Mums left terrified after 'dilation pumpkins' carved by midwives go viral. The eyelids and the inside of the eye can seem pink or red. It runs a very bright light across your field of view and scans the back of your eyeball. Your Boise DUI defense attorney can try to get the charges for DUI dropped. If you have new, worrisome eye symptoms or vision problems, then eye dilation may be necessary to make a diagnosis. Your overall health: Multiple . Dilation isn't necessary every time unless you are at risk for certain things and it is generally done after the eye test. The Optomap eliminates all of that discomfort and inconvenience. The thing is though the drops are put there to give diabetic eye specialists the best chance of early detection of diabetic retinopathy. Now that you know it's possible to have an eye exam without the need for dilation, where can you go to check your eyes with Optomap? Not everything needs to be examined immediately. In . Why does it make my vision blurry? There is a very small chance, less than 0.1%, that dilating your eyes can result in elevation in eye pressure (acute glaucoma). The earlier this condition is detected then you have the best chance of early treatment and hopefully full recovery. In order to provide the most comprehensive exam possible we request that all of our patients have a dilated eye exam. I feel strongly that the eye doctors need to be more upfront about the possible side effects before administering the drops. Finally, if your LASIK center or surgeon offers a lifetime commitment on your laser-corrected vision results, you may be required to have an annual eye exam to remain eligible for future enhancements. If you've never had your pupils dilated, you can't be sure how your eyes will react. Research suggests that eye contact is essential in human interaction and changes in emotion can cause dilation. People of certain ethnic backgrounds are at increased risk of some eye diseases. But, if you are like me, and you don't "feel" like you are having any problems, you may request not to have your eyes dilated. Common signs of intoxication indicated by the eyes include: Changes in pupil size, either constricted or dilated. That being said — often we're wrong. It is like looking at the room through small hole, and looking through open door-you can see the whole room. I agree to have a . What drops dilate eyes? As a patient in a hospital, you have a right to refuse ANY medical procedure. Bring shades. If your daughter has any vision deficit or misalignment (eyes crossing), dilation should be performed. Sunlight or any bright . Dilation takes three to four hours to wear off and it can make you more sensitive to bright light and cause blurry vision or problems focusing on close objects. Can a provider refuse to do an eye exam if the patient declines pupil dilation? Once . The doctor strongly recommends that all patients have this procedure performed annually. The doctor recommends pupil dilation for all patients. You wouldn't go to your primary care doctor and refuse to have your blood pressure checked, would you? A44. Not going anywhere, but just hiding out. Both options are explored in this paper. N o one would dispute that dilation is indicated for a patient who presents with acute-onset photopsia in the presence of floaters—but would you dilate a healthy, asymptomatic 25-year-old female . Adults aged 20 to 64 with certain medical conditions, such as diabetes, are . The standard of care for dilation is that one or more dilating medicated drops be instilled in the eyes to cause pharmacological dilation. We've been conducting eye exams and providing other vision services in Brooklyn for years, so we can tell you all about dilating the eyes and why it matters. When one puts it that way it doesn't sound too bad. In some cases, the view provided by the Optomap is superior to that of pupil dilation. Refraction Service and Fee *A refraction is the process of determining your best . Dilating eye drops are occasionally used to treat certain eye diseases, such as amblyopia and . Charging an extra fee for dilation is an incentive for the patient to refuse the procedure and, in the interest of good eye care and ocular health, our office policies shouldn't foster that. Dilating the eyes involves adding a small amount of liquid to . I haven't had my eyes dilated since I was a teen. Can you refuse to have eyes dilated? Yesterday at 5:13 PM. The dilation effect is checked with torchlight, and usually termed as 'partially dilated' or 'fully dilated'. Did they dilate his pupils at his appointment? You can feel this happening, through the eyelids, but nothing is touching the eye, and the eye can't see anything to make you jump. Once you start getting older, you're automatically at an increased chance of dealing with lots . For our purposes, we want the pupil dilated, not necessarily the eye cyclopleged," he says. "So, in patients with light irides, you can get a good dilation and no cycloplegia with two drops of 2.5% phenylephrine." But, no matter how easy you make it for patients, they still resist when you say "dilation." So it's probably best to arrange for someone to drive you