Setting up Contact Lens Trials in the Detailed Visit Overview (iPad)

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. (missing or bad snippet)

  1. Open the Vision Exam screen. To learn how, go to Opening the Vision Exam in the Detailed Visit Overview (iPad).
  2. Tap the Contact Lens tab.
  3. Tap Add Contact Lens Trial.

    The Soft CL screen opens. Continue documenting the trial soft lens prescription.

  1. Add a contact lens trial prescription. To learn how, go to Add a soft contact lens trial.
  2. Document the Contacts Usage and Status as needed.
  3. Import a previous refraction. To learn how, go to Viewing Refraction History and Importing Refractions in the Detailed Visit Overview (iPad).

    OR

    Enter the details for the patient’s contact lenses:

    1. Select the values for the Contacts Prescription from the drop-down menus.

      Tap the Manual toggle to type the prescription values manually rather than select the values from drop-down menus.

      Tap Show Refractive Measurements to view the last recorded wearing (glasses and contact lens), autorefraction, manifest, cycloplegic, and keratometry readings. The refractive measurements remain visible, so you can see them as you select current values, until you tap Hide Refractive Measurements.

    2. To copy the prescription for the right eye to the left eye, tap Copy OD to OS.
  4. Document the patient's visual acuities as needed:
    1. Tap the Visual Acuities tab.
    2. Select the patient’s Distance Vision and Near Vision from the drop-down menus.

      Tap the Set to 20/20 OU and Set to J1+OU links to populate the Visual Acuities fields with those values.

  5. Document the contact lens assessment and regimen information as needed:
    1. Tap the Assessment & CL Regimen tab.
    2. Tap Mark as Normal to mark the assessment fields as good or comfortable.

      OR

      Enter the Movement, Centration, Vision, and Comfort manually.

    3. If the contact lenses correct for astigmatism, select the Torics Rotated and enter the Degrees.
    4. Enter the Wearing Schedule, Replenishment, and Disinfecting regimen.
  6. Document the over refraction information if applicable:
    1. Tap the Over Refraction tab.
    2. Enter the Sphere, Cylinder, Axis, Distance Visual Acuity, and Near Visual Acuity.
  7. Tap Save.
  1. Open the Vision Exam screen. To learn how, go to Opening the Vision Exam in the Detailed Visit Overview (iPad).
  2. Tap the Contact Lens tab.
  3. Tap Add Specialty Lens Trial.

    The Specialty Lens screen opens. Continue documenting the trial specialty lens prescription.

  1. Open the Specialty Contact Lens screen. To learn how, go to Add an RGP, scleral, or custom contact lens trial.
  2. Select an Underlying Condition only if you are not prescribing a lens for the selected eye.
  3. 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.

  4. Enter the Base Curve, Diameter, and Sphere.
  5. Enter the remaining values as needed.

    If you need to record a value for a field that isn't available, select Additional Fields

  6. 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

  1. Open the Specialty Contact Lens screen. To learn how, go to Add an RGP, scleral, or custom contact lens trial.
  2. Tap the Additional Fields button.

    The Additional Fields window opens.

  3. Depending on your needs, take the following actions:
    • Tap the (plus) to make a field visible.
    • Tap the (minus) to hide a field.
    • Tap and drag the (bars) to change the order.
  4. Tap Done to save your changes.

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.

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

Want to watch a video tutorial on documenting the vision exam? Check out our series on Pretesting and Creating Prescriptions (iPad).