front 1 SOAP | back 1 Subjective, Objective, Assessment, Plan |
front 2 What is the purpose of a subjective exam? | back 2 To discuss the patients vision, comfort, and wearing time in regards to their contact lenses. Record the following information about the patient: - Changes in medication, overall heath, and eye health - the care system they use at home - previous lens parameters and materials - the care systems that the patient has had problems with in the past -Any issues with insertion or removal -ETC. |
front 3 What is the purpose of an objective exam? | back 3 To evaluate the fit on the patient and to see if the lenses have altered the patient's eyes. The evaluation should include appropriate gross observation of the eyes and adnexa |
front 4 What tests does the objective exam include? | back 4 Visual Acuity test |
front 5 What do you look for when you do SITU? | back 5 to assess centration, movement, lens surface, lens and corneal relationshi |
front 6 What do you look for when you do a Slit Lamp Exam with lenses out of the eye? | back 6 Corneal Intergrity |
front 7 What do you do to Assess the situation? | back 7 Gather info found in the subjective and objective exams. This is used to come to a final decision on what action should be taken. |
front 8 What do you do during the PLAN part of SOAP? | back 8 Use the assessment to formulate a care plan for the patient. |
front 9 New soft lens wearers should be seen how often for followups? | back 9 One week, one month, three months, and six months form the time of their initial fit, then every 6 to 12 months. |
front 10 FDA recommends that overnight wear soft hydrogel lenses be- | back 10 Removed and not worn overnight at least once a week for overnight cleaning and disinfection. |
front 11 Follow up for extended wear lenses should be- | back 11 Day one (visit within 2 hours of waking up) |
front 12 Follow up for Rigid gas permeable extended lens should be- | back 12 Morning after the first night of wear |
front 13 What is the follow up for a therapeutic bandage lens? | back 13 24 hours, 72 hours, every week |
front 14 Routine cosmetic daily wear patients should be seen: | back 14 at 3 month intervals for contact lens evaluation, once the patient has already gone through initial follow-up care sequence for new contact lens wearers |
front 15 According to the FDA, when should disposable contact lenses that are removed nightly be discarded? | back 15 bi-weekly |
front 16 Patients that wear RGP lenses after penetrating keratoplasty may need more follow-up visits than patients with keratoconus because: | back 16 post-graft patients tend to be more difficult to fit with contact lenses and the graft/host junctions needs to be monitored closely for problems |
front 17 When should daily wear lenses be discarded? | back 17 according to the manufacturer's specifications |
front 18 In most cases, initial treatment for contact lens-associated papillary conjunctivitis (CLAPC) consists of: | back 18 improving contact lens hygiene, increasing the use of rigorous surfactant or enzyme cleaners, and replacing lenses more frequently. |