Setting up Contact Lens Trials in the Visit Overview (Web)
Fitting each patient with the right contact lenses is a challenge. You can document contact lens trials in Encompass, and when you find the right lens, you can copy it to the final prescription. What do you want to do?
Add a soft contact lens trial
- Open a patient visit. To learn how, go to Creating or Opening a Visit (Web).
- Locate the Vision Summary section, click Add Tests, and select Contact Lenses.
- In the Status drop-down menu, select one of the Order Trial options.
-
Continue documenting the trial soft lens prescription.
Document a soft contact lens trial
- Add a contact lens trial prescription. To learn how, go to Add a soft contact lens trial.
- Document the Contacts Usage and Status as needed.
- Import a previous refraction. To learn how, go to Viewing Refraction History and Importing Refractions in the Visit Overview (Web).
OR
Enter the details for the patient’s contact lenses:
- Select the values for the Contacts Prescription from the drop-down menus.
- To copy the prescription for the right eye to the left eye, click Copy OD to OS.
- Document the patient’s Distance Vision and Near Vision from the drop-down menus.
Click the Set to 20/20 OU and Set to J1+OU links to populate the Visual Acuities fields with those values.
- Document the over refraction information entering the Sphere, Cylinder, Axis, Distance Visual Acuity, and Near Visual Acuity if applicable:
- Document the contact lens assessment and regimen information as needed:
- Click the Assessment & CL Regimen tab.
- Click Mark as Normal to mark the assessment fields as good or comfortable.
OR
Enter the Movement, Centration, Vision, and Comfort manually.
- If the contact lenses correct for astigmatism, select the Torics Rotated and enter the Degrees.
- Enter the Wearing Schedule, Replenishment, and Disinfecting regimen.
- Click Save.
Add an RGP, scleral, or custom contact lens trial
- Open a patient visit. To learn how, go to Creating or Opening a Visit (Web).
- Locate the Vision Summary section, click Add Tests, and select Specialty Contact Lenses.
-
In the Status drop-down menu, select one of the Order Trial options.
The Specialty Lens screen opens. Continue documenting the trial specialty lens prescription.
Document a specialty contact lens trial
- Select an Underlying Condition only if you are not prescribing a lens for the selected eye.
- Select a Product.
The Manufacturer and Lens Type automatically populate based on the Product.
In rare instances where more than one manufacturer produces the same lens product, you'll need to select a Manufacturer.
Select Manual to type the Product, Manufacturer, and Lens Type manually.
- Enter the Base Curve, Diameter, and Sphere.
- Enter the remaining values as needed.
If you need to record a value for a field that isn't available, select Additional Fields
- Repeat these steps for the other eye.
Select Copy OD to OS to copy the values from the right eye to the left. You can edit any values that are different
Customize the specialty lens fields
- Open the Specialty Contact Lens screen. To learn how, go to Setting up Contact Lens Trials in the Visit Overview (Web).
- Click the Additional Fields button.
The Additional Fields window opens.
- Depending on your needs, take the following actions:
- Click the (plus) to make a field visible.
- Click the (minus) to hide a field.
- Click and drag the (bars) to change the order.
- Click Save.
The Specialty Lens Prescription screen updates to reflect the changes you made.
When you hide a field, that filed will not appear on new prescriptions. Encompass will always show fields that have values recorded. If you hide a field and import a specialty contact lens prescript that has a value recorded in that field, the field will be visible and editable in that prescription.
The changes you make here only apply to you and are reflected on the web and iPad app. Other providers in your practice can customize these fields according to their own prescribing practices.
Learn more about the customizable specialty lens fields
The Specialty Lens feature in Encompass give you the flexibility to add or remove fields according to your prescribing preferences. Tap the Additional Fields button to customize which fields you see. The following table describes the fields that can be shown or hidden.
| Field | Definition | Notes |
|---|---|---|
| Axis 2 | Secondary axis or oblique axis, measured in degrees | This value may have different names depending on manufacturer or product |
| Base Curve 2 | Secondary curve, peripheral curve, landing curve, intermediate curve, or alignment curve | This value may have different names depending on manufacturer or product |
| Blend | The smoothness of the transition between different curves on a contact lens | |
| Center Thickness | The thickness of the lens at its center, which can impact oxygen permeability and comfort | |
| Cylinder 2 | Secondary cylinder or peripheral cylinder | This value may have different names depending on manufacturer or product |
| Edge Thickness | The thickness of the lens at its edge, affecting comfort and lens movement | |
| HVID | Horizontal Visible Iris Diameter, the measurement of the iris from one side to the other | |
| Material | The type of material used to make the contact lens, influencing oxygen permeability and comfort | |
| OAD | Overall Diameter, the total diameter of the contact lens | |
| Optical Zone | The central area of the lens that provides the prescribed vision correction | |
| PCR | Peripheral Curve Radius, the curvature of the outer edge of the lens | |
| Prism | A lens feature used to correct double vision or to stabilize the lens on the eye | |
| Radius 2 | Secondary radius, intermediate curve, or first peripheral curve | This value may have different names depending on manufacturer or product |
| Radius 3 | Tertiary radius, landing curve, or second peripheral curve | This value may have different names depending on manufacturer or product |
| SAG | Sagittal Depth, the distance from the back surface of the lens to the front surface at the center | |
| Segment Height | The height of the bifocal or multifocal segment in the lens | |
| Skirt | The outer portion of a hybrid lens that rests on the sclera | |
| Sphere 2 | Secondary sphere | This value may have different names depending on manufacturer or product |
| Tint | Color intensity and type of color added to the lenses | |
| Width 2 | Secondary width, first peripheral curve width, or intermediate zone width | This value may have different names depending on manufacturer or product |
| Width 3 | Tertiary width, landing zone width, or second peripheral curve width | This value may have different names depending on manufacturer or product |