Print
PDF
Introduces self
|
0
|
1
|
|
Confirms name & age of patient
|
0
|
1
|
|
Explains & gains consent
|
0
|
1
|
|
Washes hands
|
0
|
1
|
|
Asks if patient is in pain and if they wear glasses
|
0
|
1
|
|
General inspection for asymmetry, ptosis, nystagmus,
conjugate gaze, pupil size, proptosis and squint
|
0
|
1
|
|
Tests gross vision then acuity in each eye (with glasses on) using a Snellen chart. Offers pinhole.
|
0
|
1
|
|
Tests near vision
|
0
|
1
|
|
Tests colour vision in each eye with Ishihara plates
|
0
|
1
|
|
Checks visual fields grossly by asking if patient can see their entire face. Tests visual fields of each eye against their own in all 4 directions
|
0
|
1
|
|
Establishes blind spot size
|
0
|
1
|
|
Tests for direct and consensual reflex in each eye
|
0
|
1
|
|
Tests for RAPD via swinging light test
|
0
|
1
|
|
Ask patient to report pain or double vision whilst testing slow
pursuit (via H shape) and nystagmus. If double vision occurs, checks which eye is the cause
|
0
|
1
|
|
Offers to perform fundoscopy
|
0
|
1
|
|
Thanks patient and offers help to redress
|
0
|
1
|
|
Washes hands
|
0
|
1
|
|
Requests full neurological exam
|
0
|
1
|
|
Summarises appropriately with only key findings
|
0
|
1
|
|
Offers appropriate differential diagnoses
|
0
|
1
|
|
Patient global score
|
0
|
1
|
2
|
Potential differentials
- Visual field defects
- E.g. bi-temporal hemianopia
- Optic neuritis
- Unilateral loss of visual acuity and colour blindness
- Oculomotor palsy