patients don’t need their eyes dilated during routine eye exams. At Cherry Creek Eye, we pride ourselves on being technology-focused, including retinal imaging, which provides detailed information without the discomfort of a dilated exam.

Modern Eye Exams: Dilation Isn’t Usually Needed

When you visit an eye doctor today, you can often skip the traditional dilation drops that leave you with blurry vision and light sensitivity. 

The Benefits of Optomap

Using a technology called Optomap, the eye doctor can capture ultra-wide images of most of your retina (the back of your eye), helping to provide a clear view without any drops. In many cases, this removes the need for a dilated exam.

This often means you can drive yourself home, return to work, and use your computer or phone normally after your appointment. At our practice, our eye care team can help you choose between Optomap imaging and traditional dilation based on your preferences and eye care needs. 

When Eye Doctors Do Need to Dilate Your Eyes

If you have new visual symptoms like sudden flashes of light or many floating spots, dilation gives your eye doctor a different view of the back of your eyes that can aid in the diagnosis of your condition.

  • Suspected retinal detachment, holes, or tears
  • Complex diabetic eye changes
  • Specific refractive problems
  • Pediatric eye exams 

How Eye Pressure Checks Work Without Drops

Your eye pressure screening also gets easier with modern technology. The iCare device measures your eye pressure without the numbing drops that older methods often required, making glaucoma screening more comfortable.

How the iCare Works

The device gently touches your eye for just a moment to get an accurate pressure reading. You likely won’t feel any discomfort, and the results are available immediately during your visit.

This method works for most patients and provides reliable screening for glaucoma, which is 1 of the leading causes of vision loss. Your eye doctor can spot pressure changes early and recommend if treatment is needed.

What Happens If You Need a Dilated Exam

In the cases that your eye doctor determines that dilation is medically necessary, the process is straightforward and painless. The eye drops take about 15–30 minutes to work, during which time you can relax in the waiting area.

The Dilated Eye Exam Process

Once your pupils are dilated, the eye doctor may examine the back of your eye using special lights and lenses. You might notice some brightness from the lights, but the examination itself is typically comfortable.

After the Dilated Eye Exam

After your exam, your vision may remain blurry for 1–2 hours as the drops wear off. Bright lights can make you feel uncomfortable, so bringing sunglasses is a good idea to protect your eyes when you leave the office.

Insurance Coverage and Cost Information

Understanding your insurance coverage helps you make informed decisions about your eye exam options. Optomap retinal photos are typically an out-of-pocket expense for routine vision exams, but medical insurance may cover them when you have an active retinal medical diagnosis.

Different Types of Insurance and Their Impact

The coverage depends on whether you’re using vision insurance or medical insurance for your eye exam. Vision insurance does not cover Optomap imaging. 

Coverage for Dilation

Though coverage does vary between providers, traditional dilation is usually included as part of your comprehensive eye exam and covered by both vision and medical insurance when medically necessary. It is always a good idea to check your coverage to understand your specific benefits.

Make Your Eye Exam Comfortable

At Cherry Creek Eye Physicians & Surgeons, we strive to make eye care accessible and convenient for you and your family. The technology we provide often means you can get a thorough eye examination that fits your busy schedule. Contact us today to schedule your eye exam and discuss which type of examination method can work for your needs.

Written by Dr. Stuart Lewis, Dr. Rachel Lewis & Dr. Tammy Gray

Dr. Stuart Lewis, OD

Dr. Stuart Lewis moved to Denver in 1979 after receiving his Bachelor of Arts in neurobiology and behavior from Cornell University in 1974, earning his Doctor of Medicine from George Washington University in 1978 and completing an internal medicine internship at Northwestern University in 1979. At the conclusion of his ophthalmology residency at the University of Colorado in 1982, he entered private practice.

Dr. Lewis was board-certified by the American Board of Ophthalmology in 1983 and was elected to be a Fellow and Diplomat of the American Academy of Ophthalmology in 1984. In 2018, he was selected as a Lifetime Member of the American Academy of Ophthalmology.

Dr. Lewis has been an active community member in Denver, having built the Cherry Creek Eye Center in 1985, one of the first inclusive Eye facilities in Denver, and created Cherry Creek Eye Physicians & Surgeons, P.C. He has served on various boards, including the Investigational Research Review Board at Rose Medical Center, and was an original board member at Harvard Park Surgical Center.

Dr. Lewis served at least 2 terms as Chairman of the Department of Ophthalmology at Rose Medical Center. He also holds a position as Assistant Clinical Professor in the Department of Ophthalmology at the University of Colorado eye residency program and was a Visiting Professor of Ophthalmology at the Elias Santana Hospital in the Dominican Republic.

In 2018, Cherry Creek Eye Physicians and Surgeons, P.C. was listed as the 36th highest-rated business in Colorado based on patient reviews by “Top Rated.” Dr. Lewis is an active alpine and cross-country skier, bicyclist, and golfer. He also enjoys travel, birding, bridge, and opera.

Dr. Rachel Lewis, OD

Dr. Rachel Lewis is a highly skilled optometrist contributing her passion for eye care and a wealth of experience to Cherry Creek Eye Physicians & Surgeons, P.C.

Dr. Lewis earned her Doctor of Optometry degree from New England College of Optometry in Boston, MA. Before pursuing her optometry degree, she completed a Pre-Health Post Baccalaureate Program at New York University and University of Colorado Denver. She holds a Bachelor of Arts in Political Science from Amherst College and spent time studying abroad at Université de Grenoble in France.

Her area of practice is comprehensive primary eye care, with a focus in ocular surface diseases such as dry eye and keratoconus. Her practice also includes contact lens services (specialty, multifocal and soft contact lens fittings), myopia control, glaucoma management, pre-operative evaluations and post-operative care for a wide range of procedures.

Dr. Lewis is deeply committed to public service and has volunteered her expertise at the Colorado Coalition for the Homeless, Stout Street Eye Clinic. She has also traveled to Honduras on a medical mission trip to provide primary care services and eyeglasses to underserved communities.

Outside of her practice, Dr. Lewis enjoys spending time with her husband and children. She takes advantage of the Colorado lifestyle as much as possible with outdoor activities including skiing, camping, tennis and golf. She is also passionate about experiencing other cultures through travel and cuisine.

Whether you are seeking routine eye exams, specialized contact lens fittings, or the management of complex ocular conditions, Dr. Lewis is here to help.

Dr.Tammy Gray, OD

Dr. Tammy Gray has been a key member of the Cherry Creek Eye Physicians & Surgeons team since 2012 and has practiced in Colorado since 2008. Her blend of professionalism and personal warmth makes her a valued member of our team and community.

After earning her Doctor of Optometry degree from the New England College of Optometry in Boston, MA, in 2006, Dr. Gray honed her skills with a residency in Ocular Disease and Surgical Co-Management at Eye Care Associates of Nevada. Her journey into optometry was built on a solid foundation with a Bachelor of Science degree in Microbiology from Colorado State University in Fort Collins, CO.

Dr. Gray is passionate about providing comprehensive primary eye care, focusing on anterior segment diseases, like keratoconus and dry eye, and fitting scleral contact lenses.

Outside the office, Dr. Gray loves spending quality time with her husband, son, and extended family. She’s a supportive sports mom, cheering on her son at his sporting events, and relishes the joy of movies, live theatre, reading, and exploring new places through travel.

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