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Routine: DVBCVSC1

DVBCVSC1.m

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  1. DVBCVSC1 ;ALB ISC/THM-MISC TEXT FOR VISUAL EXAM ; 7/1/91  10:15 AM
  1.  ;;2.7;AMIE;;Apr 10, 1995
  1.  ;
  1.  F I=1:1 S LY=$T(@LX+I) Q:LY["END"  D:LY["|TOP|" HD2^DVBCVSCK W:LY'["|TOP|" $P(LY,";;",2),!
  1.  Q
  1.  ;
  1. TXT ;
  1.  ;;C. Diplopia - (The measurement of muscle function will be performed using a
  1.  ;;   Goldmann Perimeter Chart.  The examiner will chart the areas in which
  1.  ;;   diplopia exists.  This plotted chart will be made a part of the examination
  1.  ;;   report and the entire report is to be mailed to the regional office.):
  1.  ;;
  1.  ;;      Yes     No     (circle one)
  1.  ;;
  1.  ;;
  1.  ;;   1. If diplopia is present, state whether it is constant or intermittent,
  1.  ;;      whether it is present at all distances or only for near or distant vision,
  1.  ;;      and whether it is correctable by use of lenses or prisms.
  1.  ;;
  1.  ;;   2. If diplopia is constant and not correctable, indicate which sectors
  1.  ;;      of the visual field are affected and provide the Goldmann perimeter chart
  1.  ;;      showing actual areas of diplopia.  Diplopia outside these areas is not
  1.  ;;      considered disabling but can be used in evaluation of the underlying
  1.  ;;      disease or injury.
  1.  ;;
  1.  ;;       a.  Central 20 degrees
  1.  ;;
  1.  ;;       b.  21 to 30 degrees
  1.  ;;
  1.  ;;                    down
  1.  ;;
  1.  ;;            right lateral
  1.  ;;
  1.  ;;             left lateral
  1.  ;;
  1.  ;;                       up
  1.  ;;
  1.  ;;       c.  31 to 40 degrees
  1.  ;;
  1.  ;;                     down
  1.  ;;
  1.  ;;            right lateral
  1.  ;;
  1.  ;;             left lateral
  1.  ;;
  1.  ;;                       up
  1.  ;;
  1.  ;;D. Visual field deficit:  Yes    No  (circle one)
  1.  ;;
  1.  ;;   If Yes, chart fields per the following instructions and provide visual
  1.  ;;   field charts (see attachment).
  1.  ;;
  1.  ;;   1. For aphakic eye which cannot be fitted with contact lens or intra-ocular
  1.  ;;      implant, use the IV/4e test object.
  1.  ;;
  1.  ;;   2. In all other cases, use the III/4e test object.
  1.  ;;
  1.  ;;   3. Visual field charts submitted for evaluation purposes should contain
  1.  ;;      only one field chart with only the III/4e or IV/4e object as above.
  1.  ;;      If the examiner feels that charting with other objects is necessary,
  1.  ;;      for confirmation of test results, they should be reported on a
  1.  ;;      separate chart along with an explanation of the need and the significance
  1.  ;;      of any discrepancies noted.
  1.  ;;|TOP|
  1.  ;;
  1.  ;;   4. All scotomas should be plotted carefully so that the rating board
  1.  ;;      can make appropriate allowances in calculating the extent of the
  1.  ;;      effective visual field in each eye.
  1.  ;;
  1.  ;;
  1.  ;;E. Indicate the presence or absence of disease or damage to the retina
  1.  ;;   cornea, iris, or other part of the eye -- detached retina, glaucoma,
  1.  ;;   cataract, iritis, etc.  Describe any episodes of incapaciting pain or
  1.  ;;   other need for bed rest.  If keratoconus is present, state whether
  1.  ;;   contact lenses are required or adequate correction is possible by other
  1.  ;;   means.  Include any other remarks or comments as deemed appropriate.
  1.  ;;END