Assessing the Eye Structure and Visual Acuity (Student)
Assessing the Eye Structure and Visual Acuity (Student)
THE EYE
STRUCTURE
AND VISUAL
ACUITY
SHEENA MAE BUANA – CAÑEZAL,RN. MN.
Assessing the eye structure and visual
acuity is crucial because it allows for
early detection of potential eye diseases,
enables monitoring of vision changes,
and is essential for maintaining overall
eye health, as many eye problems can
progress without noticeable symptoms,
making regular comprehensive eye
exams vital for preventing vision loss.
PREPARATION
Assemble equipment and
supplies:
Cotton-tipped
applicator
Examination gloves
Millimeter ruler
Penlight
Snellen or E chart
Opaque card
PROCEDURE
Introduce yourself, and verify the
client’s identity, Explain to the client
what you are going to do, why it is
necessary, and how the client can
cooperate
PERFORM
HAND
HYGIENE, AND
OBSERVE
APPROPRIATE
INFECTION
CONTROL
PROCEDURES.
Provide for client privacy.
EXAMPLES:
• Provide a room that will make patient comfortable.
• Screen the patient by curtain.
• Not discussing confidential information in public areas,
such as the cafeteria, hallways or other patient rooms, or
in online forums, such as social media networks and
websites.
Inquire if client has many histories of the following:
• family history of diabetes, hypertension, or
blood dyscrasia
• eye disease, injury, or surgery
• last visit to an ophthalmologist
• Current use of eye medications
• Use of contact lenses or eyeglasses
• Hygienic practices for corrective lenses.
• Current symptoms of eye problems.
ASSESSMENT
Inspect the eyebrows for hair distribution and alignment,
and for skin quality and movement.
Inspect the eyelashes for evenness of distribution and
direction of curl.
Inspect the eyelids for surface characteristics, position in
relation to the cornea, ability to blink, and frequency of
blinking, Inspect the lower eyelids while the client’s eyes
are closed.
Inspect the bulbar conjunctiva for color, texture and the
presence of lesions.
Inspect the palpebral conjunctiva by everything the lids.
INSPECT THE PALPATE
THE LACRIMAL GLAND.
AND
NASOLACRIMAL DUCT.
INSPECT THE ANTERIOR CHAMBER FOR
TRANSPARENCY AND DEPTH. USE THE
SAME OBLIQUE LIGHTING USED WHEN
TESTING THE CORNEA.
.
.
Extraocular Muscle Tests
20 Assess six ocular movements to determine eye
alignment and coordination
Stand directly in front of client, and hold the penlight at a
comfortable distance such as 30 cm in front of the client’s eyes.
Ask the client to hold the head in a fixed position facing you and
. follow the movements of the penlight with the eyes only.
Move the penlight in a slow, orderly manner through the six
cardinal fields of gaze.
Stop the movement of the penlight periodically so that
nystagmus can be detected.
21 Assess for location of light reflex by shinning a penlight on the
pupil in corneal surface (Hirschberg Test).
22 Have the client fixate on a near or far object. Cover one eye,
and observe for movement in the uncovered eye (cover test).
DOCUMENT FINDINGS IN THE
CLIENT RECORD.
EXAMPLES:
• "Visual acuity of 20/20 (or 6/6) in both eyes, pupils
equally round and reactive to light (PERRLA), clear
conjunctiva and sclera, no visible abnormalities in
the cornea or lens, full range of eye movements, and
normal color vision.".
THANK YOU!