Anterior eye exam

Question 1

Baseline data needed to fit Cls?

Answer 1

→ H&S
→ specs rx
→ keratometry
→ HVID, VPA, pupil size
→ anterior eye exam

Question 2

Why is an anterior eye check needed?

Answer 2

→ checks health
→ CL suitability
→ baseline values

Question 3

What are grading scales useful for?

Answer 3

→ allows continuity, consistency & objectivity
→ sets a baseline
→ monitors progression

Question 4

How much of a change in grade is considered clinically significant?

Answer 4

> 1 grade

Question 5

What may cause CL fit/comfort issues?

Answer 5

Pinguecula or Pterygium

Question 6

What SL settings do you need when using fluorescein?

Answer 6

→ med mag, narrow beam, bright illum
→ blue light 4 Wratten filter
→ check 3 gazes

Question 7

How do you evert a lower lid?

Answer 7

→ px looks up
→ finger/thumb - 0.5 cm below lash line & push up

Question 8

How do you evert a top lid?

Answer 8

→ px looks down
→ cotton bud in same hand of eye you’re everting (their RE: your RH) and hold
@ 45 degrees
→ hold lid (not lashes!) towards lid margin & pull towards you
→ push cotton bud into lid crease & wrap lid around it
→ remove cotton bud 4 support @ outer canthus w/ finger
→ pull lid back towards you to re-evert

Question 9

What SL settings do you need for viewing lid eversion?

Answer 9

Low mag, med illum