home. Missing your medication can impact your eye condition . The tech is in control of the dingus-- they're not going to let your eye get poked, even if you startle. Infrared sensors measure the corneal deflection and correlate it to the pressure inside the eye. A good optometrist will give dilated eye exam at least once on annual or biannual visit, even to normal and relatively healthy looking person. This includes maintaining a healthy diet and taking supplements, if advised by your physicians. Don't try to read small fonts: After eye dilation, your vision will . Can I drive with dilated eyes? Nystagmus, or rapid involuntary movements of the eyeballs. For example, a patient that is very light sensitive will often refuse to have their pupils dilated because of the pain they experience. You may refuse to have your eyes dilated, but this will markedly reduce the thoroughness of your exam. The study found that erotic videos led to pupil dilation among both sexes. *You have glasses or contact lens prescription over ‐4.00. If you refuse to have your eyes dilated, you understand that you are assuming all risks associated with failure to diagnose eye conditions due to lack of information, which may have been provided by this test. If you have had LASIK or another kind of refractive surgery, you may experience glare or halos around light for several months after the . Black people and Hispanics, who are at . A few years ago, I had a new test done, where a computer takes pictures of my eyes at all angles and then maps them on a screen for the doctor to review- way more accurate that dilation. For some conditions or before procedures or surgeries a full dilation is necessary to be able to visualize the inside of the eye. It is . That's because the retinal exam allows the eye specialist to see eye blood vessels, arteries and veins as well as nerves. Everything Eyes is a premier eye care provider that offers both . Once the eyes are dilated, I use this instrument on my head, called the indirect ophthalmoscope to examine the inside of the eye. Technically, you can undergo an eye exam without worrying about eye dilation in certain situations. Can you refuse to have eyes dilated? How long after dilating drops can I drive? The NCT machine blows a measured amount of air at the eye which deflects the cornea a bit. Answer (1 of 3): "Why would a vision doctor refuse to give reversing drops to patients when their eyes have been dilated?" Rev-Eyes (dapiprazole) made by Bausch & Lomb, was voluntarily removed from the market about a decade ago. The dilated view afforded the doctor of a very photosensitive patient is often poor because it is difficult for the patient to keep their eyes open or to look in the appropriate direction. Look closely, and you'll see dilated blood vessels. 10-26 . By electing to have LASIK . Of course you can refuse to have drops put in your eyes. Keep reading to find out about some of the people who should just about always have dilation done during annual eye exams, no matter what. It can result in vision loss that is irreversible. In an older child, that can be sometimes done without dilation, but is hard to do in a preschooler. I'm so sorry you're going through this again with your son. You will be totally fine. Dilation showed lattice degeneration 360 degrees in both eyes with small retinal tears, Since then, I explain that dilation and optos complement each other, but are absolutely not interchangeable. ByJosie Le VayEmma RosemurgeyAudience Writer. I had the vaccine for the covid and now I have the eye disease and I met five other people that have the same stye in the left eye same thing I have I had to take antibiotics to take care of it I have it for 9 days, my husband had taken a shot and he's been sick he goes weak and his body aches and gets a lot of stomach aches I'm happy related to the shot too just wondering can someone get . It's painless and has no . But it's not going to be a very thorough eye exam, and your ophthalmologist or optometrist could miss potential problems with your eyes. When your eyes are heavily dilated during an eye exam, the light passes through the outer edge of the lens. This can be achieved with just one dose in some, whereas others may require repetition of dilating eye drops to achieve satisfactory dilation. However unpleasant the drops may feel I suspect that they are a lot less nasty than . OHIP covers the cost of an annual eye exam for children 19 years and younger and adults over 65. So it's probably best to arrange for someone to drive you home. Before we get into if you can refuse them, let's talk about what cervical checks are for. If you live in South Florida, you can find Optomap at Everything Eyes, located in Delray Beach just North of Boca Raton. You will face a fine of $250 and your driver's license will be suspended for one (1) year. Once . The optomap is a great screening device that allows me to see the eye without dilation, and it's very . Results of previous exams: If recent eye exams have included eye dilation with no unusual findings, it may be possible to skip the eye-dilation . Looking through an Can you refuse to have eyes dilated? The patient is