III. Indications: Routine Eye Exams

  1. Black patients (higher risk of Glaucoma)
    1. Age 20 to 40: Baseline exam at age 20 years and then every 2-4 years
    2. Age 40 to 54: Every 1-3 years
    3. Age 55 to 64: Every 1-2 years
  2. White patients
    1. Age 40 to 54: Every 2-4 years
    2. Age 55 to 64: Every 1-3 years
    3. Age over 65: Every 1-2 years

IV. Anatomy: Images

V. Exam: Basic (primary care and emergency department) - Five Vital Signs of the Eye

VI. Exam: Comprehensive Eye Exam (Ophthalmology)

  1. Indications (see routine Eye Exam schedule above)
  2. Visual Acuity
  3. Dilated Eye Exam with Retinal Exam
  4. Tonometry
  5. Visual Field Testing

VII. Exam: Tools

  1. See Emergency Eye Kit
  2. Funduscopic Exam (Retinal Exam)
    1. Strongly consider Mydriatic use in acute presentations where Retinal Exam is key (if not contraindicated)
    2. See Funduscopic Exam
    3. Retinal artery Occlusion
    4. Retinal Detachment
    5. Papilledema
  3. Tonometry (e.g. Tonopen or Applanation Tonometry)
    1. Glaucoma
  4. Slit Lamp
    1. Corneal Abrasion or other injury
    2. Foreign body
  5. Globe Ultrasound
    1. Evaluate for Retinal Detachment
    2. Evaluate for Increased Intracranial Pressure

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