This referral does not require charity care.
Ophtho CMs: Shutao Wang and Sophia Chiu
Ophtho TSs: Cindi Yim (Chief), Jeff Schwartz, Aimee Chang
1) Best corrected visual acuity, for both distance and near vision --> best corrected = with glasses if they have them - it's very important to ask the patient what they use their glasses for (seeing far away, reading, or both in the case of bifocals or progressives)
a) Distance vision: use poster at approximately 20 feet, and test each eye separately. To do this, have patient cover one eye with palm, but keep both eyes open. If patient can read at least half of the letters on the line, I write down that line as the acuity.
-Pinhole - When you test best corrected acuity distance vision and the patient isn't seeing that well, you can cut a very small hole in a piece of paper with a paper clip (1-2 mm diameter) and have them hold it in front of their eye (over their glasses if they are wearing them): While not a perfect test, you can get an idea of how well a person can see if we were to give them glasses or update their current glasses.
b) near vision: use snellen card at approximately 14 inches. Test both eyes together. If the patient is complaining of problems with reading, have the patient try out a few over the counter readers (if available) of different strengths and see which works best. An older patient complaining of difficulty reading may simply need OTC readers for presbyopia, which can be purchased at a local pharmacy. The pinhole test does not work for presbyopia, though.
2) confrontational visual fields
3) extraocular eye movements
4) pupillary reflexes
Access to Care Team
No need to see patient.
Cost to EHHOP Patient: Free.
Six patients can be seen each month. The average wait time is 1-2 months.
8th floor CAM.
Ophtho CMs: Sharely Fred and Rupa Mirmira