medical eye report name sex age family medical hx general medical hx surgical hx medications...

MEDICAL EYE REPORT

• Name• Sex• Age• Family Medical Hx• General Medical Hx• Surgical Hx• Medications• Ophthalmic complaint

Eye Care Professionals• Optometric technicians, ophthalmic

technicians• Vision Rehabilitation practitioner• Teacher of Visually Impaired• D.O.- doctor of optometry, doctor of

ophthalmology, low vision specialist• M.D.- ophthalmologist• Specialist- did fellowship in specialty,

FACS• optician

VISUAL ACUITIES

• Autorefractor

• Lensometer

• Snellen chart (distance)

• Checking distance each eye using an occluder

• Jaeger near vision chart

• Ishihara- color vision charts

• Titmus fly

• Amsler grid

External Examination

• LLL- Lids, lens, lacrimal system

CAUSES & FUNCTIONAL IMPLICATIONS OF VISUAL

IMPAIRMENT

• PERL- Pupils equal & reactive to light

•

• MM- Muscular motility

• Eye Muscle Balance

Cornea & Anterior Segment

• Ophthane- numbs eye

• Midriatic- dilates pupil

• Cycloplegic- relaxes lens

• Tonometer- measures pressure– FP- finger pressure– Air puff– Contact

• Keratometer- measurement of corneal thickness

• Goniometer- measures angle of anterior segment (risk factors for glaucoma)

• Slit lamp

• Direct ophthalmoscope

Undilated versus Dilated Pupil

• Indirect ophthalmoscope

Normal Fundus

• Phoropter

Functional & Visual Efficiency Testing

• Behavioral

• Electrophysiological

• Subjective

Behavioral

• OKN (optokinetic nystagmus)- cortical

• PLT (preferential looking test)- Teller acuities

• Chromatic luminance- contrast sensitivity

• Tracking a toy or light

Electrophysiological

• Fundus photos & OCT

• VER- visual evoked response- visual pathways, cortical function

• ERG- electroretinogram (cone & rod function)

• EOG- electrooculogram (measures charge & potentials of eyes)

Subjective

• Acuity– Lea charts– Snellen– Tumbling E– Amsler grid

• CSF- contrast sensitivity function• Flicker fusion macular & foveal function• Color- Ishihara & Farnsworth• Visual fields

– Confrontation– Ganzfeld globe– computerized

Visual Efficiency Testing

• ISAVE

• Program to Improve Visual Efficency (Barraga)