IJCAHPO Core Exintion Content Areas

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IJCAHPO Core Examination Content AreasCONTENT AREASCOA (BASIC)COT (INTERMEDIATE)COMT (ADVANCED)HISTORY edicationSocialFamilyVISUALASSESSMENTTest and record visual acuity appropriatelyfor patient with all levels of acuity: Counting fingers Hand motion Light perception No light perceptionTest and record visual acuity onpreliterate, illiterate, non-verbal, orforeign language patientsDefine low visionTest and record visual acuity usingpinhole occludeTest and record stereoacuityTest and record near point ofaccommodation and convergenceTest for visual acuity (distance and near)using optotype (Allen, Tumbling E,numbers, and Snellen)Describe the advantages anddisadvantages of different lowvision devicesTest and record visual acuity appropriatelyfor patient with all levels of acuity: Counting fingers Hand motion Light perception No light perceptionnTest and record visual acuity onpreliterate, illiterate, non-verbal, orforeign language patientsDefine low visionTest and record visual acuity usingpinhole occludeTest and record stereoacuityTest and record near point ofaccommodation and convergenceTest for visual acuity (distance and near)using optotype (Allen, Tumbling E,numbers, and Snellen)Describe the advantages anddisadvantages of different lowvision devicesTest and record visual acuity appropriatelyfor patient with all levels of acuity: Counting fingers Hand motion Light perception No light perceptionTest and record visual acuity onpreliterate, illiterate, non-verbal, orforeign language patientsDefine low visionTest and record visual acuity usingpinhole occludeTest and record stereoacuityTest and record near point ofaccommodation and convergenceTest for accommodative convergence/accommodation (AC/A) ratioTest for visual acuity (distance and near)using optotype (Allen, Tumbling E,numbers, and Snellen)Calculate approximate magnificationneeded to read a target acuity levelDescribe the advantages anddisadvantages of different lowvision devicesInstruct patients in uses of low visiondevices (optical and non-optical)VISUAL FIELDTESTINGPerform Amsler grid testingPerform confrontation fields testingPerform automated perimetryPerform Goldmann perimetryPerform Amsler grid testingPerform confrontation fields testingPerform automated perimetryPerform Goldmann perimeteryPerform Amsler grid testingPerform confrontation fields testingPerform automated perimetryPerform Goldmann eEvaluateShapeRAPDTONOMETRYMeasure intraocular pressure withhand-held applanatorMeasure intraocular pressure byapplanation tonometryMeasure intraocular pressure withnon-contact tonometerClean and disinfect tonometersMeasure intraocular pressure withhand-held applanatorMeasure intraocular pressure byapplanation tonometryMeasure intraocular pressure withnon-contact tonometerClean and disinfect tonometersMeasure intraocular pressure withhand-held applanatorMeasure intraocular pressure byapplanation tonometryMeasure intraocular pressure withnon-contact tonometerClean and disinfect tonometersKERATOMETRYPerform automated keratometryPerform automated andmanual keratometryPerform automated andmanual keratometryCopyright IJCAHPO 2019-2020 All Rights Reserved

IJCAHPO Core Examination Content AreasCONTENT AREASCOA (BASIC)COT (INTERMEDIATE)COMT (ADVANCED)OCULARMOTILITYTESTINGVersions and DuctionsFunctionsAnomaliesCover testsStereoacuityNystagmusVersions and DuctionsFunctionsAnomaliesNear point convergenceNear point accommodationCover testsStrabismus with prismsWorth 4-Dot testMaddox rodKrimskyStereoacuityNystagmusAmblyopia therapyConvergence trainingVersions and DuctionsFunctionsAnomaliesNear point convergenceNear point accommodationFusional convergence amplitudesCover testsStrabismus with prismsWorth 4-Dot testMaddox rodKrimskyStereoacuityNystagmusAmblyopia