OSCE Checklist: Eye Examination
Introduction
1 Introduce yourself to the patient including your name and role
2 Con rm the patient's name and date of birth
3 Brie y explain what the examination will involve using patient-friendly language
4 Gain consent to proceed with the examination
5 Wash your hands
6 Position the patient sitting on a chair
7 Ask if the patient has any pain before proceeding
8 Gather appropriate equipment
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 red re ex
21 Assess the optic disc
22 Assess the retina
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23 Assess the macula
24 Repeat fundoscopy on the other eye
To complete the examination…
25 Explain to the patient that the examination is now nished
26 Thank the patient for their time
27 Wash your hands
28 Summarise your ndings
29 Suggest further assessments and investigations (e.g. cranial nerve examination, Amsler
chart, blood pressure, capillary blood glucose, retinal photography).
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