A normal eye exam starts with case history, reason for visit, chief complaint, history of present illness, patient health history, and going over the review of systems changes with the patient. Next we do an auto-refraction and entering acuities are taken. The patient is then refracted for their spectacle prescription. After the refraction is completed, the anterior segment of the eye is examined with the bio-microscope. That checks the cornea, iris, anterior changer and the pupil as it responds to light. The visual field is screened and any muscle deviation is noted. Ophthalmoscopy is then done with or without dilation to check the health of the interior of the eye. The diagnosis is made and the patients plan is set forward.
ADDED PROCEDURES FOR A CONTACT LENS EXAM (The reason ALL Optometrists charge a fitting fee)
Anterior readings of the curvature of the cornea are taken. The doctor determines the trial lens that would appear to be the best fitting and the conversion of the specticle Rx is put into a contact lens Rx. The doctor then puts the trial lens in the patients eyes and determines if the lens fit is optimal and the Rx is correct. Then makes any adjustments that might be needed.