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Viatris gets FDA nod for pupil dilation reversal agent

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Re: Viatris gets FDA nod for pupil dilation reversal agent

#11

Post by sokoloff »

dkarl wrote: post #8
thedanbob wrote: post #7

Earlier quoted context omitted.

I'm surprised, I thought the digital imaging was the standard now. The eye doctor I've been going to for several years now only does the new method and doesn't even offer dilation afaik.

Insurance doesn't cover it, so some doctors don't bother with it. I was caught by surprise when I tried out my wife's ophthalmologist. Dilation only, no option for a digital scan, my choices were get dilated or get out. I'm not going back there.

That's exactly consistent with what they said to me. "Insurance covers the dilation procedure; the digital imaging is better but you have to pay $X [$40 or $49, I forget] out of pocket." "Which one is medically better?" "Digital." "Let's do that one."

Even as they did the multiple exposures, I was wondering if I was getting suckered, but when the doctor showed me what she could see in the digital images and that she could use them to track any changes over the years, I felt really good about spending the money.

Re: Viatris gets FDA nod for pupil dilation reversal agent

#12

Post by rjsw »

capableweb wrote: post #9
rjsw wrote: post #5

I'm guessing this is something specific to the US.

Yes, the FDA is a US-only institution. Full name is: U.S. Food and Drug Administration.

I was commenting on the original title, I meant that being unable to drive due to the after affects of some unknown procedure is a US specific thing.

Re: Viatris gets FDA nod for pupil dilation reversal agent

#13

Post by amluto »

icegreentea2 wrote: post #10
amluto wrote: post #4

> In both pivotal studies, a statistically significantly greater percentage of subjects experienced their study eyes returning to normal at all time points measured from 60 minutes through 24 hours in the Ryzumvi group compared with placebo. Thanks, FDA, industry standards, and general statistics education. This means almost nothing. How much does it help? What fraction of people are helped? Can one still see comfort…

Here's the study results: https://clinicaltrials.gov/study/NCT05134974?tab=results They mostly only studied pupil diameter - there is one visual acuity test measurement (at normal lighting conditions) performed at 6 hours that maybe shows improvement.

So the effect on dilation is pretty large. Why doesn’t the headline say that?

The accommodation results are indeed unimpressive.

Re: Viatris gets FDA nod for pupil dilation reversal agent

#14

Post by jpk2f2 »

dkarl wrote: post #8
thedanbob wrote: post #7

Earlier quoted context omitted.

I'm surprised, I thought the digital imaging was the standard now. The eye doctor I've been going to for several years now only does the new method and doesn't even offer dilation afaik.

Insurance doesn't cover it, so some doctors don't bother with it. I was caught by surprise when I tried out my wife's ophthalmologist. Dilation only, no option for a digital scan, my choices were get dilated or get out. I'm not going back there.

Interesting, my insurance covered it last year. However it was related to eye trauma rather than a regular vision visit, so perhaps that's why.

Re: Viatris gets FDA nod for pupil dilation reversal agent

#15

Post by ollien »

sokoloff wrote: post #3

At my most recent eye exam, I paid an extra $40 or so to have some kind of digital retinal imaging done (no dilation required) and the amount of detail the doctor could see was phenomenal to my eye (no pun intended). They were perhaps making more money on it, but seemed to push it as medically superior to the dilation and manual inspection process.

My local glasses shop had this as an option, but only at a location that was a bit out of my way. Would have loved to try it, though!

Re: Viatris gets FDA nod for pupil dilation reversal agent

#17

Post by Jtsummers »

rjsw wrote: post #12
capableweb wrote: post #9

Earlier quoted context omitted.

Yes, the FDA is a US-only institution. Full name is: U.S. Food and Drug Administration.

I was commenting on the original title, I meant that being unable to drive due to the after affects of some unknown procedure is a US specific thing.

It is not, at least not since I've had my eyes dilated in exams (every year or every other for the past 25 years). OP was editorializing. There is no mandated minimum time between dilation and driving, though obviously people should be cautious if dilation strongly impacts their vision. For me, I'm usually back to "normal" (near vision still sucks, but I don't read books while driving; far vision is fine) by the time I've finished ordering new lenses and paying.

Re: Viatris gets FDA nod for pupil dilation reversal agent

#19

Post by kube-system »

rjsw wrote: post #12
capableweb wrote: post #9

Earlier quoted context omitted.

Yes, the FDA is a US-only institution. Full name is: U.S. Food and Drug Administration.

I was commenting on the original title, I meant that being unable to drive due to the after affects of some unknown procedure is a US specific thing.

Not sure what the original title was, but when I've had my eyes dilated for eye exams in the past, I have no problem driving home immediately.

It is commonplace for eye doctors to hand out these ugly sunglasses to patients who have their eyes dilated, so they can continue on with their day: https://www.proopticsgroup.com/cdn/shop/products/G100_New_20...

Re: Viatris gets FDA nod for pupil dilation reversal agent

#20

Post by rjsw »

Jtsummers wrote: post #17
rjsw wrote: post #12

Earlier quoted context omitted.

I was commenting on the original title, I meant that being unable to drive due to the after affects of some unknown procedure is a US specific thing.

It is not, at least not since I've had my eyes dilated in exams (every year or every other for the past 25 years). OP was editorializing. There is no mandated minimum time between dilation and driving, though obviously people should be cautious if dilation strongly impacts their vision. For me, I'm usually back to "normal" (near vision still sucks, but I don't read books while driving; far vision is fine) by the time…

Why do you need your eyes dilated? It isn't something that is done in the UK.
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