therapyConvergence trainingLENSOMETRYNeutralize Spectacles Automated ManualNeutralize Spectacles Automated ManualFresnelGround-in prismSlab-offNeutralize Spectacles Automated ManualFresnelGround-in prismSlab-offGeneva lens clockREFRACTION,RETINOSCOPYAND REFINEMENTMeasure refractive error with anautomated refractorUse refraction techniques: fogging,duo chrome, binocular balanceMeasure vertex distancePerform and record transpositionCalculate and recordspherical equivalenceMeasure refractive error with anautomated refractorUse refraction techniques: fogging,duo chrome, binocular balancePerform and record retinoscopyMeasure vertex distancePerform and record transpositionCalculate and recordspherical equivalenceDetermine near add: Bifocal Trifocal MultifocalsMeasure refractive error with anautomated refractorPerform and record retinoscopy resultsRefine refractive error (sphere andcylinder) using phoropter or triallenses in /- cylinderUse refraction techniques: fogging,duo chrome, binocular balanceMeasure vertex distancePerform and record transpositionCalculate and record spherical equivalenceDetermine near add: Bifocal Trifocal MultifocalsBIOMETRYDiagnostic/standardized A-ScanDiagnostic/standardized A-Scanand B-ScanDiagnostic/standardized A-Scanand B-ScanCopyright IJCAHPO 2019-2020 All Rights Reserved

IJCAHPO Core Examination Content AreasCONTENT AREASCOA (BASIC)COT (INTERMEDIATE)COMT (ADVANCED)SUPPLEMENTALTESTINGPerform and record glare testing (e.g. BAT)Perform and record Potential AcuityMeter (PAM)Demonstrate use of slit lamp lensesDemonstrate use of pen lightPerform and record color vision usingcolor platesPerform pachymetryAssess and record anterior chamberdepth with a slit lamp or pen lightPerform and record laser tests forglaucoma/retina (OCT)Perform and record tear tests: Schirmer BUT Rose BengalOrder and maintain patient educationmaterials inventoryPerform and record glare testing (e.g. BAT)Perform and record Potential AcuityMeter (PAM)Proper use of slit lampDemonstrate use of slit lamp lensesDemonstrate use of pen lightPerform and record color vision usingcolor platesPerform pachymetryMeasure and record fusional amplitudesPerform and record MaddoxRod measurementsPerform and record cornealsensitivity testingIdentify fluorescein and indocyaninegreen angiography (ICG) phasesand imagesIdentify electrophysiologic tests: ERG VEP EOGOrder and maintain patient educationmaterials inventoryAssess and record anterior chamberdepth with a slit lamp or pen lightPerform and record laser tests forglaucoma/retina (OCT)Perform and record tear tests: Schirmer BUT Rose BengalPerform and record glare testing (e.g. BAT)Perform and record Potential AcuityMeter (PAM)Proper use of slit lampDemonstrate use of slit lamp lensesDemonstrate use ofdirect ophthalmoscopyDemonstrate use of pen lightPerform and record color vision usingcolor platesPerform pachymetryAssess and record anterior chamberdepth with a slit lamp or pen lightPerform and record laser tests forglaucoma/retina (OCT)Perform and record tear tests: Schirmer BUT Rose BengalPerform and record contrastsensitivity testingAssess and record head andposture abnormalitiesPerform and record specialized color tests: Farnsworth-Munsell D-15 Farnsworth-Munsell 100-HUEPerform and record exophthalmometryPerform and record wavefront diagnosticsMeasure and record fusional amplitudesPerform and record MaddoxRod measurementsPerform and record cornealsensitivity testingIdentify fluorescein and indocyanine greenangiography (ICG) phases and imagesIdentify electrophysiologic tests: ERG VEP EOGOrder and maintain patient educationmaterials inventoryMICROBIOLOGYDescribe and follow UniversalPrecautions and infection controlmeasures to maintain clinical asepsisDefine the types of microorganisms:bacterium, virus, fungus, protozoanExplain pathways of disease transmissionAssist in the collection of conjunctivaland corneal specimensDescribe and follow UniversalPrecautions and infection controlmeasures to maintain clinical asepsisDefine the types of microorganisms:bacterium, virus, fungus, protozoanExplain pathways of disease transmissionAssist in the collection of conjunctivaland corneal specimensDescribe and follow UniversalPrecautions and infection controlmeasures to maintain clinical asepsisCopyright IJCAHPO 2019-2020 All Rights Reserved

