I'm guessing this is something specific to the US.
If your vision is normal (or not as abnormal as mine) and you aren't at high risk of various eye health issues (diabetic, family history, high blood pressure) then there's little need for dilation in an eye exam.
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...
(typically an anticholinergic like beladonna which has been known about for thousands of years)