The College of Optometrists

Assessing patients

A292
When assessing a patient who wishes to wear zero powered contact lenses you should conduct a sight test or ensure that the patient has had a sight test within the past two years (or within the timescale recommended at the patient’s last sight test). When assessing a patient who wishes to wear powered lenses you must ensure that the patient has had a sight test within the past two years (or within the timescale recommended at the patient’s sight test), and you have the particulars of the prescription that was issued as a result.103
A293
You must conduct an adequate assessment.104 When assessing patients for contact lens wear you should:
  1. include any additional tests indicated by:
    • symptoms
    • ocular and medical history, and
    • pre-disposing factors
  2. ask for, and consider, relevant information about:
    • history of allergies, including to components of contact lenses or their care products
    • history of systemic disease
    • previous contact lens wear
    • occupational and recreational needs, and
    • environments in which lenses will be worn
  3. carry out a detailed assessment of the anterior eye which might be affected by wearing contact lenses. This should include:
    • a slit-lamp examination
    • keratometry or corneal topography
    • the use of diagnostic stains
    • the assessment of tear film quality and quantity, and
    • other factors, including the patient’s ability to handle and maintain the lenses safely and hygienically
  4. discuss with the patient why you find them unsuitable for contact lens wear, if this is the case, and
  5. record all relevant information in the patient notes.
A294
You must not fit a patient with contact lenses if they are not able to use them safely.105

Winner of Memcom 2016 award for best microsite

Tel: +44 (0) 20 7839 6000

Email: info@college-optometrists.org

Web: www.college-optometrists.org

Website developed by NetXtra