IJCAHPO Core Examination Content AreasCONTENT AREASCOA (BASIC)COT (INTERMEDIATE)COMT (ADVANCED)PHARMACOLOGYDescribe the advantages anddisadvantages of various methodsof drug delivery: drops, ointments,sustained-release, injectables,and systemicsDescribe the components of amedical prescriptionDescribe and demonstrate thecorrect method of instilling dropsand ointmentsDescribe the indications, contraindications,and potential side effects of: Mydriatics and cycloplegics Provide patient instructionregarding medicationsDescribe the advantages anddisadvantages of various methodsof drug delivery: drops, ointments,sustained-release, injectables,and systemicsDescribe the components of amedical prescriptionDescribe and demonstrate thecorrect method of instilling dropsand ointmentsDescribe the indications, contraindications,and potential side effects of: Mydriatics and cycloplegics Glaucoma medications Anti-infective agents, anti-bacterial,anti-viral, anti-fungal, and anti-parasitic Allergy medications Steroids Non-steroidal,anti-inflammatory drugs Ocular lubricants Anesthetics Diagnostic agents Nutritional supplements Anti-neovascular drugs Provide patient instructionregarding medicationsDescribe the advantages anddisadvantages of various methodsof drug delivery: drops, ointments,sustained-release, injectables,and systemicsDescribe the components of amedical prescriptionDescribe and demonstrate thecorrect method of instilling dropsand ointmentsDescribe the indications, contraindications,and potential side effects of: Mydriatics and cycloplegics Glaucoma medications Anti-infective agents, anti-bacterial,anti-viral, anti-fungal, and anti-parasitic Allergy medications Steroids Non-steroidal,anti-inflammatory drugs Ocular lubricants Anesthetics Diagnostic agents Nutritional supplements Anti-neovascular drugs Provide patient instructionregarding medicationsSURGICALASSISTINGInstrument preparationRefractive surgeryAseptic techniqueNon-refractive laser therapyIntraocular injectionsYag laserSterilizationSurgical site identificationMaintain surgical instrumentsand equipmentLaser safetyInstrument preparationRefractive surgeryAseptic techniqueNon-refractive laser therapyIntraocular injectionsYag laserSterilizationSurgical site identificationMaintain surgical instrumentsand equipmentLaser safetyInstrument preparationRefractive surgeryAseptic techniqueNon-refractive laser therapyIntraocular injectionsYag laserSterilizationSurgical site identificationMaintain surgical instrumentsand equipmentLaser safetyOPHTHALMICPATIENTSERVICES ANDEDUCATIONCommunicate effectively with: Co-workers Family of patients Doctors Patients Vendors Sales representativesIdentify and provide care needs ofdiverse populations: Cultural Gender AgeDemonstrate effective interpersonalrelationship skillsRecognize and appropriately addresspatient dissatisfactionInstruct and educate patients on ocular/systemic diseases, medications, tests,procedures, results, and treatmentsCommunicate effectively with: Co-workers Family of patients Doctors Patients Vendors Sales representativesIdentify and provide care needs ofdiverse populations: Cultural Gender AgeDemonstrate effective interpersonalrelationship skillsRecognize and appropriately addresspatient dissatisfactionInstruct and educate patients on ocular/systemic diseases, medications, tests,procedures, results, and treatmentsCommunicate effectively with: Co-workers Family of patients Doctors Patients Vendors Sales representativesIdentify and provide care needs ofdiverse populations: Cultural Gender AgeDemonstrate effective interpersonalrelationship skillsRecognize and appropriately addresspatient dissatisfactionInstruct and educate patients on ocular/systemic diseases, medications, tests,procedures, results, and treatmentsCopyright IJCAHPO 2019-2020 All Rights Reserved