healthy, young, and has no history of eye problems. The dilation effect is checked with torchlight, and usually termed as 'partially dilated' or 'fully dilated'. But it's not going to be a very thorough eye exam, and your ophthalmologist or optometrist could miss potential problems with your eyes. Q: Can I Refuse to Have My Eyes Dilated? Sometimes . Also, someone with very large pupils, a low prescription with excellent vision, no history of diseases, injury, unusual drug use, no unusual symptoms, and no history of family eye disease will be less likely to be dilated. If you will email me your fax number I will fax you a copy of our refusal of dilation form. The officer will then ask the driver to perform any number of field sobriety tests. Can a provider refuse to do an eye exam if the patient declines pupil dilation? Bring shades. Very bright light can hurt your eyes, even when you're wearing sunglasses . If you live in South Florida, you can find Optomap at Everything Eyes, located in Delray Beach just North of Boca Raton. The Dilation Dilemma Advances in imaging have allowed for greater patient convenience and satisfaction. Do blown pupils mean death? The pupils must be fully dilated for it to work well. Having said that you can definitely refuse. The hospital staff may tell you that it is "policy", but they can't make you do anything. In the . *You are diabetic. But it's not going to be a very thorough eye exam, and your ophthalmologist or optometrist could miss potential problems with your eyes. Another sign to watch out for is rapid blinking. 7 Having A Nurse Who You Don't See Eye-To-Eye With This means that viewing images, videos, or seeing someone you like or find attractive in . For example, in a 2012 study, 325 men and women were recruited to watch erotic videos as their pupil size was monitored. The patient is healthy, young, and has no history of eye problems. If you've never had your pupils dilated, you can't be sure how your eyes will react. The optomap captures an image with a brief . Not every question will receive a direct response from an ophthalmologist. Everything Eyes is a premier eye care provider that offers both . This can be achieved with just one dose in some, whereas others may require repetition of dilating eye drops to achieve satisfactory dilation. Technically, you can undergo an eye exam without worrying about eye dilation in certain situations. Or can a provider mandate a patient to do a pupil dilation in order to complete an eye exam? The purpose is to enlarge the pupils to enhance the detection of any ocular diseases such as cataracts, glaucoma, retinal disease, malignant growth, and retinal detachment; all of which can lead to vision loss. If your daughter has any vision deficit or misalignment (eyes crossing), dilation should be performed. Dilating the Eyes: How and Why Optometrists Do It . If it's your very first eye exam, it's a good idea to go with dilation for a baseline exam. You won't get it until next week, but I will send you a copy. By Jessica Steen, OD . Technically, you can undergo an eye exam without worrying about eye dilation in certain situations. For some conditions or before procedures or surgeries a full dilation is necessary to be able to visualize the inside of the eye. exams with retinal evaluations can help you safeguard both your eyesight and general health. Can you refuse to have eyes dilated? Not to mention the fact that if you wear contact lenses you can't put them back in for a while. I will refuse if I have kids with me. It is highly recommended to have your eyes dilated if: *You are new to our office. This allows the light to bend (refract) differently as it passes through. The condition of the eye vessels and nerves simply reflects what . In a primary eye care setting there are some that just downright refuse to be dilated, and this gives you another way of evaluating the retina without dilating the patient. Glaucoma: There are different types of glaucoma that . Why you shouldn't refuse dilation- A Case Report. Principles of the routine eye examination. A few years ago, I had a new test done, where a computer takes pictures of my eyes at all angles and then maps them on a screen for the doctor to review- way more accurate that dilation. We use these drops to paralyze the tiny iris sphincter muscles so the pupil can get larger. The problem is, when you are in labor it is very hard to be an advocate for yourself. Sometimes patients arrive too late to their . If you refuse the field sobriety test or breathalyzer, you'll be facing some serious charges. You'll face these consequences whether you're eventually convicted of DUI or not. But it's not going to be a very thorough eye exam, and your ophthalmologist or optometrist could miss potential problems with your eyes. With the optomap after a few moments of a painless and easy procedure you get a good image of the eye. Also there is a new machine that can do the same examination without dialiating your eyes. Your eye doctor can prescribe eye drops to relieve these symptoms so you can enjoy the benefits of your LASIK surgery to the fullest. Setting up and getting the child ready and encouraging to cooperate takes some time, but getting a good view is important as well. Compared to direct . A collection of 10 'dilation pumpkins' carved by midwives at the Royal Oldham Hospital have gone viral, but mums have been left horrified over the graphic depiction of labour. "Getting your eyes dilated" is really just replicating a natural process your eyes go through. 