Performing Testing for Specific Eye Conditions

The Vision Exam screen allows you to record test results for other types of conditions such as glaucomaClosed A disease characterized by elevated intraocular pressure, which causes optic nerve damage and subsequent peripheral vision loss. Most people have no initial symptoms of chronic (open-angle) glaucoma, but you can develop peripheral vision loss, headaches, blurred vision, difficulty adapting to darkness, and halos around lights. Other forms of glaucoma (e.g., closed-angle glaucoma) may have additional symptoms such as eye pain, a pupil that does not respond to light, redness, nausea, and a bulging eye., macular degenerationClosed Disorder characterized by changes in the eye's macula that result in the gradual loss of central vision. The exact cause is unknown, but appears to be related to a genetic predisposition, smoking, and several other risk factors. Central vision may be blurred, distorted (metamorphopsia), or shadowy before vision loss occurs., and color blindness. This topic covers:

  1. Open the Vision Exam screen.

    For more information, go to Opening the Vision Exam.

  2. Click Binocular.

    The BinocularClosed Both eyes. Tests screen opens and the Near Point Convergence tab appears.

  3. Complete the fields on the following tabs:
  4. Click Save.
  1. Open the Vision Exam screen.

    For more information, go to Opening the Vision Exam.

  2. Click Misc Tests.
  3. Select values for Accommodative Facility.
  4. Select values for MEM Retinoscopy.
  5. Click Save.
  1. Open the Vision Exam screen.

    For more information, go to Opening the Vision Exam.

  2. Click Central Retinal Thickness.
  3. Enter the Central Retinal Thickness in micrometers for the right and left eye.
  4. Click Save.
  1. Open the Vision Exam screen.

    For more information, go to Opening the Vision Exam.

  2. Click RNFL Thickness.
  3. Enter the RNFL thickness in micrometers for the right and left eye.
  4. Click Save.
  1. Open the Vision Exam screen.

    For more information, go to Opening the Vision Exam.

  2. Click Pachymetry.
  3. Enter the Corneal Pachymetry Thickness measurements for the right and left eye.
  4. Click Save.
  1. Open the Vision Exam screen.

    For more information, go to Opening the Vision Exam.

  2. Click Endothelial Counts.
  3. Enter the Endothelial Counts for the right and left eye.
  4. Click Save.
  1. Open the Vision Exam screen.

    For more information, go to Opening the Vision Exam.

  2. Click Amsler Grid.

    The Amsler GridClosed A test for macular degeneration using small squares. This test can also be given as a home test to monitor the onset and progression of macula disease. screen opens.

  3. If the test result was normal, click Mark as Normal.
  4. If the test result was abnormal, select Abnormal from the Result drop-down list, and select the abnormal result in the right and left eye grids.
  5. Click Save.
  1. Open the Vision Exam screen.

    For more information, go to Opening the Vision Exam.

  2. Click Color Vision.

    The Color Vision screen opens.

  3. If the test result was normal, click Mark as Normal.
  4. If the test result was abnormal, select Abnormal from the Result the drop-down list.
  5. Select the Test Type in the drop-down list.
  6. Enter the results for the right and left eye.
  7. In Details, click any plates the patient missed.
  8. Select the Farnsworth results for the right and left eye, as needed.
  9. Type Additional Color Vision Notes, as needed.
  10. Click Save.

Want to watch a video tutorial on documenting the vision exam? Check out our series on Pre-Testing and Creating Rx's.