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Eye Examination: OSCE Checklist

The OSCE checklist outlines the steps for performing a full eye examination, including assessing visual acuity, color vision, visual fields, inspecting the eyes, pupillary reflexes, eye movements, and performing a fundoscopy exam of the optic disc, retina, and macula of both eyes. The exam involves introducing yourself, gaining consent, positioning the patient, evaluating various visual functions, explaining each part of the exam, and concluding by summarizing findings and suggesting any needed follow-up exams.
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0% found this document useful (0 votes)
2K views2 pages

Eye Examination: OSCE Checklist

The OSCE checklist outlines the steps for performing a full eye examination, including assessing visual acuity, color vision, visual fields, inspecting the eyes, pupillary reflexes, eye movements, and performing a fundoscopy exam of the optic disc, retina, and macula of both eyes. The exam involves introducing yourself, gaining consent, positioning the patient, evaluating various visual functions, explaining each part of the exam, and concluding by summarizing findings and suggesting any needed follow-up exams.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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OSCE Checklist: Eye Examination

Introduction
1 Gather equipment

2 Wash your hands and don PPE if appropriate

3 Introduce yourself to the patient including your name and role

4 Con rm the patient's name and date of birth

5 Brie y explain what the examination will involve using patient-friendly language

6 Gain consent to proceed with the examination

7 Position the patient sitting on a chair

8 Ask if the patient has any pain before proceeding

Visual acuity
9 Assess long-distance visual acuity using a Snellen chart, including further steps if required
(e.g. reducing distance from Snellen chart, counting ngers, hand movements, perception of
light)
10 Assess near visual acuity using a near vision chart

Colour vision
11 Assess colour vision using Ishihara plates

Visual elds
12 Assess visual elds

Inspect the eyes


13 Perform general inspection of the external eyes including pupils and eyelids

Pupillary re exes
14 Assess the direct and consensual pupillary re exes

15 Perform the swinging light test

16 Assess the accommodation re ex

Eye movements
17 Assess the patient’s eye movements through all axes of vision

Fundoscopy
18 Explain fundoscopy to the patient

19 Prepare for fundoscopy: instil mydriatic eye drops and set up the ophthalmoscope

20 Assess the fundal re ex

21 Assess the anterior segment of the eye

22 Assess the optic disc


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23 Assess the retina

24 Assess the macula

25 Repeat fundoscopy on the other eye

To complete the examination…


26 Explain to the patient that the examination is now nished

27 Thank the patient for their time

28 Dispose of PPE appropriately and wash your hands

29 Summarise your ndings

30 Suggest further assessments and investigations (e.g. cranial nerve examination, Amsler
chart, blood pressure, capillary blood glucose, retinal photography).

Read the full guide at Download our


[Link] GEEKY MEDICS clinical skills app

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