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.