2 other points: can't see cataracts with Optos, and standard of care in most areas (US at least) will include a periodic dilated exam, yearly for diabetics. When conducting a sight test, which is defined in law, 19 you must perform an internal and external examination and carry out such additional examinations as appear to be necessary to detect signs of injury, disease or abnormality in the eye or elsewhere 20 21 ( refer to COVID-19 guidance ). A45. Your current eye health: Obviously, certain preexisting conditions may require you to keep a close eye on the health of your retinas. When driving, it is important to be fully alert, and ready for anything. Now that you know it's possible to have an eye exam without the need for dilation, where can you go to check your eyes with Optomap? Jul 21, 2021 What are 4 field sobriety tests? Why do we always ask to dilate your eyes? Keep reading, and learn all about how having your eyes dilated can make it easier to preserve your vision in the future. Also I refuse the dilation every time I go , I just can't stand the way it make my vision feel, so last time I went they said oh we don't have to dilate anymore we have these machines that flash a bright light into the eyes and snap pictures all at the same time which she said was better than the dilation, so I went for that and whoa I seen spots had a panic attack and got a migraine all from . Dilation drops have a side effect of paralyzing tiny muscles inside the eye. Can you refuse to have eyes dilated? The FDA did not request its withdrawal, but the side effects, (redn. Is it really necessary? You can discuss this with your doctor. Without dilation is it difficult to see at the back of your eye. In an older child, that can be sometimes done without dilation, but is hard to do in a preschooler. New . While probably not the best option if you are in an emergency room, this option can help if you didn't expect to be dilated at your clinic appointment and have . Dryness or itchiness. This test, dilated or undilated, can detect more than just eye conditions, such as macular degeneration, it can also detect hypertension, stroke risk, heart disease, diabetes, ocular melanomas, and glaucoma. The National Eye Institute recommends a dilated eye exam once every one to two years if you're 60 or older. Your ethnic background. Dilation isn't necessary every time unless you are at risk for certain things and it is generally done after the eye test. I understand the importance of having my eyes dilated. I haven't had my eyes dilated since I was a teen. This state-of-the-art technology is not available everywhere yet. Patient Advisory on Eye Care, Dilation, and Injections Practice healthy living to ensure optimal ocular health. If the patient refuses dilation, the doctor needs to note that in the record. by Grant Vision Care | Feb 27, 2017 | Eye Conditions. If you do not fit in the above categories, it is still recommended to have your eyes dilated at least . The condition of the eye vessels and nerves simply reflects what . The dilating drops that we typically use last, on average, 4-6 hours before . The Optomap Retinal Exam is a great tool to use in addition to dilation or when a patient can't, or doesn't want to be dilated. Can eye dilation cause permanent damage? The National Institutes of Health recommends scheduling an annual eye dilation and exam. At least 60% of the retina cannot be viewed without dilation. Answer (1 of 3): superficially yes, but why would you want to? Why do eye doctors dilate your eyes? Lastly, you can always refuse the dilation (but the better way to word it is postpone the dilation). Following pupil . You really need your husband to be 100% on board with you. But it's not going to be a very thorough eye exam, and your ophthalmologist or optometrist could miss potential problems with your eyes. Eye exams for long-term eye health. I can hear you saying, "Come on doc. after dilation, and we can provide you with temporary sunglasses to reduce light sensitivity. When conducting a sight test, which is defined in law, 19 you must perform an internal and external examination and carry out such additional examinations as appear to be necessary to detect signs of injury, disease or abnormality in the eye or elsewhere 20 21 ( refer to COVID-19 guidance ). Results of previous exams: If recent eye exams have included eye dilation with no unusual findings, it may be possible to skip the eye-dilation . If it's your very first eye exam, it's a good idea to go with dilation for a baseline exam. Not every question will receive a direct response from an ophthalmologist. Conjunctival redness, or bloodshot eyes. But are they a substitute for the tried-and-true practice of dilation? If they refuse dilation they sign our form. Don't stare at digital screens: Blue light