The Domiciliary Eye Test

Domiciliary optometrists carry specially made portable sight testing equipment to allow them to provide eye tests in peoples homes

. This may be accomplished at their home or at the care home where they reside. Normally a patient who requests a home eye test will have difficulty with their mobility, meaning that an unaccompanied trip to the high street optician would be impossible.

The home eye test should approximate a high street practice eye test as closely as possible. The equipment used by domiciliary optometrists usually comprises the following: 3 metre illuminated eye chart, trial lens set, trial frame and cross cyls, direct ophthalmoscope, retinoscope, portable tonometer, small focimeter, loupe, pen torch, amsler charts, colour vision test, diagnostic drops/stains, tape measure, optical repair toolkit. Additional equipment sometimes used in a domiciliary eye test might be a portable visual fields analyser, portable fundus camera, portable slit lamp, portable autorefractor.

The eye test is best conducted in a room which can easily be darkened so as to allow the optometrist to better view the structures of the eyes during the examination. The eye chart will normally be plugged in at a distance of 3 metres from the patient and it is often best to utilise the living room for the purpose of performing an eye test. However there will sometimes be situations where this is impractical or impossible, for instance if a patient is bedbound. Obviously there needs to be a measure of flexibility applied to meet any such extraordinary circumstances and the optometrist will simply perform the examination as best as he/she is able.

Many of the patients who have home eye examinations will be frail and elderly. The optometrist needs to be sensitive to their needs and consider their environment carefully. Some patients may need advice regarding the lighting for their reading or close work, while others may need to be referred to their GP or hospital for further investigation and/or treatment. Elderly patients have a higher risk of developing sight threatening conditions such as cataract or macular degeneration, and the domiciliary optometrist will see a greater proportion of patients with ocular diseases than in the rest of the population.

Many patients will require a change of spectacles following the eye test. The optometrist will determine which type of lenses to prescribe, often depending on the specific needs of the patient. Patients who are prone to falls may be best advised to discontinue with bifocals or varifocals in favour of a single vision lens prescription in an attempt to reduce the risk of tripping or falling. The Home Visiting Optician will bring a range of frames along with him/her allowing the patient to choose a style that they are happy with. The completed spectacles will then be delivered and fitted by a trained optical assistant a few days later.

Please Visit Site:- http://www.homevisitoptical.co.uk

by: Lee walker

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