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)