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.