Intermediate Exams

Question 1

What are intermediate exams?

Answer 1

• nondilated visit - MUST ATTEMPT VIEW OF THE FUNDUS (90D, DO, Opto-map)
• f/u
• emergency red eyes
• Rx checks
• CL fitting
• CL f/u
• glx workup
• glx f/u

Question 2

Follow ups

Answer 2

• review previous charts
• brief CH
• main tests: VAs, pupils, EOMs, CVFs, other relevant tests

*Document VAs FIRST to avoid liability!

Question 3

Emergency red eyes

Answer 3

If FB, may have to instill Proparacaine FIRST !

• same tests
• gross observation (outside of SL)
• other relevant tests: SLE (Fluress strips to see if there is staining, lid eversion, A/C eval, TBUT, IOP, etc)

Question 4

Rx Check

Answer 4

• Lenso
• VA
• CT?
• repeat ret/refraction?
• binocular and/or accom testing?
• trial frame?

Question 5

CL fitting

Answer 5

• same tests
• check: fit, VAs, pt comfort, over-refraction
• start over w/ different lens?

Question 6

CL f/u

Answer 6

• check VAs w/ CLs, over-refraction
• check fit — including SLE for eye health
• start all over w/ different lens?

Question 7

Glx workup

Answer 7

• VAs, pupils, EOMs
• VF (refraction to determine trial lens?)
• IOPs
• OCT nerves
• Pach
• Gonio
• DFE (fundus photo if not completed on previous exam)

Question 8

Glx f/u

Answer 8

• same tests
• IOPs
• update OCT nerves?
• update VF?
• DFE?