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Recent Oculoplastic questions

I needed a basic vision exam for a driver's license renewal

I needed a basic vision exam for a driver's license renewal and to have a form filled out for the MVA. I went to an area ophthalmologist primarily for convenience. I was told the fee was $85. Went to the exam, largely conducted by a technician, and saw the doctor at the end for 5-10 minutes.A few weeks later I get a bill: the doctor had billed my insurance for a specialist's exam and a fundus photography test to the tune of about $600. I went back and forth with the doctor's office, and the final conversation was with the office manager who told me that the medical exam was necessary for the doctor to complete the (really very simple) MVA form.I have subsequently filed two complaints with a specialty board and the state medical board. The ethics board of the doctor's specialty responded to say "Since you were a new patient of Dr. Axxxx he was ethically and professionally bound to examine you in a comprehensive manner in order to provide any information about your visual abilities for the drivers' license form. (It's certainly not an MVA requirement).The letter concluded with "In addition, perhaps in the future, you may consider asking for the cost of the complete exam when you book the appointment (as you would for other personal services.)" Sort of like going in for an oil change, coming out with a new engine, and then having the bill and blame pinned on you.Is it standard practice to tack on a specialist's exam and a test without running it by me: the patient? I suppose I didn't expect to get far with a medical board, but these answers -- as have the answers from the doctor's office -- seem very lacking.

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Dr. Rick

Ophthalmologist & Retina Specialist

Doctoral Degree

16,748 satisfied customers
13 years ago I had a refractive surgery. I remember my eyes

13 years ago I had a refractive surgery for nystagmus. I remember my eyes were swelling for long time than usual. Since then my eyes are not the same. They are bigger and pointed outward. I hate how my eyes looked and how people also see me. I have lived like this for 13 years now am 26. Is there any procedure to reduce my bulgy eyes.Thanks

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Dr. Rick

Ophthalmologist & Retina Specialist

Doctoral Degree

16,748 satisfied customers
Not sure if its related but I had cataract surgery on my

Customer: Not sure if its related but I had cataract surgery on my right eye in September and now the eye lid is swollen and has dropped a little over the eye. Additional, I have mild headaches. I did rub my eye pretty had one day. Would appreciate your advice as I could not get an appointment with my doctor until the 27th. JA: Thanks. Can you give me any more details about your issue? Customer: It appears that the eye is partially close, just enough that is noticeable to me and others if I point it out. Some discomfort. Other than that no other problems. JA: OK got it. Last thing — JustAnswer charges a fee (generally around $18) to post your type of question to Eye Experts (you only pay if satisfied). There are a couple customers ahead of you. Are you willing to wait a bit? Customer: Yes JA: OK. Now I'm going to take you to a page to place a secure deposit with JustAnswer. Don't worry, this chat is saved. After that, we will finish helping you.

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Dr. Rick

Ophthalmologist & Retina Specialist

Doctoral Degree

16,748 satisfied customers
I had what was always a dormant sty on my bottom lid which i

I had what was always a dormant sty on my bot***** *****d which i had over the years had looked at and requested to have it remove but the eye doctor always said to leave it alone. now 35 years later i went to the eye doctor for a checkup as my vision needs stronger lenses and he didn't like the sty/growth and is pretty sure it has turned into bcc which he removed on tuesday and sent it out for biopsy. he said if its bcc he will have to do mohs surgery to get clean margins and my brother who is a doctor mentioned to me today that he doesn't understand why the eye doctor didn't get clean margins when he removed the growth. what do you think?

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Dr. Rick

Ophthalmologist & Retina Specialist

Doctoral Degree

16,748 satisfied customers
I have an orbital dermoid cyst in my eye, I know that this

I have an orbital dermoid cyst in my eye, I know that this is unusual since this is seen in young children and since I am***** I have seen so far seems to know what to do. I live in Memphis, Tn.. None of the ophthalmology clinics here list surgery for this type of problem. Same with Neurologist. You just make an appointment with whom ever is available, wait a month then find they don"t do that kind of surgery. I just don't know what to do now. Thanks

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Dr. Dan B.

Comprehensive Ophthalmologist

Doctoral Degree

4,206 satisfied customers
My right eyelid is thicker than my left eyelid,more wide,and slanted.My right eye looks

My right eyelid is thicker than my left eyelid,more wide,and slanted.My right eye looks higher up and bigger then my left eye.

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Dr. Rick

Ophthalmologist & Retina Specialist

Doctoral Degree

16,748 satisfied customers
Dr. Rick. I'm 33 years old and have had chronic dry eye

HI Dr. Rick. I'm 33 years old and have had chronic dry eye all my life - but recently (the past 2.5 months) the pain has been excruciating. TO the point of having to keep my one bad eye closed and compress the lid with my fingers. Obviously this is not conducive to carrying out normal daily activities and I wondered whether you might have any thoughts on my condition? I've seen a corneal specialist recently who just put it down to my getting older. But I can't understand how it could have so suddenly deteriorated. Any help would be hugely appreciated. Thanks, Sarah

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Dr. Rick

Ophthalmologist & Retina Specialist

Doctoral Degree

16,748 satisfied customers
I was diagnosed with Sarcoidosis 2 years ago. I was on Prednisone

I was diagnosed with Sarcoidosis 2 years ago. I was on Prednisone months and methotrexate months. All seems clear now and I have been off medication months. I still have sunken, slightly black eyes. I look like a cancer patient. Will this ever go away?

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Dr. Rick

Ophthalmologist & Retina Specialist

Doctoral Degree

16,748 satisfied customers
Hi Dr. Rick. In regards ***** ***** eye issue. One more question,

Hi Dr. Rick. In regards ***** ***** eye issue. One more question, I am over the medical panic about this now, but wondering cosmetically if there is anything I could do? Any sort of at home remedies? Ice? heat? eyelid excercises? Are there things (stress, etc.) that could make this more pronounced?

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Dr. Rick

Ophthalmologist & Retina Specialist

Doctoral Degree

16,748 satisfied customers
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