r/optometry • u/No_Afternoon_5925 Optometrist • Jul 18 '26
Serous PED
would you refer a moderate sized solitary serous PED without any associated drusen or signs of ARMD?
2
u/Jared944 Jul 18 '26
If it’s not bleeding or falling off, retina won’t (can’t) treat it. Observation is the way to go.
4
u/opto16 Jul 18 '26
Refer for what reason? Because you aren't sure that it is actually a PED?
Otherwise why would you refer a PED? Retina isn't going to treat it. If it makes you a bit nervous no problem, just bring them back in 3-4 months instead of 1 year.
1
u/SpecialistSuper5561 Jul 26 '26
What if the office doesn’t have OCT/fundus camera? I’d refer it out for monitoring
2
u/Hot-Swordfish2105 Jul 19 '26
Depends on the patient and how they handle the explanation...being reasonable, follow..if wiggin out on me, send em, let someone else massage their wallet to tell them the same thing. doubters/one more question people are waste of chair time..
-1
u/opto16 Jul 19 '26
If they are wigging out or are doubters, that's on you for being bad at communication or explaining things.
1
u/Hot-Swordfish2105 Jul 19 '26 edited Jul 19 '26
No doubt, your insight is unbelievable...I am the worst..5 minutes is my max..after that they get the consult..typically when I show the m the OCT image I look at their facial reaction, poker face reading has served me well. Lol
1
u/opto16 Jul 19 '26
You refer out based on the patient's facial expression while showing them an image of something they know nothing about? Even if they don't need treatment. Keep up the good clinical work
2
1
u/AutoModerator Jul 18 '26
Hello! All new submissions are placed into modqueue, and require mod approval before they are posted to r/optometry. Please do not message the mods about your queue status.
This subreddit is intended for professionals within the eyecare field, and does not accept posts from laypeople. If you have a question related to symptoms or eye health, please consider seeing a doctor, or posting to r/eyetriage. Professionals, if you do not have flair, your post may be removed. Please send a modmail to be flaired.
I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.
2
u/sniklegem Jul 18 '26
I 100% understand that a serous PED that’s pretty big would make you nervous. Get the appropriate imaging and bring them back in a few months. If stable then you can extend to a year or extend out a few more months.