HAND-OPERATED VISUAL SCREENING FOR INFANTS and CHILDREN:
Patient's Name:
Address:
Age:
Hs:
Ps:
1) VISUAL SCREENING TESTS FOR AN INFANT:
Response to light(penlight)
(Light reflex @ Near):
Result:B__NR___
Pupil response
(penlight)
(Light reflex @ Near):
Result:C/D__NR__
Ability to follow a target :
(Look and follow an object or toy)
(Near)
Result:
Visually evoked response testing:
(Manual stimulation of the eyes with either a bright light or special pattern applied)
Tests/movts performed(@13in):
zigzags:
twirls:
up and down movt:
Result:
------------------------------------
2) VISUAL SCREENING FOR AN OLDER INFANT AND TODDLER:
Response to light(penlight)
(Light reflex @ Near):
Result:B__NR__
Pupil response
(penlight)
(Light reflex @ Near):
Result:C/D__NR__
Ability to follow a target :
(Look and follow an object or toy)
(Near)
Result:
Visually evoked response testing:
(Manual stimulation of the eyes with either a bright light or special pattern applied)
Tests performed:
Tests/movts performed(@13in):
zigzags:
twirls:
up and down:
Result:
Cover/uncover test
CO test result:
ACO test result:
------------------------------------------
3) VISUAL SCREENING FOR PRESCHOOLERS:
Response to light(penlight)
(Light reflex @ Near):
Result:B__NR __
Pupil response
(penlight)
(Light reflex @ Near):
Result:C/D__NR__
Ability to follow a target :
(Look and follow an object or toy)
(Near)
Result:
Visually evoked response testing:
(Manual stimulation of the eyes with either a bright light or special pattern applied)
Tests performed:
Tests/movts performed(@13in):
zigzags:
twirls:
up and down:
Result:
Cover/uncover test
CO test result:
ACO test result:
Visual acuity tests
Far OD
Far OS
Near OD
Near OS
Preschoolers:charts may consist of pictures or stories instead of letters of the alphabet.
Dalton test/color vision test:
Result:
------------------------------------------
4) VISUAL SCREENING FOR SCHOOL-AGED CHILDREN:
Response to light(penlight)
(Light reflex @ Near):
Result:B__NR__
Pupil response
(penlight)
(Light reflex @ Near):
Result:C/D__NR__
Ability to follow a target :
(Look and follow an object or toy)
(Near)
Result:
Visually evoked response testing:
(Manual stimulation of the eyes with either a bright light or special pattern applied)
Tests/movts performed(@13in):
zigzags:
twirls:
up and down:
Result:
Cover/uncover test
CO test result:
ACO test result:
Dalton Test:
Result:
Visual acuity tests
Far OD
Far OS
Near OD
Near OS
Formal vision tests(Refraction):
ODf:
ODn:
OSf:
OSn:
Old Rx:
OD:
OS:
New Rx:
OD:
OS:
-----------------------------------------
Further tests needed :
Eye patching:
Eye exercises:
Vision therapy:
Health and wellness services:
Herbology app:
Schedule:
Date visual training started:
Date visual training shall end:
Next follow up check up:
Notes:
Mga Kabuuang Pageview
Huwebes, Setyembre 13, 2012
Miyerkules, Setyembre 12, 2012
Martes, Setyembre 11, 2012
Riffle through!

Guys,these are our latest biz schemes in the clinic!!
1.)Finally, my paper occluders are done,and they're very ready for patient use.I used stickers instead of card boards,which I will adhere later on to gigantic popsicle sticks! Since our first occluder release is mainly for clinical study,I copied the illustration of Medco Sports Medicine first.... hehe..
(Note:I am not selling these occluders.Period.)
2.) One fine Saturday,while I was googling,I spotted a simple Dalton test chart,and decided to have it printed for my clinical study in color blindness.
3.) And of course, I got one eye patch chart copied from kayfunpatch for future groundwork ;-)
4.) and... a look-see of our clinic's service brochure! tah dah!!

Sabado, Setyembre 8, 2012
Mag-subscribe sa:
Mga Post (Atom)