IJCAHPO Core Examination Content AreasCONTENT AREASOPHTHALMICPATIENTSERVICES ANDEDUCATION,ContinuedCOA (BASIC)COT (INTERMEDIATE)COMT (ADVANCED)Counsel and provide patient educationon ophthalmic conditions, prevention,compliance, and acceptanceExplain effects prior to administeringeye dropsDemonstrate empathy for the patientDemonstrate how to properlygreet peopleAssist patients and accompanyingindividuals with special needs (e.g.visually and hearing challenged)Provide patient referrals as appropriateApply and remove eye dressingand shieldsProvide patient counselingand assistance for medicationreimbursement programsRespond to and properly documentphone callsComplete legal forms for patient benefits(motor vehicle, government, etc.)Make simple spectacle adjustmentsand repairsSchedule appointments based ondegree of urgencyAdminister first aid for acute ophthalmicdrug reactions and emergencies (e.g.chemical burns)Coordinate patient flowFile, locate, and copy patient charts (scanif Electronic Medical Records (EMR))Schedule non-ophthalmic medicaldiagnostic tests (e.g. magneticresonance imaging [MRI], computedtomography [CT], blood tests)Vital Signs Measure and record vital signs(e.g. blood pressure, pulse andrespiration rate) Perform cardiopulmonaryresuscitation (CPR) proceduresCounsel and provide patient educationon ophthalmic conditions, prevention,compliance, and acceptanceExplain effects prior to administeringeye dropsDemonstrate empathy for the patientDemonstrate how to properlygreet peopleAssist patients and accompanyingindividuals with special needs (e.g.visually and hearing challenged)Provide patient referrals as appropriateApply and remove eye dressingand shieldsProvide patient counselingand assistance for medicationreimbursement programsRespond to and properly documentphone callsComplete legal forms for patient benefits(motor vehicle, government, etc.)Make simple spectacle adjustmentsand repairsExplain and care for ocular prosthetics,contact lenses, spectacles, andother devicesSchedule appointments based ondegree of urgencyAdminister first aid for acute ophthalmicdrug reactions and emergencies (e.g.chemical burns)Deliver patient prescriptions toa pharmacy via phone, fax,or electronicallyCoordinate patient flowFile, locate, and copy patient charts (scanif Electronic Medical Records (EMR))Schedule non-ophthalmic medicaldiagnostic tests (e.g. magneticresonance imaging [MRI], computedtomography [CT], blood tests)Vital Signs Measure and record vital signs(e.g. blood pressure, pulse andrespiration rate) Perform cardiopulmonaryresuscitation (CPR) proceduresCounsel and provide patient educationon ophthalmic conditions, prevention,compliance, and acceptanceExplain effects prior to administeringeye dropsDemonstrate empathy for the patientDemonstrate how to properlygreet peopleAssist patients and accompanyingindividuals with special needs (e.g.visually and hearing challenged)Provide patient referrals as appropriateApply and remove eye dressingand shieldsProvide patient counselingand assistance for medicationreimbursement programsRespond to and properly documentphone callsComplete legal forms for patient benefits(motor vehicle, government, etc.)Make simple spectacle adjustmentsand repairsExplain and care for ocular prosthetics,contact lenses, spectacles, andother devicesSchedule appointments based ondegree of urgencyAdminister first aid for acute ophthalmicdrug reactions and emergencies (e.g.chemical burns)Deliver patient prescriptions toa pharmacy via phone, fax,or electronicallyCoordinate patient flowFile, locate, and copy patient charts (scanif Electronic Medical Records (EMR))Schedule non-ophthalmic medicaldiagnostic tests (e.g. magneticresonance imaging [MRI], computedtomography [CT], blood tests)Vital Signs Measure and record vital signs(e.g. blood pressure, pulse andrespiration rate) Perform cardiopulmonaryresuscitation (CPR) proceduresCopyright IJCAHPO 2019-2020 All Rights Reserved