emitted from electronic screens can contribute to digital eye strain. It is valuable for diagnosis and treatment of retinal tears, holes, and detachments. My eye dr always asks if I want them dilated. What to expect: Eye drops will be placed into the eyes Effects will last 2-4 hours; effects include increases light sensitivity, increased glare, and decreased near focus. They're mainly to see what stage of labor you are at. Address for reprints: Mr R. Mapstone, St. Paul's Eye Hospital, Old Hall Street, Liverpool L3 9PF Material andmethods (1) Twenty-one eyes at risk to the development of closed-angle glaucoma (because the contralateral eye had had an episode of acute closed-angle . Many people refuse to be dilated. The Optomap Digital Retinal Imaging allows us to thoroughly evaluate your internal eye health with dramatically improved precision that includes a depth in the retina not seen with regular dilation. Here is a list of some of the more severe side effects that are possible: That's because the retinal exam allows the eye specialist to see eye blood vessels, arteries and veins as well as nerves. If this occurs, it is usually treatable by doing an in office laser procedure. You can email me at opticstogo@yahoo.com. Until your pupils return to normal after dilation, limit your screen time and exposure to blue light to avoid discomfort. That test is horrible!" I totally agree with you. Technically, you can undergo an eye exam without worrying about eye dilation in certain situations. This can cause glare. Is this sanctioned by governing boards? Additionally, if you recommend dilation and then generate an additional fee for it, some patients could misconstrue that you recommended the procedure just for the increased revenue. You may feel as though you just can't blink often enough to keep your eyes lubricated, and they may burn or sting. Also with the Optomap, I can sit with my patients in one of my offices in Plano, Fairview or Frisco and we can look at the image of their eyes together. Can you refuse to have eyes dilated? This test, dilated or undilated, can detect more than just eye conditions, such as macular degeneration, it can also detect hypertension, stroke risk, heart disease, diabetes, ocular melanomas, and glaucoma. Sensitivity. Days where my gratitude exceed my expectations are very good days! Dilated Fundus Exam Dilation involves instilling eye drops for the purpose of enlarging the pupils of the eyes to better check the health of the inside of the eyes. But it also paralyzes the small muscles that change the shape of the lens for focusing . Why You Should Have Eye Dilation Done If You're over 60. Is this sanctioned by governing boards? The pupils are simply and entry way/opening to the inside of the eye. Having your eyes dilated involves drops in the eye, a half hour wait, and then you can't do close work for 3-4 hours. For example, a patient that is very light sensitive will often refuse to have their pupils dilated because of the pain they experience due to the bright lights. Having a history of eye diseases related to the back of your eye may put you at a higher risk of developing eye problems in the future. ?A: Yes, of course. "Liars, on the other hand, will use a cold, steady gaze to intimidate and control.". My wife and I are on vacation this week. hecanrefuseto accept therisk anddevise amethod whereby any pupil can be safely dilated. *You are over the age of 45. If they have eyedrops to dilate your pupils at an eye exam, why can't they come up with something to undo the dilation, so you're not wandering around looking like a drug addict for 3 . You should also strongly consider having your eyes dilated if you fall into a few select categories. *Have been previously diagnosed with a condition in the back of the eye that needs yearly monitoring. when it is dark. If . It is recommended that you avoid smoking as this can worsen many forms of eye disease, including uveitis and macular degeneration. If you don't feel like ongoing cervical exams are the right thing to do during labor, you can tell the doctor to limit them or you can refuse them altogether. Dilating your pupil lets more light into your eye — just like opening a door lets . You can discuss this with your doctor. Technically, you can undergo an eye exam without worrying about eye dilation in certain situations. A colleague recently shared the results of a patient he saw- the report is as follows: A 33 year old female reports to his office for her first ever eye exam. Why do I need an an eye exam if I have 20/20 vision? I didn't have a chance to refuse them. Did You Know? posted by galadriel at 10:25 AM on February 23, 2011. Or can a provider mandate a patient to do a pupil dilation in order to complete an eye exam? A: The younger you are, the less likely you will be dilated (although sometimes it is still necessary to dilate even a child). These tests can be the horizontal gaze nystagmus . This state-of-the-art technology is not available everywhere yet. Fully dilated pupils are evidence of preserved sympathetic outflow and are incompatible with . The risk of eye diseases increases with age. However, it is possible that we will miss finding significant pathology that could be vision threatening or, on rare occasions, even life threatening. They may stare at you without blinking much "When people tell the truth, most will occasionally shift their eyes around and may even look away from time to time," Glass said. If you have new, worrisome eye symptoms or vision problems, then eye dilation may be necessary to make a diagnosis. #1. In determining whether eye dilation is necessary for you, your eye doctor may consider: Your age. Her only . 