EYE EXAMINATION

Fully Partially Not Correct

KNOWLEDGE (Demonstrate and/or Comment) Page
Correct Correct Not Done
Knocks on door and introduces self D
Washes hands properly then shake hands D
PERIORBITAL AREAS
Identify edema, sagging tissues, or lesions 272-3 D/C
Palpate lacrimal glands and nasolacrimal ducts 277 D
EYELIDS
Assess ability to open wide and close completely 272-3 D
Identify ptosis, fasciculations 272-3 D/C
EYEBROWS & Eyelashes
Assess hair texture, extension (EyeBrows) 272-3 D/C
Check for flakiness, redness, swelling (Eyelashes) D/C
EYES
Note color of irides, corneal clarity and if arcus is present 275 D/C
Inspect the eye for discharge, redness, jaundice 274-4 D
Note corneal light reflex 278 D/C
PUPILS
Measure pupil sizes 275-6 D/C
Describe pupillary shapes 275-6 C
Assess direct and consensual response to light 275-6 D/C
Assess accommodation 275-6 D
OCULAR MOVEMENTS
Perform Cover/Uncover test 279 D/C
Evaluate the six cardinal fields of gaze 278 D
Check for rapid lateral nystagmus 278 D
VISUAL ACUITY & VISUAL FIELDS (measure corrected)
Assess visual fields 271 D
Measure near vision acuity C
Repeat on other eye 271 D
Measure distant vision acuity C
Repeat on other eye 271 D
BILATERAL FUNDOSCOPIC EXAMINATION
Use proper technique in use of ophthalmoscope 279 D
Assess lens clarity and red reflex D/C
Assess retina for hemorrhage or any other irregularities D/C
Check retinal vessels for widened arteriolar light reflex and AV
nicking D/C
Identify optic disc, check disc margins for cupping or bulging D/C
State how to identify macula C
reviewed 4 Jan 2013 TOTAL: /28