Verified 100% Correct
skill 3 verbal instructions/findings for EOMs - ANSWER -Purpose: I am going to
test how your eye muscles work together.
Please take off your glasses. I will put them on the counter.
Pick up transilluminator.
Without moving your head, please follow my light with only your eyes. Let me
know if you ever see double or feel any pain.
I am now evaluating eye movement in all 6 cardinal positions of gaze.
State findings: I see full and smooth movement of the extraocular muscles in all
fields of gaze with no under or over actions with each eye.
skill 3 verbal instructions/findings for saccades - ANSWER -Purpose: I will be
using these two metal rods to test your eye movements from side to side.
I am holding the metal rods the distance between the patient's ears (approximately
20cm) and 40cm from the patient.
Instructions: When I say so, please look back and forth between the gold and silver
spheres 5 times. Look at the gold sphere... Now look at the silver sphere... repeat.
State findings: Horizontal saccade evaluation using the NSUCO oculomotor scale
is 5 out of 5 for ability, accuracy, body movement, and head movement for a total
score of 20/20.
skill 4 verbal instructions/findings for CVF - ANSWER -Purpose: I am going to
test your peripheral or side vision now. This test screens for glaucoma and other
neurological conditions.
Instructions: Cover your left eye, and look at my nose. I am going to show you a 1
or 2. Please tell me how many fingers you see while only using your side vision.
Now cover your other eye.
State obtained findings: The patient is full to finger counting, without restriction
with both eyes
skill 5 verbal instructions/findings for Cover Test - ANSWER -** main lights ON
+ Reading Lamp On**
, target: parrot stick looking at 2/40 letter;
Do you wear glasses for reading? If yes: Have them wear glasses.
Direct reading lamp onto parrot stick.
Instructions: Look at this letter "N" (20/40 line) and try to keep it clear. Close your
eyes for me between prism insertion.
I have placed the target 40cm away from the patient in primary position of gaze
I am now performing Unilateral Cover Test to detect the potential presence of
strabismus by looking for a deviation in the eye that is NOT being covered. I am
seeing ___.
I am now performing Alternating Cover Test to detect the potential presence of
heterophoria by looking at the eye as it is being uncovered. I am seeing ___.
I will now neutralize the motion with prism (Eso/Exo).If Ortho: I am confirming
the orthophoria using a 2 prism diopter loose prism, first in the BI direction and
then BO direction.
State findings: The patient has a __ pd eso / exo / phoria / tropia at near.
skill 5 verbal instructions/findings for NPC - ANSWER -I am now going to see
how well you can cross your eyes. Please look at the letter N and let me know if
you ever see it double.
Make sure reading lamp is on target.
Good. Now let me know when you see them go back to one.
Repeat 2 more times.
State findings: Break at___cm / Recovery at __cm / OD out suppression or
diplopia. TTN.
You're eyes are working well together when looking up close. OROne of your eyes
is not working with the other when looking up close; this is known as
strabismus/phoria. (end of skill 5)
skill 6: verbal instructions/findings for pupils sizes BRIGHT light - ANSWER -
Lighting: Main lights ON; Reading lamp ON and turned toward wall Equipment:
pupil measurer; transilluminator, direct with red-free filter