Eye

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BRANCHED EXAMINATION OF THE EYE CHECKLIST
Student________________________ Date____________ Examiner
TOTAL POINTS

(19)

Time

Pass Repeat

(10 min)

Correctly
Completed


1.

Wash hands.



2.

Pain assessment.



3.

Assess visual acuity using Snellen Eye Chart and Pocket Visual Screener



4.

Assess visual fields by confrontation

EXTERNAL EXAMINATION


5.

Inspection
a. Eye position
b. Eye alignment
c. Eyebrow and eyelid position
d. Lacrimal apparatus



6.

Sclera



7.

Conjunctiva, including eyelid eversion



8.

Assess corneal surface and lens opacity with light



9.

Assess depth of anterior chamber

PUPILS


10.

Size and shape



11.

Light reaction – direct and consensual



12.

Near reaction

EYE POSITION


13.

Cover test



14.

Assess ocular alignment

EXTRAOCULAR MUSCLE MOVEMENT (EOM)


15.

Six cardinal directions of gaze – assessing for nystagmus



16.

Convergence



17.

Saccadic movements

FUNDOSCOPY


18.

Assess red reflex, optic disc, retinal vessels, retinal background, macula

PRESENTATION

1

2

3

4

5

COMMUNICATION SKILLS

1

2

3

4

5

COMMENTS:

3/09

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