Page 88 - DISINVESTMENT AND IMPLEMENTATION OF VISION SCREENING TESTS BASED ON THEIR EFFECTIVENESS
P. 88
CHAPTER 4
Alternating cover test:
☐ Performed ☐ Not performed
☐ With pen light ☐ With ophthalmoscope ☐ With fixation object
☐ Child on the lap of parents ☐ Child not on the lap of parents
☐ Complete covering of the eye ☐ Incomplete covering of the eye
☐ Too quick switching ☐ Switching adequately ☐ not possible to perform
Motility:
☐ Performed
☐ With pen light
☐ Horizontal
☐ Fully in all gaze directions
Pursuit movements:
☐ Performed ☐ Not performed
☐ Pen light ☐ Fixation object
Fundus red reflex:
☐ Performed ☐ Light on
Pupillary reflex:
☐ Performed ☐ Light on
Visual acuity: Chart:
☐ APK Distance:
☐ 1m
Explain test:
☐ Not performed
☐ Light off
☐ Not performed
☐ Light off
☐ APK-TOV
☐ 2m
☐ Landolt C ☐ 3m
☐ ........................... ☐ 4m ☐ 5m
☐ Binocular
☐ Practiced at home
☐ With the chart
☐ Not practiced at home
☐ Not performed
☐ With ophthalmoscope ☐ Fixation object
☐ Vertical
☐ Diagonal
☐ Not fully in all gaze directions
☐ Monocular
☐ With a copy of the chart
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