I Can See Clearly Now
Those Who Ignore History...
Star Pupils
Moving and Grooving
Keeping it Short
100

This type of occlusion blocks out scattered light rays and can predict visual potential

Pinhole

100

This category of the HPI should ONLY be used to document pain or a substantial change in symptoms

Severity

100

This term is used to describe a small pupil

Miotic

100

An eye that drifts outward is said to have this type of deviation

Exo

100

This is the process in Wet Macular Degeneration in which new blood vessels form to take the place of dying macular cells

CNVM

200

This chart uses pictures and is often used in the assessment of vision in children

Allen

200

This component of the HPI is meant to be descriptive of the symptoms the patient is experiencing

Quality

200

The swinging flashlight test is often used to rule out this type of defect

RAPD/Relative Afferent Pupillary

200

This term is used to describe the movement of ONE eye in a direction and is assessed with motility testing

Duction

200

This corneal disease that usually develops in the late teens/early 20's is manifested by an apical thinning of the cornea that can be exacerbated by eye rubbing

KCN

300

Patients can use the 20/200 "E" cardor their fingers to assist them in their response for this method of visual assessment

Tumbling E 

300

This common charting error/method of entering a Chief Complaint should NEVER be done as it can result in the inclusion information that is not relevant to today's exam 

Copying and Pasting Diagnosis

300

This term is used to describe an unequal size in pupils

Anisocoria

300

This term, which describes the movement of both eyes in towards the nose, is one component of the near triad

Convergence

300

This abbreviation is used to document diminished pupil reaction to light secondary to optic nerve disease

RAPD

400

Patients with this condition often read the chart better binocularly and benefit from fogging versus complete occlusion of the eye

Nystagmus

400

When a patient tells you he/she is diabetic it is important to notate these two pieces of information---NOT located within the CC/HPI section

Date of Onset and Insulin Use

400

This oral medication can alter how well the pupil dilates and is associated with floppy iris syndrome

Flomax

400

Medicare age patients often suffer from a deficit of this, the ability to move both eyes outward (away from the nose)

Divergence

400

Subretinal fluid accumulates usually as a result of increased stress or chronic steroid use in this disease

CSR 

500

Anything below this level of vision qualifies a person as being legally blind

20/200

500

This question should be asked of all new patients presenting with double vision as it helps to assess whether the extraocular muscles  are involved or not

Binocular vs Monocular

500

This disease is marked by a small pupil that does not dilate well in dim light and is often associated with ptosis

Horner's Syndrome

500

This instrument is typically used in neuro-ophthalmology clinics and can induce a normal nystagmus response 

Optokinetic Drum

500

This measurement is used to document lid position by using corneal light reflex

MRD