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The feasibility of the dilated-eye examination during routine office visits by nonophthalmologists was reported in 1987. The importance of dilation was taught in our first-year course on physical diagnosis. A recommendation for nondilated retinal screening may miss potentially correctable signs of early retinal damage due to common systemic diseases (e.g., diabetes and hypertension). As an added benefit, the time and care of performing a dilated-eye examination builds patient-physician trust.
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Epstein et al. (2015) studied this question.
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