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What should the room lighting be during NPC and cover test?
ANSWERS: Keep all lights fully on/up for both NPC and cover testing
If there is a break during NPC, what must happen next?
ANSWERS: There must be a recovery point documented after the break
What do you record if the patient is TTN (to the nose)?
ANSWERS: If the patient is TTN, only document TTN since there is no recovery
point
What does the cover test determine?
ANSWERS: It determines the patient’s resting eye position when the eyes are
dissociated
What does excessive tonic convergence at distance indicate?
ANSWERS: Excessive tonic convergence = esophoria (ESO)
What does deficient tonic convergence at distance indicate?
ANSWERS: Deficient tonic convergence = exophoria (EXO).
, What does the cover test measure at near?
ANSWERS: At near it measures tonic + accommodative + proximal convergence
together
How should the occluder be placed during cover testing?
ANSWERS: Hold the occluder from underneath the eye and make sure it fully
blocks the eye
(against the eye or spectacles)
Which eye do you observe during both UCT and ACT?
ANSWERS: Only watch the uncovered eye obviously....
How do you stabilize the prism bar during neutralization?
ANSWERS: Rest it against the patient’s brow or head for stability.
What must you do while neutralizing with the prism bar?
ANSWERS: Continuously alternate the occluder without pulling it away, or the
measured values may become variable
What does movement on unilateral cover test (UCT) indicate?
ANSWERS: Movement on UCT = tropia
If there is no movement on UCT, what does that suggest?
ANSWERS: No movement on UCT suggests a phoria (or ortho, which must be
confirmed with ACT/prism bar)