A complete functional eye and vision assessment addresses each of the following as indicated by the patient’s condition and orders, and compares each finding to baseline.
Functional vision — the ability to read a medication label, identify objects, and navigate the home, with corrective lenses as used.
Reported visual change — blurring, double vision, floaters, flashes, a curtain or shadow, pain, or loss, and its onset and pattern.
External eye — the lids, lashes, conjunctiva, and sclera for redness, discharge, swelling, or lesions.
Pupils — gross size, equality, and reactivity to light (detailed cranial-nerve testing is documented in Neurological).
Ocular pain — its character and any associated halos, nausea, or vomiting.
Corrective lenses and low-vision aids — availability, condition, and use.
Ocular-medication regimen — the drops or ointments ordered and the patient’s administration technique.
Diabetic and hypertensive ocular risk — the need for interval retinopathy surveillance and the date of the last eye exam (cross-reference the Diabetes and Hypertension overlays).
Vision-related safety — the contribution of reduced vision to fall and medication-error risk (cross-reference Safety).
Post-operative ocular status where applicable — after cataract or other eye surgery, the activity precautions and drop schedule.
