Exam

Eye Examination

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Eye Examination, Eye Exam, Preventive Eye Examination, Preventive Eye Exam

  • Indications
  • Routine Eye Exams
  1. Black patients (higher risk of Glaucoma)
    1. Age 20 to 40: Baseline exam at age 20 years and then every 2-4 years
    2. Age 40 to 54: Every 1-3 years
    3. Age 55 to 64: Every 1-2 years
  2. White patients
    1. Age 40 to 54: Every 2-4 years
    2. Age 55 to 64: Every 1-3 years
    3. Age over 65: Every 1-2 years
  • Exam
  • Basic (primary care and emergency department)
  1. Visual Acuity and visual field testing
  2. Pupilary light reflex and pupil size (Mydriasis, Miosis)
  3. Eye Neurologic Exam (including Extraocular Movements)
  • Exam
  • Comprehensive Eye Exam (Ophthalmology)
  1. Indications (see routine Eye Exam schedule above)
  2. Visual Acuity
  3. Dilated Eye Exam with Retinal Exam
  4. Tonometry
  5. Visual Field Testing
  • Exam
  • Tools
  1. Funduscopic Exam (Retinal Exam)
    1. Strongly consider Mydriatic use in acute presentations where Retinal Exam is key (if not contraindicated)
    2. See Funduscopic Exam
    3. Retinal artery Occlusion
    4. Retinal Detachment
    5. Papilledema
  2. Tonometry (e.g. Tonopen or Applanation Tonometry)
    1. Glaucoma
  3. Slit Lamp
    1. Corneal Abrasion or other injury
    2. Foreign body
  4. Globe Ultrasound
    1. Evaluate for Retinal Detachment
    2. Evaluate for Increased Intracranial Pressure