IJCAHPO Core Examination Content AreasCONTENT AREASGENERALMEDICALKNOWLEDGECOA (BASIC)COT (INTERMEDIATE)COMT (ADVANCED)General Ocular Anatomy, PhysiologyDescribe basic functions and processesof each body system: Respiratory Cardiovascular Endocrine NervousDescribe the structure and function ofthe following: Orbit Extraocular muscles Lids Lacrimal system and tears Conjunctiva Cornea and sclera Anterior chamber and angle Aqueous humor Lens Uvea Retina and vitreous Optic nerve Circulation of ocular blood supply Visual pathway Cranial nerves III, IV, V, VI, and VII Describe the pathology of color visionEye DiseasesDifferentiate between inflammationand infectionDescribe frequently encountered eyeconditions involving: Lids Conjunctiva Cornea Lens Uvea Vitreous Retina Orbit Trauma Extra ocular muscles Optic nerve Cranial nerves III, IV, V, VI, and VII Visual pathwayDescribe the ocular manifestations of thefollowing systemic diseases: Nutritional deficiencies Diabetes mellitus Thyroid disease Autoimmune/inflammatory disease Infectious disease(e.g. HIV/AIDS, tuberculosis) Cardiovascular disease Neurologic disorders Cancer (primary and metastatic)Medical Terminology Spell, define, and use medicalterms correctly Identify, acceptable abbreviations(specifically related to clinical practice) Utilize a medical dictionarySafety Define hazardous andbio-hazardous waste Define acceptable methods forwaste disposalGeneral Ocular Anatomy, PhysiologyDescribe basic functions and processesof each body system: Respiratory Cardiovascular Endocrine NervousDescribe the structure and function ofthe following: Orbit Extraocular muscles Lids Lacrimal system and tears Conjunctiva Cornea and sclera Anterior chamber and angle Aqueous humor Lens Uvea Retina and vitreous Optic nerve Circulation of ocular blood supply Visual pathway Cranial nerves III, IV, V, VI, and VII Describe the pathology of color visionEye DiseasesDifferentiate between inflammationand infectionDescribe frequently encountered eyeconditions involving: Lids Conjunctiva Cornea Lens Uvea Vitreous Retina Orbit Trauma Extra ocular muscles Optic nerve Cranial nerves III, IV, V, VI, and VII Visual pathwayDescribe the ocular manifestations of thefollowing systemic diseases: Nutritional deficiencies Diabetes mellitus Thyroid disease Autoimmune/inflammatory disease Infectious disease(e.g. HIV/AIDS, tuberculosis) Cardiovascular disease Neurologic disorders Cancer (primary and metastatic)Medical Terminology Spell, define, and use medicalterms correctly Identify, acceptable abbreviations(specifically related to clinical practice) Utilize a medical dictionarySafety Define hazardous andbio-hazardous waste Define acceptable methods forwaste disposalGeneral Ocular Anatomy, PhysiologyDescribe basic functions and processesof each body system: Respiratory Cardiovascular Endocrine NervousDescribe the structure and function ofthe following: Orbit Extraocular muscles Lids Lacrimal system and tears Conjunctiva Cornea and sclera Anterior chamber and angle Aqueous humor Lens Uvea Retina and vitreous Optic nerve Circulation of ocular blood supply Visual pathway Cranial nerves III, IV, V, VI, and VII Describe the pathology of color visionEye DiseasesDifferentiate between inflammationand infectionDescribe frequently encountered eyeconditions