Content Outline and Test Specifications for the National Contact Lens Registry Advanced  Certification Examination

I. Prefit, Preparation and Evaluation

  • Obtain and document the history of patients who have complex ocular conditions that require specialty lenses.
  • Assess the technical aspects of the patient’s ocular status to determine complex contact lens opticians.
  • Discuss with the patient his/her needs, expectations and limitations. 
  • Evaluate information and explain lens options to meet patient needs.

II. Design, Fit and Dispense Standard and Specialty Lenses

  • Select lens material and design (e.g. piggyback, custom soft, complex corneal, hybrid, scleral, irregular cornea lenses) to conduct a diagnostic lens evaluation. 
  • Evaluate diagnostic lenses to determine initial fit.
  • Order lenses, including specialty and customized lenses, by specifying lens parameters.

III. Patient Instruction and Delivery Procedures

  • Verify lens parameters. 
  • Educate the patient on lens wear and care (e.g., scleral, hybrid, piggyback) by providing verbal and written instructions.
  • Provide hands-on practice on lens application and removal, including scleral and hybrid lenses. 
  • Schedule appointments for follow-up assessment of lens wear.

IV. Routine and Emergency Follow-up Visits

  • Discuss with the patient his/her subjective response to lens wear.
  • Evaluate lens fit and performance, including evaluation of complex designs. 
  • Implement and evaluate modifications to lens design.
  • Review patient compliance.
  • Schedule follow-up appointments to monitor lens fit and ocular integrity. 
  • Education patients on new developments in contact lens technology. 
  • Triage patients with acute contact lens complications.

V. Administrative Procedures 

  • Maintain a safe contact lens environment. 
  • Comply with professional, ethical and legal guidelines (e.g., HIPPA, FCLCA). 
  • Maintain patient records.