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

Perform the steps of Automated Visual Field in order: (iPREsPOSaSUB)

instruct patient

prepare exam

select lens

position lens

administer exam

submit exam

What are the instructions you WILL give the patient for Automated Visual Fields?

1. I’m going to place a patch over your LEFT eye

2. Keep your chin on the rest and forehead against the band.

3. Continue to look at the center of the target.

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

5. Hold down the button to suspend the test.

6. 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

Perform the steps of Applanation Tonometry in order: (iPREPOTalAPPamrrSUB)

1. instruct patient

2. prepare patient

3. position tonometer

4. adjust light

5. applanate

6. adjust mires

7. record results

What are the instructions you WILL give the patient for Applanation Tonometry?

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.

When ready to Applanate, what are the steps in order: (pptApmTPriop)

position prism tip

applanate

position mires

take pressure

record pressure

What are the instructions you WILL give the patient for Keratometry?

Keep non-occluded eye fixed on target

Keep forehead and chin firmly against rest

Blink nml

Breath nml

Keep OU open