Introduces self
0
1

Confirms name & age of patient
0
1

Explains & gains consent
0
1

Washes hands
0
1

Asks if patient is in pain and if they wear glasses
0
1

General inspection for asymmetry, ptosis, nystagmus, conjugate gaze, pupil size, proptosis and squint
0
1

Tests gross vision then acuity in each eye (with glasses on) using a Snellen chart. Offers pinhole.
0
1

Tests near vision
0
1

Tests colour vision in each eye with Ishihara plates
0
1

Checks visual fields grossly by asking if patient can see their entire face. Tests visual fields of each eye against their own in all 4 directions
0
1

Establishes blind spot size
0
1

Tests for direct and consensual reflex in each eye
0
1

Tests for RAPD via swinging light test
0
1

Ask patient to report pain or double vision whilst testing slow pursuit (via H shape) and nystagmus. If double vision occurs, checks which eye is the cause
0
1

Offers to perform fundoscopy
0
1

Thanks patient and offers help to redress
0
1

Washes hands
0
1

Requests full neurological exam
0
1

Summarises appropriately with only key findings
0
1

Offers appropriate differential diagnoses
0
1

Patient global score
0
1
2
Potential differentials
  • Visual field defects
    • E.g. bi-temporal hemianopia
  • Optic neuritis
    • Unilateral loss of visual acuity and colour blindness
  • Oculomotor palsy