Online Optomap Form "*" indicates required fields Fast, easy, and comfortable May alleviate the need for dilation Provides a permanent record for annual review This doctor recommends performing an optomap exam on all patients. An optomap image captures up to 82% of your retina in a single image. These images help in the early detection of many diseases, including macular degeneration, glaucoma, and retinal detachments. These problems can threaten vision without warning or symptoms. Serious health problems unrelated to the eye such as diabetes, hypertension, heart disease, some cancers, and auto-immune disorders, may also be detected with an optomap image.Name* First Last The cost of the optomap is only $49. I understand that I will be receiving an optomap as part of my eye exam today and do not have any questions. SignatureDate MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged. Δ
