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Corneal Evaluations
Corneal evaluation - Established general
Chief complaint
Vision OU distance and near
EOMs– if last done 6 months or greater
Confrontation Fields – if last done 6 months or greater
Neutralize Glasses and document
Tech must ask and document if patient is happy with glasses
Refract once yearly unless indicated by:
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
Keratometry – if Keratoconus patient
Cornea – evaluate, if clear, okay to applanate
Measure IOP OU
Check Anterior chamber depth and angles
Check pupils (document +/- APD, size, and shape)
Only: ABR NYC
Dilate 1 x per Year every patient
Only: ABR NYC
CCT- Every Year