Ophthalmology Independent Medical Examination

Ophthalmology Independent Medical Examinations (IME) are often an essential portion of the legal process.  A thorough IME can establish a correct diagnosis, provide information relevant to causation, supply prognostic data, and also help the participating parties obtain useful information regarding damages.

The facilities to properly perform an IME need to have the latest equipment and technology.  A computerized autorefractor is often used to obtain objective information regarding the refractive status of an individual.  The refractive status discloses the extent of nearsightedness, farsightedness, and astigmatism.

Digital photography is useful for documentation of disorders involving the cornea, iris, pupil, and retina.  Trauma that causes scar tissue to the cornea or retina can be recorded on digital media and used as illustrations for mediation or trial.  Juries are more likely to appreciate and remember a visual image of scar tissue or bleeding inside the eye over a simple verbal description.

A computerized visual field test is performed to determine the extent of peripheral vision.  The peripheral vision test may be useful when determining diagnosis and extent of visual loss.  An instrument known as a perimeter is usually needed to perform a computerized visual field test.  An Ophthalmology Independent Medical Examination usually includes testing of the visual field in each eye with a computerized perimeter.

Optical coherence tomography of the optic nerve and retina is a useful measurement in claimants with a diagnosis of glaucoma or retinal disorder.  Measurements from these tests may be included in a report generated by an ophthalmology Independent Medical Examination.  Glaucoma effects the optic nerve and optical coherence tomography may measure anatomic characteristics of the optic nerve that quantify the extent of glaucoma.  Optical coherence tomography of the retina may be useful for diagnosis and quantification of retinal damage.

Radiologic studies may be indicated with fractures of the bone surrounding the eye.  The classic example is a blow-out fracture where a fracture of the bony surrounding of the eye, known as the orbit, may lead to significant problems.

Objective ophthalmology Independent Medical Examinations performed by board-certified physicians may be a valuable adjunct to the litigation process.  The facts and conclusions obtained by an Independent Medical Examination may assist the litigation process in a constructive manner.

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