Routine Eye Examination

• What is the primary goal of an eye examination?

  To keep the visual welfare of the patient uppermost at all times
• What are the key components of a general eye examination for adults at UOMelbourne?

  • History taking
  • Measure vision and visual acuity
  • Screening tests (ocular excursions, NPC, cover test, pupils, PD, confrontation/red cap, stereo/Amsler/colour vision)
  • Refraction
  • Ocular health examination (dilation, anterior and posterior eye examination)
• What does refraction result in during an eye examination?

  It results in a prescription
• What is the purpose of retinoscopy in an eye exam?

  To determine the refractive error of the eye
• What is the best vision sphere (BVS) determined during subjective refraction?

  It is the sphere that provides the clearest vision at distance
• How is astigmatism determined during an eye examination?

  Using fogging or Xcylinder techniques
• What is included in the ocular health examination?

  • Dilation
  • Examination of anterior and posterior eye
  • Slit lamp examination
  • Fundus lens and BIO examination
  • IOPs for patients over 40 or on indication
• What are some additional tests that may be indicated during an eye examination?

  • Visual fields
  • Colour vision
  • CSF
  • OCT
  • CCT
  • Topography/keratometry
  • Gonioscopy
• What is the role of diagnosis and management in an eye examination?

  To establish diagnoses by evaluating signs and symptoms and to formulate a management plan
• What should be included in the management plan after an eye examination?

  Prescribing spectacles and discussing other advice with the patient
• What are the minimum discussions required after an eye examination?

  • Refractive discussion
  • Binocular discussion
  • Ocular health discussion
  • Review discussion
• What are the record-keeping requirements for optometrists according to the Optometry Board of Australia?

  • Keep accurate, up-to-date, and legible records
  • Ensure records are secure and respect patient confidentiality
  • Facilitate patient access to their records
  • Make records promptly after events
• Why is early detection important in eye examinations?

  It helps in managing conditions effectively
• How does the age of the patient influence the eye examination process?

  The age helps define the examination and the tests performed
• What are the goals of a comprehensive adult eye exam according to AOA?

  • Evaluate functional status of eyes and visual system
  • Assess ocular health and systemic health conditions
  • Establish diagnosis
  • Formulate treatment and management plan
  • Counsel and educate the patient
• What is the significance of peer review in eye examinations?

  It sets expectations for comprehensive care
• How should a clinician approach testing when a patient presents with a specific problem?

  The clinician should determine how far to go with testing based on the specific issue