At my last ophthalmologist appointment I was surprised to learn I was only having a retinal exam, which did not include a prescription for glasses. I’ve worn glasses since I was two years old (amblyopia) and since my T1D diagnosis, I’ve always had both done at the same annual appointment, with one bill. They (the doc’s office) are doing things differently now, they say because of insurance and billing, and I have to pay an additional fee for a prescription for glasses or make a second appointment.
My thought process was going down the path of alternating the years for each, one year I’d have the retinal exam and the following year I’d get a new prescription for glasses.
I’ve been re-reading Dr. Bernstein’s book, “Dr. Bernstein’s Diabetes Solution”, page 294 Kindle version, where he says in regards to exercise and eyes for retinal disease, that “Certain types of retinopathy are characterized by the presence of neovascularization, or very fragile new blood vessels growing from the retina into the vitreous gel that overlies it. If you strain too much, assume a head-down position, or land hard on your feet, these vessels can rupture and hemorrhage, causing blindness. If your physician or ophthalmologist identifies such vessels, you’ll probably be warned to avoid exercises requiring exertion of strong forces (e.g., weight lifting, chinning, push-ups, or sit-ups) and sudden changes of motion (e.g., running, jumping, falling, diving).”
So I’ll be having a retinal exam every year and either pay an additional fee or make another appointment for a new prescription for glasses.