Visual Acuity - Answer-the numerical value associated with the smallest objects the patient can see on
specific eye charts at a specific distance.
-cornerstone of the eye exam
External Exam - Answer-Consists of 3 segments:
-Confrontation Visual Field
-ExtraOcular Motility
-Pupil Evaluation
Confrontation Visual Field (CVF) - Answer-Obtains a gross measurement of the patient's peripheral
vision. It is useful in the detection of damage due to a stroke, glaucoma, and some retinal detachments.
ExtraOcular Motility (EOM) - Answer-Measures the range of motion and the function of the six
extraocular muscles. This testing helps to detect eyes that are misaligned or not working together
properly.
Pupil Evaluation - Answer-Evaluates pupils according to their size, shape, and reaction to light
, Lensometer - Answer-an instrument that is used to document the patient's current spectacle
prescription. The readings identify not only the power of the lens but also the type of lens
Refraction - Answer-This portion of the examination determines the best lens correction for eyes with
refractive errors
Tonometry - Answer-a measurement of intraocular pressure (IOP)
application tonometry - Answer-measures the force needed to flatten part of the cornea. This type of
procedure requires the administration of anesthetic drop
Indentation tonometry - Answer-measures intraocular pressure by blowing a puff of compressed air at
the cornea and measuring the amount of deflection produced. No anesthetic drop is needed for this
procedure
Slit Lamp Examination - Answer--most frequently performed by the physician, but portions may be done
by the ophthalmic technician.
- focuses a narrow beam of light into the eye, and through magnification and light allows the physician
to examine the lids and eyelashes, the conjunctiva, the cornea, iris, lens, vitreous, and fundus.
Fundus Examination - Answer-The physician examines the retina (back of the eye) to determine the
appearance of the optic nerve/disc, the macula, and the periphery
Amsler Grid Test - Answer-Helps diagnose macular problems and is performed on patients with
complaints of distortion, letters "jumping" when reading, or anyone with unexplained decrease in near
vision. Patients describe the normal or abnormal appearance of gridlines on a chart.
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