Putting Together an Eye Exam (M2)

Question 1

What are good methods to get younger kids to wear their glasses?

Answer 1

1. cycloplegia
2. put glasses on in sleep
3. arm swim floaties

Question 2

What type of material lenses should kids be given?

Answer 2

polycarbonate or trivex

Question 3

What is the test(s) that would be done for each of the following for a 2 yo exam: VA? 1. EOM? 2. VF? 3. Alignment? 4. Vergence? 5. Accommodation? 6. Stereo? 7. Refractive error? 8. Ocular health? 9

Answer 3

1. Cardiff, Lea 2AFC or match
2. broad H w/ interesting target
3. CVF finger wiggle
4. cover test (near)
5. NPC, 10 BO (reflex fusion)
6. Dynamic ret, maybe with MEM card
7. Lang, PASS
8. cycloplegic ret
9. BIO, direct, Burton lamp, 20D, palpations

Question 4

What is the test(s) that would be done for each of the following for a infant exam: VA? 1. EOM? 2. VF? 3. Alignment? 4. Vergence? 5. Accommodation? 6. Stereo? 7. Refractive error? 8. Ocular health? 9

Answer 4

1. Teller, 10 BU, resistance occlusion, fix and follow
2. Doll’s head (w/ lights)
3. confrontations
4. Hirschberg, Kappa
5. NPC, 10 BO (reflex fusion)
6. Dynamic ret
7. happy face stereo, Lang
8. cycloplegic ret
9. BIO, direct, Burton lamp, 20D, palpations

Question 5

What age can kids start wearing adult frames?

Answer 5

10

Question 6

What are considerations for multifocals in kids?

Answer 6

1. flat top bifocal for first Rx

2. seg height higher than adults (tell parent)

Question 7

What should be considered when getting specs for school-aged kids?

Answer 7

1. durable frames (flexible and spring hinges)
2. something kid likes, not parents
3. DO NOT fit larger frame so they “grow into it”

Question 8

What is the test(s) that would be done for each of the following for a 7+ yo exam: VA? 1. EOM? 2. VF? 3. Alignment? 4. Vergence? 5. Accommodation? 6. Stereo? 7. Refractive error? 8. Ocular health? 9

Answer 8

1. Snellen
2. broad H
3. CVF counting finger
4. CT
5. NPC, vergence ranges with prism bar
6. MEM, pull away AA
7. randot
8. static ret, cyclo ret, refraction
9. SLE, tono, BIO, fundo

Question 9

What should be considered when getting specs for infants and toddlers? 1. What brands? 2

Answer 9

1. no hinges, strap to hold them on, will chew on glasses

2. Miraflex, Solo Bambini

Question 10

What is the test(s) that would be done for each of the following for a 3 to 4 yo exam: VA? 1. EOM? 2. VF? 3. Alignment? 4. Vergence? 5. Accommodation? 6. Stereo? 7. Refractive error? 8. Ocular health? 9

Answer 10

1. Lea, Patti Pics, HOTV (naming or match)
2. broad H
3. attempt CVF count fingers
4. CT
5. NPC, reflex fusion
6. pull away AA, MEM
7. preschool Randot, PASS, Lang, Randot
8. static ret, cyclo ret
9. slit lamp, palpations, BIO

Question 11

What is the test(s) that would be done for each of the following for a 5 to 6 yo exam: VA? 1. EOM? 2. VF? 3. Alignment? 4. Vergence? 5. Accommodation? 6. Stereo? 7. Refractive error? 8. Ocular health? 9

Answer 11

1. Snellen
2. broad H
3. CVF counting finger
4. CT
5. NPC, vergence ranges with prism bar
6. MEM, pull away AA
7. randot
8. static ret, cyclo ret, attempt refraction (6)
9. SLE, tono (6), BIO, maybe fundo

Question 12

What should be considered when getting specs for toddlers to preschool age?

Answer 12

consider cable temples

Question 13

As a child gets older what can change with their multifocals?

Answer 13

1. smaller seg
2. lower seg height
3. may do PALs (7th grade)

Question 14

What is the test(s) that would be done for each of the following for a 1 yo exam: VA? 1. EOM? 2. VF? 3. Alignment? 4. Vergence? 5. Accommodation? 6. Stereo? 7. Refractive error? 8. Ocular health? 9

Answer 14

1. Cardiff or Teller
2. light target Doll’s head
3. non-seeing to seeing
4. Hirschberg, Kappa
5. NPC, 10 BO (reflex fusion)
6. Dynamic ret
7. Lang
8. cycloplegic ret
9. BIO, direct, Burton lamp, 20D, palpations