standard operating procedure

1. Sankara academy of vision ludhiana
Assignment of law in optometry
Assignment topic:Standard Operating procedure in contact lens, binocular vision and low vision
Submitted to: Mrs. Renu thakur
Professor, SAV
Submitted by: Mr Krishna kumar gupta(1740991427)
SOP FOR BINOCULAR VISION
1. Write subject's name,occupationand age ,writedatecorrectly
2. Proper history taking
3. Note Spectacleor unaided vision,SpectacleRx
4. Do Retinoscopy
5. Duochrome ,JCC ,Binocular balancing,Borish near test,ADD
6. Sterepsis ,WFDT for distanceandnear
7. Extra ocular motility
8. Pursuits and saccades check
9. Cover testfor distanceand near
10. Maddox rod phoria check (vertical/horizontal) for D &N
11. PBCTfor D & N
12. AC/A ratio
13. NPC break/recovery & repeated withacc target
14. NPC sub & obj
15. NPC recheck with red glass, qualitative comments present
16. NPA M/O & B/O, AAHofstetter's values noted
17. MEM
18. NRA, PRA
19. Fusional vergences forD & N (BO, BI and vertical)
20. Vergence facilty
21. AccommodativefacilityM/O & B/O
22. Qualitative results
23. CISS performedand results
24. Ability to diagnosetheproblem ifany
25. Final glasses prescribed after all thetests
26. Knowledgeoftherapy/treatment protocols demonstrated
27. Referral tobinocularvision specialist
28. Follow up

2. SOP FOR LOW VISION
1. Write subjects nameandage,datecorrectly ,Ocular Diagnosis
2. Note Spectacleor unaided LogMAR vision
3. SpectacleRx
4. Ocular Rx, ifappropriate ,Task related history,Consanguinity ,Family history,Mobility issues,Headposition / faceturn
5. Objectiverefraction/retinoscopy
6. Subjective Refraction Contrast sensitivitivity withBCVA
7. Amsler testwith BCVA
8. Color vision recording with BCVA
9. Glare testing ,Tints / Filters trial inoutdoors
10. Magnification calculationfor distance,Magnification calculation for near
11. Distancevision devices demontration,Telescope training
12. Near vision devicetrial
13. Illuminationlevels as per preference,Reading speed noted
14. VA Recording with final Distancedevices ,VARecording with finalNear devices
15. Training ofnear device
16. Non Optical/ functionaladaptiveDevices dispense
17. Rehabilitation andcounselling
18. Referral torehabilitationSpecialist, ifrequired.
19. Specifiedfinal Presciption
SOP FOR CONTACT LENS
SOP FOR RGP
1. Write subjects name
2. Write date correctly
3. Eye indicatecorrectly
4. SpectacleRx
5. Spectacleor unaided vision
6. Ocular Rx
7. Keratometry
8. Position oflids ,Lid tension ,HVID
9. Pupil sizemeasured inambient illumination,Pupil sizemeasured inlow illumination
10. Contact lens specification
11. Habitual position
12. Verticallens movement
13. Version movement assessmentcorrectly
14. Fluorescein pattern
15. Centralpattern

3. 16. Mid peripheralpattern
17. Edge clearance
18. Total diameter
19. Fitting philosophy
20. Over-refraction
21. VA taken with over-refraction
22. Ordered BVP
23. Peripheral curves width
24. Peripheral curves radii
25. Specifiedcorrect design
26. Specifiedchoiceofmaterial
27. Specifiedparamaters tobe ordered
28. Discussed which lens was thebetteroption
SOP FOR SOFT CONTACTLENS
1. Write subjects name,date
2. SpectacleRx
3. Spectacleor unaided vision,Ocular Rx
4. Keratometry
5. HVID ,Lid tension
6. Pupil sizemeasured inambient illumination ,Pupilsize measuredin low illumination
7. Contact lens name,Contact lens specification,ObservedTotal Diameter
8. Centration,Lag ,PUT
9. Over-refraction
10. VA
11. Vision after a blink
12. BVP
13. Material/designname
14. Specification,Choiceoflens
BY KRISHNA KUMAR GUPTA