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).
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