involving: Lids Conjunctiva Cornea Lens Uvea Vitreous Retina Orbit Trauma Extra ocular muscles Optic nerve Cranial nerves III, IV, V, VI, and VII Visual pathwayDescribe the ocular manifestations of thefollowing systemic diseases: Nutritional deficiencies Diabetes mellitus Thyroid disease Autoimmune/inflammatory disease Infectious disease(e.g. HIV/AIDS, tuberculosis) Cardiovascular disease Neurologic disorders Cancer (primary and metastatic)Medical Terminology Spell, define, and use medicalterms correctly Identify, acceptable abbreviations(specifically related to clinical practice) Utilize a medical dictionarySafety Define hazardous andbio-hazardous waste Define acceptable methods forwaste disposalCopyright IJCAHPO 2019-2020 All Rights Reserved

IJCAHPO Core Examination Content AreasCONTENT AREASCOA (BASIC)COT (INTERMEDIATE)COMT (ADVANCED)OPTICS ANDSPECTACLESTranspose cylinder readingsTranspose cylinder readingsPrescriptionsVertex distance Measure ConversionTranspose cylinder readingsPrescriptionsVertex distance Measure ConversionGeneva lens clockProgressive lens markingsCONTACT LENSESContact lens typesContact lens care systemsNeed for follow-up appointmentsContact lens typesWearing schedulesContact lens care systemsNeed for follow-up appointmentsContraindications, symptoms, and fittingPerform contact lens fitting: Soft rigid Toric BifocalContact lens typesWearing schedulesContact lens care systemsNeed for follow-up appointmentsContraindications, symptoms, and fittingPerform contact lens fitting: Soft rigid Toric BifocalSpecialty lenses for: Irregular cornea Post-transplant Keratoconus Cosmetic/prosthetics BandagesOPHTHALMICIMAGINGCorneal topographyScanning laser test for glaucoma/retina HRT OCTFluorescein angiographyCorneal topographyScanning laser test for glaucoma/retina HRT OCTFluorescein angiographyCorneal topographyScanning laser test for glaucoma/retina HRT OCTPHOTOGRAPHYANDVIDEOGRAPHYSlit lamp/anterior segment photographyFundus photographyExternal photographySlit lamp/anterior segment photographyFundus photographyExternal photographySlit lamp/anterior segment photographyFundus photographyExternal photographyEQUIPMENTMAINTENANCEAND REPAIRChange batteries inophthalmic instrumentsMaintain and calibrateophthalmic equipment permanufacturer’s recommendationsMaintain emergency equipmentClean lenses and prismsOrder and maintain medical suppliesand inventoriesMaintain clinical equipment and suppliesChange batteries inophthalmic instrumentsMaintain and calibrateophthalmic equipment permanufacturer’s recommendationsMaintain emergency equipmentClean lenses and prismsOrder and maintain medical suppliesand inventoriesMaintain clinical equipment and suppliesChange batteries inophthalmic instrumentsMaintain and calibrateophthalmic equipment permanufacturer’s recommendationsMaintain emergency equipmentClean lenses and prismsOrder and maintain medical suppliesand inventoriesMaintain clinical equipment and suppliesMEDICAL ETHICS,LEGAL ANDREGULATORYISSUESCodingGovernment/institutional rulesand regulationsQuality assuranceEthical and legal standardsScribingConfidentialityInformed consentCodingGovernment/institutional rulesand regulationsQuality assuranceEthical and legal standardsScribingConfidentialityInformed consentCodingGovernment/institutional rulesand regulationsQuality assuranceEthical and legal standardsScribingConfidentialityInformed consentCopyright IJCAHPO 2019-2020 All Rights Reserved

Worth 4-Dot test Maddox rod Krimsky Stereoacuity Nystagmus Amblyopia therapy Convergence training Versions and Ductions Functions Anomalies Near point convergence Near point accommodation Fusional convergence amplitudes Cover tests Strabismus with prisms Worth 4-Dot test Maddox rod Krimsky Stereoacuity Nystagmus Amblyopia therapy Convergence .

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