NCLE Content Outline and Test Specifications

Prefit and Assessment (16%)

• Obtain and document the patient's history through oral interview and records to determine if patient is a contact lens candidate.
• Obtain the patient's measurements by using instrumentation and testing procedures to determine the initial contact lens selection.
• Assess the gathered information and discuss lens wear options that meet the patient's visual, physiological and psychological needs.
• Select lens material/design based on previously gathered information to determine the initial diagnostic lens.

Diagnostic Fit and Evaluation (25%)

• Insert a diagnostic lens for evaluation of fit, comfort, and visual performance.
• Evaluate lens parameters based on the results of the diagnostic fitting, objective findings, and subjective responses to determine the appropriate lens.
• Design and order lenses based on parameters obtained to meet fitting and visual criteria.

Lens Dispensing and Patient Education (29%)

• Verify lens parameters by comparing lenses received to lenses ordered to ensure accuracy.
• Assess visual acuity and fit through subjective and objective means to determine if the lenses are appropriate to dispense or need to be changed/reordered.
• Educate the patient on all aspects of lens wear by providing verbal and written instructions and hands-on practice with the lenses to promote compliance.
• Schedule appointments for follow-up evaluation.

Follow-up Visits With Patient (21%)

• Obtain the patient's subjective response to lens wear through interview to evaluate lens performance and patient compliance.
• Observe lens fit and visual acuity objectively by using instrumentation and testing procedures to evaluate lens performance and ocular integrity.
• Determine the need to modify/alter lens design, material, or care regimen based on subjective responses and objective findings to improve lens fit or performance.
• Discuss the need for changes in lens design or care regimen with the patient to promote patient education and compliance.
• Make changes to the original lens or care regimen, if necessary, and reassess the lens fit and performance.
• Schedule future appointments to monitor lens fit and ocular integrity, promote continuity of care, and assure patient awareness of new contact lens development and technology.
• Maintain complete and accurate patient charts and refer the patient to the original prescriber for verification of lens fit and if adverse responses are noted.

Administrative Procedures (9%)

• Maintain and control inventory of lenses and lens care products to maximize office efficiency and patient satisfaction.
• Follow federal recommendations for aseptic control of lenses, instruments, tools, work surfaces, and employee/patient hygiene to prevent infection.
• Work within professional and legal boundaries by recognizing ones limitations and act within ethical, legal and professional guidelines to ensure that the patient's needs and wants are addressed.