Answers
1. Refraction is a process for determining if a patient has a refractive error.
2. Ametropia is the word meaning any error of refraction in which images do not focus
properly on the retina
3. emmetropia is the normal refractive condition of the eye
4. Pseudomyopia is a false appearance of myopia due to spasm of the ciliary muscle or
to failure to relaxation of accommodation. Caused by excessive near work. It can
be relieved by prescribing plus (+) lenses.
5. cycloplegic re- is a type of refractometry performed with the use of a drug that temporar-
fraction ily paralyzes the ciliary muscle, thus blocking accommodation. It is sometimes
needed to measure the amount of hyperopia, particularly in young patients.
6. comprehensive A will determine the refractive status and health of the eye.
eye exam
7. Chief complaint Taking a good history from a patient can make the difference in whether or they
will be satisfied with their eyewear. You have to find out why they are there to see
you, right then. This is referred to as the .
8. medical history Taking good note of patient's is important. All Rxs, OTC drugs and
supplements should be noted, all general history, ocular health history, and family
medical and ocular history should be noted.
9. SOAP (subjective, When pre-testing, taking notes is an approach to charting patient files.
objective, assess-
ment, plan)
10. subjective The "S" is SOAP notes stands for . It refers to the patient's own responses.
For example, visual acuity charting follows a logical sequence and requires a
response from the patient.
, 11. objective The "O" is SOAP notes stands for . This is what you (the ECP) will observe.
For example, slit lamp evaluation, retinoscopy, auto refraction. There is no re-
sponse from the patient.
12. Assessment The "A" in SOAP notes stands for . This is a quick summary of the patient
with the main symptoms/diagnosis.
13. Plan The "P" is SOAP notes stands for . This is what the ECP will do to treat the
patient. This should include each item addressed in the diagnosis and ensure that
the patient's chief complaint is dealt with. Plan for follow-up should be included.
14. prior records, Finding the starting point in a refraction may begin by simply identifying what
neutralizing, the patient's previous refractive error was. This can be done by having access
auto refract to or by the power in their most recent spectacles. If those are
unavailable, the ECP may the patient.
15. auto refractor An is a computer-controlled machine used during an eye exam to pro-
vide an objective measurement of a patient's refractive error. These are excellent
for establishing the starting point for the Rx.
16. light The auto refractor measures a refractive error by measuring how is
changed as it enters a person's eye.
17. Phoropter The is a complex instrument containing a wide variety of lens types
(plus, minus, cyl, prism). These lenses are designed to allow the examiner to
change lenses eflciently and easily. It determines the objective and subjective
sphero-cylindrical refraction of the patient. It can also determine possible muscle
imbalances in a patient.
18. slit lamp (bio mi- A is an instrument composed of a magnifying lens combined with a light
croscope) source; used to provide an examination of the eye's anatomy.
19. A slit lamp has 2 main parts. First is a controllable . Second is a .