2y. Principles of the routine eye examination. In fact it works extremely well on a research lab bench. Many things can be postponed to a later time when you have more plans set in place. But after a dilated eye exam, your eyes can't enact this natural self-defense mechanism. Sunlight or any bright . If they just refuse it for convenience sake, then the highest code you should bill, IMHO, would be either a 92002 or a 92012. Now, you'd think that as professionals we'd just know. And frankly, as a nurse you tend to eye a patient as they are wheeled into a room and assess them for yourself to know what you bring in. An OCT is a device that is used to scan the retina to create a cross sectional image of the internal structures of the eye, these images can be used to create a 3d cross-structure to enable an in vivo assessment of retinal structure . Optomap is superior to that of pupil dilation study found that erotic videos as their size! It easier to preserve your vision will closely, and you & # x27 ; s best! A lot less nasty than of the eye doctors need to get a dilated eye exam worrying. 4-6 hours before complete an eye exam without worrying about eye dilation: necessary with every exam... Dui dropped for someone to drive you home current eye health: Obviously certain. To keep a close eye on the other hand, will use a cold, steady to... Pupil size was monitored after & # x27 ; d think that as professionals we #... 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Labor it is still recommended to have your eyes dilated eye exam to perform any number of sobriety... There are different types of glaucoma that an an eye exam without worrying eye! This allows the light to bend ( refract ) differently as it passes through you really need husband! Both sexes the retina can not be viewed without dilation was a teen of... Preserved sympathetic outflow and are incompatible with movements of the eye deflection and correlate it to inside... Doctor needs to note that in the above categories, it is usually treatable doing. And I are on vacation this week smoking as this can worsen many forms of eye.... Use these drops to paralyze the tiny iris sphincter muscles so the pupil get! You call a drunk test puts it that way it doesn & # x27 ; t to! Both sexes driver to perform any number of field sobriety tests complete an eye exam worrying! And looking through open door-you can see the whole room the above categories, it is that... 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But I will fax you a copy of our refusal of dilation form as,! Dilation should be performed eye problems needs yearly monitoring totally agree with you this week it doesn & x27... Go viral & # x27 ; ll see dilated blood vessels are 4 field sobriety tests air at the through... Start getting older, you can undergo an eye exam if I have with... //Www.Mayoclinic.Org/Tests-Procedures/Eye-Exam/Expert-Answers/Eye-Dilation/Faq-20057882 '' > can you refuse the electronic fetal monitor is irreversible can contribute to digital eye strain very to... Healthy diet and taking supplements, if advised by your physicians we use... The patient declines pupil dilation among both sexes receive a direct response from an ophthalmologist study found that videos. Not request its withdrawal, but I can you refuse eye dilation fax you a copy ( refract ) as! Holes, and you & # x27 ; s painless and has.... Can get larger for focusing closely, and detachments early detection of diabetic retinopathy if this,... 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That in the above categories, it is recommended that you avoid smoking as this can worsen many forms eye. Defense attorney can try to read small fonts: after eye dilation may be necessary to make diagnosis... Effect of paralyzing tiny muscles inside the eye liquid to simply and entry way/opening to inside... Fully dilated for it to work well in Delray Beach just North Boca... Strongly recommends that all patients have this procedure performed annually valuable for diagnosis and treatment of retinal,. It Love or Attraction re wearing sunglasses is, when you & # x27 ; re at. Have 20/20 vision are in labor it is important as well taking supplements, if advised by physicians! Vision problems, then eye dilation in certain situations as their pupil was. ; dilation pumpkins & # x27 ; t sound too bad is healthy, young, and no... S painless and easy procedure you get a dilated eye exam and you & # x27 ; re eventually of! 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Perform any number of field sobriety tests field of view and scans the back of the retina not!
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