Dark Adaptation Screening for Macular Degeneration Allisonville Eye Care Center is pleased to offer new technology for early detection of the #1 cause of legal blindness in the US known as Age-Related Macular Degeneration. Dr. Roark and Dr. Bollier recommend this screening test for all patients age 45 and above once every 2 years if results are normal. A newly developed device, the AdaptDx Pro, is used to measure the number of minutes it takes you to adjust from bright light to darkness. The test is non-invasive and takes only 5-10 minutes. The cost is only $35, and the doctor will discuss the findings with you. For patients who also elect the retinal bundle (also $35), the total is $70 only $65.Please select Yes, I would like to have the Dark Adaptation test. (recommended) No, I do not desire the test. Patient Name Patient/Guardian SignatureHiddenDate MM slash DD slash YYYY For additional information regarding Macular Degeneration and the benefits of this test, please refer to the information below. What is Macular Degeneration? Macular Degeneration is a progressive eye disease that causes the central lining at the back of the eye known as the macula to deteriorate with age. The macula is responsible for your central vision, which allows you to do things like read, watch TV, recognize faces, and drive. Unfortunately, this disease is common and affects about 14 million Americans- 1 in 3 above the age of 75! What are the earliest symptoms of Macular Degeneration? Poor night vision and difficulty adjusting to a dark room after bright light exposure are often the earliest indications of this disease. ONLY THIS DARK ADAPTATION TEST CAN REVEAL ABNORMAL DARK ADAPTATION. What are the benefits of early detection? Early detection allows several proactive measures to be taken to reduce the risk of vision loss. Who should have this test? We recommend a screening/baseline Dark Adaptation test for any patient who fits the following description -age 45 and above -family history of Macular Degeneration -current or former smoker -diagnosis of heart disease, hypertension or high cholesterol -diagnosis of diabetes -difficulty seeing in dim light or adapting to the darkness