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New Patient Forms


New patients can download our forms directly from this website. Just print and complete, and bring them with you to your first visit with us.



What to expect at your exam

Here at Florida Retina Specialists, our goal is to provide you with world class retina care in a timely efficient manner.  You can help us expedite your visit by having the new patient forms filled out prior to your arrival.  A comprehensive retina exam inherently takes some time, especially for your initial visit.  We ask you to allow 60 to 90 minutes for your initial appointment.  On your initial visit we will review with you your current medications, past medical history, family history, past eye history including any previous procedures, and thoroughly investigate your current problem.  Next, your vision will be checked, eye pressure will be measured and then both eyes will be dilated. It can take anywhere from 15 to 25 minutes for your eyes to fully dilate.  You will then have a full exam with the Doctor and retinal imaging studies may be performed depending on the situation.  The Doctor will explain his findings, discuss with you his recommendations and answer any questions or concerns you may have. We are here to serve you, and we strongly believe in a patient centered approach to medical care.  If there is something we could do better to serve you please don't hesitate to let us know.  Thank you for entrusting your eye care with us. Below are a few reminders to help you prepare for your visit.


Preparing for your eye exam

  • Remember both of your eyes will be dilated

  • Bring a driver with you as dilation can temporarily affect your vision

  • Bring a list of medications

  • Bring your insurance cards

  • You will be responsible for your co-pay at time of service

  • Bring any pertinent medical history

  • Allow 60 to 90 minutes for initial office visit

  • We welcome having a family member with you during the discussion of your condition. Frequently it is difficult to sometimes remember all that is discussed with the doctor and many patients feel more comfortable making treatment decisions with their family present; we understand this and are happy to include family members in the exam room.

  • In order to better determine your eye problem, we frequently obtain other studies such as Optical Coherence Tomography (OCT) and/or Fluorescein Angiography

Florida Retina Specialists
Florida Retina Specialists
Florida Retina Specialists
Florida Retina Specialists
Florida Retina Specialists

Flourescein Angiography (FA)


Flourescein angiography (FA) allows study of the blood circulation of the retina in normal and diseased states.  Photographs of the retina are taken after intravenous injection of sodium fluorescein, an orange-red crystalline hydrocarbon, diffuses through most of the body fluids and into the retina circulation.  Flourescein allows detail analysis of retinal blood vessels and assessment of areas of leakage commonly seen in diabetic retinopathy, macular degeneration, and central serous retinopathy.  The sodium fluorescein dye is broken down primarily by the kidneys and is eliminated through the urine within 24-36 hours.


Optical Coherence Tomography (OCT)


Optical Coherence Tomography (OCT) is a non-contact medical imaging technology similar to ultrasound and MRI. With OCT, reflected light is used to produce detailed cross-sectional and 3D images of the eye.  The different absorption characteristics of retinal tissue for near infrared light allows the intricate detials of the outer retina to be imaged.  The Hedelberg SPECTRALIS® spectral domain-OCT is the current gold standard in OCT imaging.  The SPECTRALIS® simultaneously measures multiple wavelengths of reflected light across a spectrum, hence the name spectral domain. The SPECTRALIS system acquires 40,000 A-scans per second. The increased speed and number of scans translates into higher resolution and a better chance of observing disease.


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