Eye Exam

Question 1

What 8 things must we do?

Answer 1

1. sanitize hands
2. Inspect the eye
3. Snellen eye chart
4. Finger wiggle test => look at visual fields
5. H-test => extra-ocular movements
6. Direct/indirect constriction of pupils and accommodation
7. Fundosopic exam
8. Cover and uncover test => strabismus

Question 2

What to look for for eye inspection

Answer 2

1. Have patient pull upper eyelids up and tell patient to look down.
2. Have patient pull lower eyelids down and tell patient to look up
3. Look for lesions, drooping, white scleras

Question 3

Snellen eye chart

Answer 3

• Hold chart 14 inches away
• Test each eye individual, THEN TEST BOTH EYES AT THE SAME TIME.
• Ask them to read the smallest line they can read.
• The number on the side is their vision measurement

Question 4

Finger wiggle test

Answer 4

• Assess both eyes at the same time

o Finger wiggle in EACH OF THE 4 QUADRANTS

• Close one eye

o In each quadrant, hold up a certain number of fingers and then ask them

oDo for each eye

•TELL PATIENT TO FOCUS ON A POINT BEHIND

Question 5

H-test => extra-ocular movements

Answer 5

• Hold fingers about 12-18 inches away and move them in an H pattern.
• Tell patient to follow with eyes.
• Make sure to do convergence

Question 6

Fundosopic exam

Answer 6

• Use RIGHT eye with fundoscopic in RIGHT hand to examine patients RIGHT eye and vise versa.
• Tell patient to look at a distant point in front of them.
• Doc should place hand on patients head to orient themselves.
• Start laterally and move in: tell patient to look directly at the light
• What do you see:, red reflex, arterioles, optic disk, macula and fovea.

Question 7

Cover and uncover test for strabismus

Answer 7

• Look at my nose
• Cover one eye
• When I remove the cover, I am looking for any drifting of the COVERED eye. 
• Repeat on the other side