NP Eye Assessment
Fundal Exam - correct answer ✔Peripheral Retina : deep red
ABNORMAL - cotton wool spots, plaques, lesions (diabetic retinopathy);
patchy areas (Macular Degeneration)
Optic Nerve: round sphere with sharp margins
ABNORMAL - papilledema (increased ICP); Optic cupping (IOP)
Macula - dark, flat spot in exact center of posterior portion of retina
ABNORMAL - vessels
Vasculature
ABNORMAL - should not be tortuous, AV Nicking (HTN), no hemorrhages
HPI Eye Pain - correct answer ✔Onset
Location - Unilateral/Bilateral
Duration
Character- itching, tearing, burning, foreign body sensation, deep pain,
flashing lights, floaters
Associated Sx - acute loss/decrease in vision (ALARMING), double vision,
discharge
Aggravating - injury, foreign body, illness, stressors
Relieving - flushing, OTC drops
Temporal - recent illness
Differential - Conjunctivitis, corneal abrasion, glaucoma, orbital cellulitis,
scleritis, sty, uveitis
, PMH - correct answer ✔Injury/trauma
Allergies
Contact wearer & practices
Past eye hx
Prescription eyewear
Systemic diseases:
Metabolic (DM w/ recent HbA1c; thyroid)
Vascular (HTN, stroke, migraine, clotting)
Autoimmune (SLE, RA, Sjogen's syndrome, myasthenia gravis)
Inflammatory bowel dz
MS
Infective dz (CMV, HIV, AIDS)
Neoplastic (pituitary adenoma, lymphoma)
Congenital (Marfans, down's, neurofibromatosis)
Family Hx - correct answer ✔Ocular Hx (glaucoma, blindness, retinal
detachment)
Visual hx
Chronic dzs
Social - correct answer ✔Smoking
Sleep
HIV exposure
Occupational/recreational vision requirements
Fundal Exam - correct answer ✔Peripheral Retina : deep red
ABNORMAL - cotton wool spots, plaques, lesions (diabetic retinopathy);
patchy areas (Macular Degeneration)
Optic Nerve: round sphere with sharp margins
ABNORMAL - papilledema (increased ICP); Optic cupping (IOP)
Macula - dark, flat spot in exact center of posterior portion of retina
ABNORMAL - vessels
Vasculature
ABNORMAL - should not be tortuous, AV Nicking (HTN), no hemorrhages
HPI Eye Pain - correct answer ✔Onset
Location - Unilateral/Bilateral
Duration
Character- itching, tearing, burning, foreign body sensation, deep pain,
flashing lights, floaters
Associated Sx - acute loss/decrease in vision (ALARMING), double vision,
discharge
Aggravating - injury, foreign body, illness, stressors
Relieving - flushing, OTC drops
Temporal - recent illness
Differential - Conjunctivitis, corneal abrasion, glaucoma, orbital cellulitis,
scleritis, sty, uveitis
, PMH - correct answer ✔Injury/trauma
Allergies
Contact wearer & practices
Past eye hx
Prescription eyewear
Systemic diseases:
Metabolic (DM w/ recent HbA1c; thyroid)
Vascular (HTN, stroke, migraine, clotting)
Autoimmune (SLE, RA, Sjogen's syndrome, myasthenia gravis)
Inflammatory bowel dz
MS
Infective dz (CMV, HIV, AIDS)
Neoplastic (pituitary adenoma, lymphoma)
Congenital (Marfans, down's, neurofibromatosis)
Family Hx - correct answer ✔Ocular Hx (glaucoma, blindness, retinal
detachment)
Visual hx
Chronic dzs
Social - correct answer ✔Smoking
Sleep
HIV exposure
Occupational/recreational vision requirements
