Eye Exam

Question 1

Test visual acuity

Answer 1

Have Pt. hold Schnellin chart 14 inches away, cover one eye and read the smallest line. TEST BOTH EYES

Question 2

Test peripheral vision

Answer 2

Stand 3 ft from Pt. Have Pt. cover one eye, and present two hands in each of the four quadrants and have pt add up fingers. TEST BOTH EYES

Question 3

Inspect orbits and eyelids

Answer 3

Visually inspect orbit and eyelids from front and sides.

Question 4

Examine conjunctiva, sclera and lacrimal apparatus

Answer 4

Remember to pull down and have patient look up, not necessary to move eyelid

Question 5

Examine the cornea

Answer 5

Hold penlight close to eye and move it around while keeping pointed at the cornea

Question 6

Examine the pupils

Answer 6

Dim lights. Consensual, direct reflex. Swinging light test, and then accommodation. May be good idea to have Pt. look at corner of room so they don’t focus on your light.

Question 7

Examine extraoccular muscles

Answer 7

Stand two feet from Pt while they focus on distant object, hold out penlight and check for symmetry in reflection. Have patient follow finger in 6 cardinal positions and then move finger in closer for accommodation and convergence