Get Ocular Motility Worksheet - Med Navy

Filling out the ocular motility worksheet is an essential step for ensuring accurate assessment in ocular health. This guide provides clear, step-by-step instructions to assist users in completing the form correctly and efficiently.

Follow the steps to complete the ocular motility worksheet effectively.

1. Press the ‘Get Form’ button to acquire the form and open it in a suitable editor.
2. Begin with section 1: Pertinent history. Include relevant information such as past conditions or treatments, like 'scored 7 esophoria on AFVT' or 'strabismus surgery age 6 years.'
3. For section 2, enter the distant visual acuity measurements for each eye as directed.
4. In section 3, record the manifest refraction for the right eye (OD) followed by the left eye (OS). Ensure correctness as it will influence future treatment.
5. Complete section 4 with the cycloplegic refraction if needed for specific candidates, following the same format as above.
6. Section 5 pertains to habitual prescription. Document the habitual prescription for both eyes, noting any required prism adjustments.
7. For section 6, indicate the correction used for the remainder of the examination, selecting either habitual or a specified alternative.
8. In section 7, choose between 'None' or 'Alt Cover Test' for the cover test, reporting any observed issues.
9. Document the findings for extraocular motility in section 8, providing a description such as 'Smooth and full.'
10. In section 9, report prism diopter values using the Maddox rod or Von Graefe method, ensuring fixation at 20 feet.
11. In section 10, measure stereopsis and record in arcseconds using appropriate testing methods.
12. Complete section 11 with results from the Worth 4 Dot test at both distance and near measurements.
13. For section 12, if available, document findings from the vectograph test, noting any suppression.
14. Conduct the red lens test as noted in section 13, ensuring to test all required eye positions.
15. Proceed with the 4Δ base out test in section 14 if applicable, documenting results as necessary.
16. In section 15, summarize any additional test results that may be pertinent.
17. Provide an impression in section 16 based on all accumulated data.
18. Answer section 17 regarding the patient's NOHOSH status accurately.
19. Document the provider's name in section 18, followed by their phone number and email address in section 19.
20. Complete the remaining user information in sections 21 through 24 as required.
21. Once finished, save changes, download, print, or share the completed form as needed.

Complete your ocular motility worksheet online today for a thorough assessment.