COT skills

For HVF, when selecting the lens if the cylinder is +1.00 or greater, what do you need to do?

Keep the cylinder as is and add bifocal to sphere if patient old

For HVF, when selecting the lens if the cylinder is -1.00 or less, what do you need to do?

Get the spherical equivalent and add bifocal to sphere if patient old

Which lens is placed in the lens holder NEAREST patient and which one is FURTHEST from the patients eye?

Sphere, Cylinder

Automated Visual Field steps in order:

instruct patient

prepare exam

select lens

position lens

administer exam

submit exam

Automated Visual Fields instructions:

Place a patch over your LEFT eye.
Keep chin on the rest and forehead against band.

Continue to look at the center of the target.

Click the response button anytime you see a light of any intensity or size within the bowl while looking straight ahead.

Hold down the button to suspend the test.

Blink as necessary.

Add powers based on ages

30-39

40-44

45-49

40-54

55+

+1.00

+1.50

+2.00

+2.50

+3.00

Applanation Tonometry steps in order:

instruct patient

prepare patient

position tonometer

adjust light

position prism tip

applanate

adjust mires

take IOP

record results

Applanation Tonometry instructions:

fixate opposite eye on target.

breath nml.

keep chin and forehead against rest.

keep teeth together and mouth closed.

keep OU open wide.

explain steps to prevent anxiety.

Lensometry steps in order:

Focus eyepiece

Prepare equipment

Adjust mires

Record results

Ocular Motility steps in order:

Instruct patient

examine patient

record results

Keratometry steps in order:

Eyepiece

Instruct patient

Postion Keratometry

Adjust mires

Record results

Retinoscopy steps in order:

Position phoropter

Instruct pt

Select retinoscope

Perform retinoscopy

Record results

Refinement steps in order:

prepare equipment

instruct patient

refine patient

record results