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Retinal Evaluations
Existing Patients
History
2 Exceptions
  • Get name of PCP and endocrinologist – name & town Edit
  • BS & A1c @ all visits Edit
Chief complaint
Neutralize Glasses
Vision OU (distance and near)
1 Exceptions
  • PH or refract if VA 20/40 or less or has changed by 2 lines since last visit. Edit
Color Vision
1 Exceptions
  • (HRR – monocular) optic nerve issues (i.e., M.S. or optic nerve neuropathy/neuritis) or a new positive APD Edit
Amsler Grid
1 Exceptions
  • ARMD patients, drusen, distorted vision, Plaquenil (hydroxycholorquine) and unexplained vision loss Edit
EOM
1 Exceptions
  • On every pt except Laser or Injection (even if patient was here less than 3 months ago) Edit
Confrontation Fields
1 Exceptions
  • On every pt except Laser or Injection (even if patient was here less than 3 months ago) Edit
Refract OU (distance and near)
3 Exceptions
  • if not done for past year 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
  • If patient is known to be legally blind (BVA <20/200 in better eye) and this is documented in chart, refraction is not needed Edit
Check Pupils (document +/- APD, size, and shape)
Measure IOP OU
Dilate OU
1 Exceptions
  • unless MD has specifically asked for only one eye to be dilated Edit