Actual Clinic – Face-to-Face Consultation

OCULAR HISTORY AND EXAMINATION

PERSONAL INFORMATION.

Your personal information will be logged into the electronic medical records of ROQUE Eye Clinic.

CLINICAL HISTORY.

Clinical history taking will be performed. Your ophthalmic history, medical history, and family history will be reviewed. Please take note of all the medications that you are currently taking.

PRESCRIPTION GLASSES.

Please hand over all of your prescription eyeglasses so our optometrist can record the power.

VISION AND REFRACTION.

Your visual acuity will be taken with and without your current prescription eyeglasses. Automated refraction, manual/manifest refraction, and dilated/cycloplegic refraction will be done. All these measurements are critical in determining your best potential visual acuity.

SLIT LAMP BIOMICROSCOPY.

Your eyelids, eyelashes, and the anterior segment (conjunctiva, cornea, pupil, iris, and lens) of your eye will be examined with a slit beam of light. This examination is performed to search for lid and lash conditions, corneal diseases, pupil and iris abnormalities, and lens status.

OCULAR SURFACE EVALUATION.

Fluorescein dye applied to your eye will be used to examine the ocular surface for signs of dry eye disease. Your tear break-up time (TBUT) will be measured. Sometimes, a Rose Bengal or Lissamine Green dye strip may be necessary.

APPLANATION TONOMETRY (Haag Streit Goldmann).

A topical anesthetic, proparacaine, will be instilled into your lower eyelid pocket to numb your eye. A fluorescein dye and a cobalt blue filter will be used to measure your ocular pressure. Your eye pressure will be correlated with your corneal thickness. This examination is used to screen for glaucoma.

DILATED FUNDUS EXAMINATION

Dilating ophthalmic drops will be instilled into your lower eyelid to make your pupils dilate. It usually takes around 30 minutes to achieve full pharmacologic pupillary dilation. Dilation will allow us to examine your retina for congenital/acquired posterior segment diseases. We can see retinal tears/holes, macular degeneration, optic nerve diseases, etc. Any posterior segment condition may disqualify one from having refractive laser surgery.