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31516327 Clinical Ophthalmic Procedures
Course Information
Description
This course prepares the technician to assist the doctor in advanced office techniques in the area of ultrasound, in-office surgical procedures, case history, scribing, instrument maintenance and repair and ophthalmic imaging. Students will also study various systemic diseases and their affect on the eye. The performance of the various skills is emphasized in the laboratory sessions.
Total Credits
2

Course Competencies (Course Outcomes)
  1. Relate pachymetry to intraocular pressure
    Assessment Strategies
    Written evaluation
    Criteria
    You investigate the pachymetry procedure
    You explain the relationship between pachymetry and intraocular pressure

  2. Perform pachymetry
    Assessment Strategies
    Group work, lab assignment, and skill demonstration
    Criteria
    You perform a pachymetry ultrasound using the procedures outlined in the course handout
    You perform a pachymetry ultrasound on a minimum of five patients’ eyes
    You adjust the intraocular pressure findings when necessary
    Lab assignment includes a record of medication administered
    Lab assignment includes answers regarding the relationship between pachymetry and intraocular pressure

  3. Compare and contrast between the various ophthalmic
    Assessment Strategies
    Written evaluation
    Criteria
    You compare A-scan and B-scan ultrasound biomicroscopy
    You contrast A-scan and B-scan ultrasound biomicroscopy

  4. Perform A-scan ultrasound
    Assessment Strategies
    Group work, lab assignment, and skill demonstration
    Criteria
    You perform an A-scan ultrasound using the procedures outlined in the course handout
    Lab assignment includes an evaluation of the A-scan results to determine validity of the scan
    Lab assignment includes a statement explaining why the A-scan results are invalid, if necessary
    Lab assignment includes a minimum of five valid A-scans for each eye
    Lab assignment includes a record of medication administered

  5. Explore systemic diseases including the ocular symptoms
    Assessment Strategies
    Written evaluation
    Criteria
    You explore lupus including the ocular symptoms
    You explore Sjögren's Syndrome including the ocular symptoms
    You explore diabetes including the ocular symptoms
    You explore giant cell arteritis including the ocular symptoms
    You explore myasthenia gravis including the ocular symptoms
    You explore hypertension including the ocular symptoms
    You explore AIDS including the ocular symptoms
    You explore syphilis including the ocular symptoms
    You explore Graves’ Disease including the ocular symptoms
    You explore multiple sclerosis including the ocular symptoms

  6. Explain the ocular complications and treatment for the identified systemic diseases
    Assessment Strategies
    Written Evaluation
    Criteria
    You explore the ocular complications of lupus
    You identify the treatment for lupus complications
    You explore the ocular complications of Sjögren's Syndrome
    You identify the treatment for Sjögren's Syndrome complications
    You explore the ocular complications of diabetes
    You identify the treatment for diabetes complications
    You explore the ocular complications of giant cell arteritis
    You identify the treatment for giant cell arteritis complications
    You explore the ocular complications of myasthenia gravis
    You identify the treatment for myasthenia gravis complications
    You explore the ocular complications of hypertension
    You identify the treatment for hypertension complications
    You explore the ocular complications of AIDS
    You identify the treatment for AIDS complications
    You explore the ocular complications of syphilis
    You identify the treatment for syphilis complications
    You explore the ocular complications of Graves’ Disease
    You identify the treatment for Graves’ Disease complications
    You explore the ocular complications of multiple sclerosis
    You identify the treatment for multiple sclerosis complications

  7. Perform a case history with a patient exhibiting systemic diseases
    Assessment Strategies
    Small group case history scenarios, written evaluation
    Criteria
    You ask probing questions to determine the patient’s ocular symptoms that pertain to systemic disease(s)
    Case history includes a statement of the patient’s ocular symptoms that pertain to systemic disease(s)
    Case history includes questions regarding the patient’s treatment status relating to the identified systemic disease(s)

  8. Perform a complex medical case history
    Assessment Strategies
    Group activity, lab assignment, written evaluation
    Criteria
    You obtain an accurate chief complaint in the presence or absence of ocular symptoms
    You explore extensively the patient’s ocular history
    You explore extensively the patient’s systemic history
    You perform a review of systems
    Lab assignment includes a description of the patient’s history of ocular symptoms
    Lab assignment includes a statement of the patient’s systemic history

  9. Differentiate between the common ocular surgical instruments
    Assessment Strategies
    Group activity, lab assignment, written evaluation
    Criteria
    You differentiate between forceps, scissors, needle holders, clamps, curettes, scalpels, keratomes, blades, and lacrimal instruments
    Lab assignment includes a summary of the uses of forceps
    Lab assignment includes a summary of the uses of scissors
    Lab assignment includes a summary of the uses of needle holders
    Lab assignment includes a summary of the uses of clamps
    Lab assignment includes a summary of the uses of curettes
    Lab assignment includes a summary of the uses of scalpels
    Lab assignment includes a summary of the uses of keratomes
    Lab assignment includes a summary of the uses of blades
    Lab assignment includes a summary of the uses of lacrimal instruments

  10. Assist in minor ocular surgical procedures
    Assessment Strategies
    Group activity, lab assignment, written evaluation
    Criteria
    You demonstrate aseptic surgical technique
    You prepare the instrument tray
    You prepare the patient for surgery
    You assist the doctor during the procedure
    You clean and dispose of instruments and materials after surgery
    Lab assignment includes a description of the surgical experience
    Lab assignment includes an evaluation of personal performance during the surgical experience
    Lab assignment includes a description of errors corrected during the surgical experience
    Lab assignment includes a description of insights obtained during the surgical experience
    Lab assignment includes a description of personal improvements determined during the surgical experience

  11. Describe the process and components of a comprehensive eye examination
    Assessment Strategies
    Written Evaluation
    Criteria
    You identify the components of a comprehensive eye examination
    You appropriately use eye examination terminology

  12. Identify and use common abbreviations
    Assessment Strategies
    Lab Assignment, Written Evaluation
    Criteria
    You match abbreviations to term
    You identify the correct definition of the abbreviation

  13. Record the findings of a comprehensive eye examination
    Assessment Strategies
    Group activity, lab assignment, written evaluation
    Criteria
    You record the case history and preliminary testing results of an eye examination
    Lab assignment includes a summary of the examination findings
    Lab assignment includes the accurately scribed record of findings

  14. Differentiate between the common ophthalmic instruments
    Assessment Strategies
    lab assignment, written evaluation
    Criteria
    You identify a biomicroscope
    You identify an ophthalmometer
    You identify a phoropter
    You identify an exophthalmometer
    You identify a Goldmann tonometer
    You identify a direct ophthalmoscope
    You identify an indirect ophthalmoscope
    Lab assignment includes a statement explaining how specific ophthalmic instruments are used
    Lab assignment includes a summary of ophthalmic equipment

  15. Describe the process of maintaining ophthalmic equipment
    Assessment Strategies
    Lab assignment, written evaluation
    Criteria
    You describe the purpose of equipment maintenance
    You choose the correct steps for changing an ophthalmometer light bulb
    You choose the correct steps for changing a biomicroscope light bulb
    Lab assignment includes accurate sequence of maintenance and repair

  16. Compare and contrast various types of ophthalmic imaging procedures
    Assessment Strategies
    worksheet, written evaluation
    Criteria
    You explore the various types of tomographic devices
    You explore the fundus photography and artifacts
    you explore slit lamp photography
    Lab assignment includes comparisons of ophthalmic imaging
    Lab assignment includes contrasts of ophthalmic imaging