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Cataract Evaluations
Existing patients or in house cataract consult
Chief complaint
Vision OU (distance & near)
Neutralize Glasses
EOMS
Confrontation Fields
Refract once yearly - unless:
4 Exceptions
  • Decreased VA of 1 line or more Edit
  • Decreased VA of 2 lines or more in low VA patients (i.e., 20/100 or worse) Edit
  • If patient is unhappy with present glasses Edit
  • Check for scanned-in refraction policy form in demographics area. If the patient has a printed refraction policy, have them sign it if needed. Edit
PAM
1 Exceptions
  • ONLY DONE AFTER DILATION (MD will do him/herself or call a tech to do) Edit
BAT (medium - All Doctors)
1 Exceptions
  • if best corrected vision is 20/25 or 20/20 (glare complaint, do BAT if vision is better than 20/70) Edit
Check Pupils - document (-) or (+) APD, size, and shape
Measure IOP OU
Dilate OU
Keratometry
1 Exceptions
  • if Ks are 1.00D or more - please get a CCT on In-house cataract referrals Edit
Have patient sit with OU closed for 10 minutes while waiting for the doctor