Eye Exam

Question 1

What is the first thing you should do before performing the eye physical exam?

Answer 1

Sanitize Hands

Question 2

What is the first step of the eye physical exam?

Answer 2

Inspection of the eye. Remember to verbalize findings

Question 3

What are you looking for when inspecting the eye?

Answer 3

• Position and alignment of the eyes
• Eyebrows (hair and scaliness)
• Conjunctiva (droop?)
• Sclera
• Cornea
• Iris
• Pupils
• Have patient look up as you pull eyelids down, and have them look down as you pull eyelids up

Question 4

What is the second step of the eye physical exam?

Answer 4

Snellen eye chart for just one eye, tests cranial nerve 2 (optic nerve)

Question 5

How is the snellen chart used?

Answer 5

• Chart is held 14 inches from away from pt at their eye level
• Ask them to read the smallest line they are able to read
• Have them close one eye

Question 6

What is the third step of the eye physical exam?

Answer 6

Evaluate the visual field

Question 7

How is visual field tested?

Answer 7

Wiggle finger test

• Have patient look directly into your eyes, while standing an arms length away from them
• Have patient close one eye

Question 8

What is the fourth step of the eye physical exam?

Answer 8

Evaluate extraocular movements

Question 9

How are extraocular movements evaluated?

Answer 9

H Pattern test

Question 10

What is the fifth step of the eye physical exam?

Answer 10

Evaluate pupillary reactions

Question 11

How do you evaluate pupillary reactions?

Answer 11

Light Reflex

• Direct: eye with light exposure constricts
• Consensual: other eye also constricts

Accomidation:

• Have patient stare at your finger as you move it toward their face.
• Eyes should cross and pupils should constrict

Question 12

What is the sixth step of the eye physical exam?

Answer 12

Fundoscopic Exam (just one eye). Verbalize what you see

Question 13

How do you conduct a fundoscopic exam?

Answer 13

Hold instrument in right hand, use your right eye to examine their right eye

Hold instrument in left hand, use you left eye to examine their left eye

Identify the Macula and the Optic Disc

Question 14

What is the seventh step of the eye physical exam?

Answer 14

Perform Cover/Uncover test

Question 15

What is the Cover/Uncover Test?

Answer 15

Used to identify weakness of extraocular movements (strabismus)

• Have patient look at the tip of your nose while you cover one eye.
• When you uncover the eye, you look for any lateral drift