Intermediate Exams Flashcards

1
Q

What are intermediate exams?

A
  • nondilated visit - MUST ATTEMPT VIEW OF THE FUNDUS (90D, DO, Opto-map)
  • f/u
  • emergency red eyes
  • Rx checks
  • CL fitting
  • CL f/u
  • glx workup
  • glx f/u
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2
Q

Follow ups

A
  • review previous charts
  • brief CH
  • main tests: VAs, pupils, EOMs, CVFs, other relevant tests

*Document VAs FIRST to avoid liability!

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3
Q

Emergency red eyes

A

If FB, may have to instill Proparacaine FIRST !

  • same tests
  • gross observation (outside of SL)
  • other relevant tests: SLE (Fluress strips to see if there is staining, lid eversion, A/C eval, TBUT, IOP, etc)
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4
Q

Rx Check

A
  • Lenso
  • VA
  • CT?
  • repeat ret/refraction?
  • binocular and/or accom testing?
  • trial frame?
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5
Q

CL fitting

A
  • same tests
  • check: fit, VAs, pt comfort, over-refraction
  • start over w/ different lens?
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6
Q

CL f/u

A
  • check VAs w/ CLs, over-refraction
  • check fit — including SLE for eye health
  • start all over w/ different lens?
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7
Q

Glx workup

A
  • VAs, pupils, EOMs
  • VF (refraction to determine trial lens?)
  • IOPs
  • OCT nerves
  • Pach
  • Gonio
  • DFE (fundus photo if not completed on previous exam)
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8
Q

Glx f/u

A
  • same tests
  • IOPs
  • update OCT nerves?
  • update VF?
  • DFE?
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