This book, written by Professor Elliott and his coauthors, was written primarily for students in the optometry professional program and those practitioners wishing to review their clinical practice. This book contains nine chapters that describe, in large part, the elements of the comprehensive eye examination.
Chapter 1 is unique in that it discusses evidence-based optometry and how clinical tests and procedures are assessed and critiqued in the research literature. This is a topic that will be of increasing importance in the future as clinical practice guidelines and other sources of information incorporate evidenced-based literature in their publications. Clearly, evaluating the usefulness of optometric techniques or procedures and analyzing clinical comparison studies of these techniques or procedures are of great interest to the student and practitioner. This chapter also includes a very nice section on primary eye care examination formats.
Chapter 2 discusses communication skills and all of this aspect germane to patient satisfaction. This chapter includes such topics as turning the anxious patient into a satisfied patient, patient history and recording, discussion and recording of the diagnoses and management plan, patient information, and the referral letter or report. Each of these topics is of importance in providing information to the patient but also protecting the clinician.
The next four chapters specifically discuss aspects of the comprehensive eye examination. Chapter 3 discusses the assessment of visual function and includes visual acuity measurement, methods of visual field assessment, color vision testing, contrast sensitivity and disability glare testing, and assessment of macular function. Chapter 4 describes the many techniques and procedures related to refraction and prescribing. This chapter provides a very comprehensive discussion of objective and subjective refraction procedures, cycloplegic refraction, determining the reading addition, and the philosophy of prescribing. Chapter 5 discusses all of the many issues related to contact lens assessment. Chapter 6 is an in-depth description of the assessment of binocular vision and accommodation. It includes the many aspects related to the measurement of heterophoria, fixation disparity, convergence, accommodation, stereopsis, ocular mobility, and eye movement.
The final three chapters are related to the assessment of health and include ocular health, variations in appearance of the normal eye, and physical examination procedures.
The chapters are well organized, the tables and figures are very useful, and the references are complete. Some chapters, especially Chapter 4, uses excellent colored images of various ocular conditions. This book certainly attains its goals as set out in the Preface and would be recommended to optometry students, residents, or practitioners wishing to review their clinical practice.
John F. Amos