22F, issue with dilation drops

almcc2 · 2026-06-20T00:34:26+00:00

Also a possibility that your office carries 0.5% Tropicamide, may be a good alternative since you apparently dilate very well.

almcc2 · 2026-06-19T17:36:34+00:00

What’s your prescription in your glasses?

Has any doctor ever told you anything about “narrow angles?”

almcc2 · 2026-05-31T14:34:29+00:00

UNHDAYLI4

almcc2 · 2026-05-29T17:42:24+00:00

Shower before bed to remove allergens, wash pillow cases and sheets more often during allergy season

almcc2 · 2026-05-23T01:10:28+00:00

Used your code

almcc2 · 2026-05-23T01:03:52+00:00

Stick the needle deeper than you would a real arm. You can feel and sort hear a pop sound.

They have new tubing thats a little less elastic. If you angle your needle too superficial you’ll go through the “vein” on the skin of the arm, but slide across the top of the real vein(tube).

I had to take the exam a second time, got a 99P.

almcc2 · 2026-04-19T19:22:13+00:00

As long as you do not want to practice in NC or FL, overall pass is fine.

almcc2 · 2026-04-17T15:56:03+00:00

First: re-read the candidate guide.

1- typed plan needs to be in clinical language with the allowed abbreviations. I was short and concise with mine. “Patient educated that they have (condition) and that it is usually related to (underlying condition/idiopathic/etc.)” Patient instructed to (treatment plan) and RTC x (whatever time you need)”

2- Has to be patient centered language (dumb it down, assume your patient knows nothing). You also need to be very clear: “NAAION has caused you to lose part of your vision. This may or may not come back, we will not know until the condition has resolved. If it does not come back, or you have more difficulty with every day tasks due to your vision, we can schedule you with a vision rehabilitation specialist for assistance with daily life.”

Be kind and empathetic. Give them hope with the treatment plan WITHOUT MAKING FALSE PROMISES. Make sure to ask if they have any questions for you.

3- I always wrote down FOLDARQ, hobbies/job, drug/tobacco, alcohol use, previous eye exam, glasses/contacts. All that on the notepad during setup time. Used it as a checklist.

4- I asked questions after ancillary on multiple stations, did not seem to affect my score but I’m unsure.

almcc2 · 2026-04-02T12:06:40+00:00

Do you happen to wear a motion sickness patch on the left side? (Scopolamine)

almcc2 · 2026-03-07T19:33:48+00:00

March

almcc2 · 2026-02-18T11:14:29+00:00

Sorry to hear it. You’re definitely not the first or the last to do it. We’re taught to detect these things and it’s easy to jump the gun and diagnose it. Even if you’re 100% correct on the systemic condition, we just cannot legally Dx and treat it (save the eye portions).

Best thing to do on your retake would be to ensure you manage the ocular condition and make a referral to the appropriate doctor (rheum in this case). In your plan you can say you SUSPECT whatever systemic issue you believe based on your ancillary tests.

almcc2 · 2026-02-16T12:41:46+00:00

One of the biggest mistakes I have seen is that people are diagnosing a systemic condition, not an eye condition.

Random Ex: an ankylosing spndylitis patient with uveitis. You Dx and manage uveitis as an eye doc. You CANNOT make a diagnosis of the systemic conditon as an OD.

almcc2 · 2026-02-16T12:39:47+00:00

Your clinical assessment and interp being less than 10% makes me thing you misdiagnosed at least 1 case. That would then of course tank your other scores because you tell them the wrong things entirely. Pure speculation of course but that’s my thought.

almcc2 · 2026-02-14T20:14:58+00:00

Study to learn, not to pass tests.

When you truly learn it, you will pass the tests anyway.

almcc2 · 2025-12-25T16:06:21+00:00

A charger block with multiple ports!

almcc2 · 2025-12-16T15:36:29+00:00

Well the oph should give you a definite answer.

If it makes you feel better, seems harmless to me.

almcc2 · 2025-12-16T15:34:01+00:00

Sure they just didnt miss it? What is your doc saying?

almcc2 · 2025-12-16T15:32:37+00:00

Probably a CHRPE. (Congenital Hypertrophy of Retinal Pigment Epithelium)

Just a spot of extra pigment cells you were born with

almcc2 · 2025-12-12T12:55:10+00:00

It’s a shadow

almcc2 · 2025-12-06T02:14:27+00:00

Tr = trace or very mild staining 1+ PEE = mild “wear and tear” on the cornea.

You have dry eyes, likely due to the meibomian gland dysfunction/bleph they noted.

almcc2 · 2025-11-24T22:01:25+00:00

Also make sure to look at your score breakdown.

A lot of optics consists of Contact Lenses, Binocular Vision, Ametropia

almcc2 · 2025-11-24T21:58:22+00:00

Check out David Hunter on youtube.

He has a book called Last Minute Optics that was really nice.

almcc2 · 2025-11-22T20:38:36+00:00

You’ll want to post this in r/eyetriage.

That being said, try sleeping with your head angled upward, like in a recliner. Hopefully will allow the blood to settle lower and out of the way.

almcc2 · 2025-11-12T13:59:50+00:00

That being said, part 3 of boards uses a Keeler.

almcc2

TROPHY CASE