Clinic prep: General MEC guide Flashcards
Username and Password for ImageNet (OCT)
Username: Topcon
Password: Topcon
Username and Password for Sunix:
Username: UME
Password: student
Username and Password for Optos:
Username: click on first image on left (on touchscreen, should say Unimelb optometry or something)
Password: optomap
Username and Password for Consult room computers (or any computer)
Should automatically login, but if not:
Username: student\abowden
Password: your unimelb password
What is the name of Sunix on the desktop or when searched in windows?
V2000
How do you perform an Estermann VF test with the VF machine? How do you instruct the patient for the test.
Main menu –> Show Test Library –> Specialty –> Binoc Estermann (px does with both eyes open)
This tests takes 5 minutes, and inform the patient similarly to other VF tests:
“This is a test of how well you can see across your visual field/entire range of vision”
“Spots will appear on the screen, some of these spots may appear brighter/darker, they can be closer or further away, and the time they appear can be different. If you see a spot I want you to press the button”
Where in sunix should you place BV testing results?
“In pupils” - Christine Nearchou
What are the following Medmont equivalents to the following Humphrey VF tests:
10-2
24-2
30-2
10-2 = macula
24-2 = central test
30-2 = glaucoma test
How do you send a letter through MEC?
In sunix: letter –> new px letter –> report to gp (usually) to generate a template
Complete template –> place eyecare letterhead in printer –> inform staff you are printing letter –> get supervisor to sign printed letter –> scan letter (front side up) to myscans
In consult room: images –> import the image –> email to uni-eyecare@unimelb.edu.au
Front desk: forward email to patient email from front desk with no name after “regards”
Topography result not showing up when trying to import images, even though it saved to myscans?
It’s the name. Import images only shows the top 6 recent images, however if you rename the file it will go to the bottom because it’s also alphabetical.
Can solve by putting AA at start of file or simply by not renaming the file.
How do you save topography results to my scans?
Print as pdf
How are topography scans taken?
Automatically as patient looks at target centre yellow circle.
When performing Visual fields, where is the trial lens set?
In a box to the left/behind on the table on left side of the room
How do you perform a Humphrey Visual Field at MEC? (4)
- Search for patient via ID or last name
- Enter details on right side of screen (incl distance prescription and trial lens used for near) - if relevant, also includes choosing type of test
- Give patient eyepatch with tissue to cover eye that’s not been tested
- Gaze initiation –> then when done –> start test (read instructions out from screen during this process for standardisation)
Should you use SITA faster when doing Humphrey VF testing?
No, generally not. SITA faster doesn’t have reliability indices like false negatives so is not a reliable test. Better off with SITA standard (or SITA fast if patient is having issues with long duration, e.g. fatigue I guess, elderly)
When you have finished a consult at the MEC, what should you do with the patient info screen?
Brief summary of consult with date and name + OD4.
If a patient needs new spectacles ordered at MEC, what do you do?
This is handled by front desk. Tick dispensing sheet for the type of specs, adding additional info if necessary, then do a handover to the front desk for them to assist with choosing of frames etc.
On OCT, what value near the fovea is considered potential swelling?
Anything > 250.
(NB: the fovea is the inner circle within the bigger circle with the X)
What are the four standard screening tests that we typically do on basically everyone?
Cover test (D+N)
Ocular Motility
Confrontation
Pupils
Should you ever copy patient info over from previous consults?
NOOOOOO!!!! It is very bad, because you never actually asked those questions and things could have changed. Anyone can just look at previous consult to get that info rather than copying over.
What is mac vertical used for (OCT)?
Glaucoma TSNIT
What is mac horizontal used for (OCT)?
Subjective general assessment/other conditions e.g. AMD
Is qualitative
When do we do a “follow up” scan?
only for a specific lesion that you want to isolate in on (usually one cross section)
When should you consider smaller size in OCT angiography?
Older patients with fixation problems (otherwise, just use longer scan/larger size)
