Ophthalmology
Last updated: 2026-03-29
Overview
The Ophthalmology module allows your eye clinic staff, nurses, and doctors to record detailed eye examinations, vision tests, and eye health conditions. It includes tools for tracking routine vision prescriptions as well as comprehensive eye health screenings.
When Do I Use This?
- When a patient visits for a routine eye exam or a glasses prescription update.
- When recording a patient's eye pressure (glaucoma screening).
- When a doctor performs a detailed check of the front (slit lamp) or back (fundus/retina) of the eye.
- When a specialist needs to review a patient's historical vision records before surgery.
How To Use
Recording a Comprehensive Examination
Use this when performing a full diagnostic exam of the patient's eyes.
- Go to Ophthalmology → Examinations from the main menu.
- Click + New to start a new record.
- Select the Patient from the dropdown list.
- Enter the visual acuity (sharpness of vision) and eye pressure for both the right and left eyes.
- Fill out the doctor's findings for the Fundus and Slit Lamp examinations.
- Click Save.
Recording a Vision & Prescription Record
Use this for quick vision assessments and recording glasses prescriptions.
- Go to Ophthalmology → Vision Records from the main menu.
- Click + New.
- Select the Patient.
- Enter the vision measurements (ODV for Right Eye, OSV for Left Eye) and reading addition (ADD).
- Click Save.
Field Descriptions
Common Medical Abbreviations Used:
- OD (Oculus Dexter): Right Eye
- OS (Oculus Sinister): Left Eye
Vision & Prescription Details
| Field Name | Description |
|---|---|
| Patient | The person receiving the eye exam. |
| Ocalr | General ocular history or presenting complaints. |
| ODV | Right Eye Vision. The visual acuity or prescription for the right eye. |
| OSV | Left Eye Vision. The visual acuity or prescription for the left eye. |
| ADD | Reading addition. The extra magnifying power needed for reading glasses, bifocals, or progressives. |
| ODT | Right Eye Tension. The intraocular pressure measurement for the right eye. |
| OST | Left Eye Tension. The intraocular pressure measurement for the left eye. |
| Slight | Slit lamp or light examination notes for the front structures of the eye. |
| VitExam | Vitreous Examination. Notes on the gel-like fluid inside the eye. |
| Retina | Notes regarding the health of the patient's retina. |
Comprehensive Examination Details
| Field Name | Description |
|---|---|
| Visual Acuity OD | The sharpness of vision in the Right Eye (e.g., 20/20). |
| Visual Acuity OS | The sharpness of vision in the Left Eye. |
| Intraocular Pressure OD | The fluid pressure inside the Right Eye, used to check for glaucoma. |
| Intraocular Pressure OS | The fluid pressure inside the Left Eye. |
| Fundus Examination | Doctor's notes on the back of the eye (retina, optic disc, macula). |
| Slit Lamp Examination | Doctor's notes on the front of the eye (cornea, iris, lens). |
| Note | Any additional instructions, follow-up plans, or general observations. |
Tip: If you are training new staff, remind them that OD always stands for the Right Eye and OS always stands for the Left Eye. This will prevent accidental mix-ups when entering prescriptions!