Domain 01: Clinical Principles, Testing, and Procedures (52.2%, 63 items covering 15 tasks)
1. Record case history (including chief complaint, ocular, medical, family, substance use, medications, supplements, allergies, work tasks, hobbies)
2. Perform visual acuity testing (including Snellen, pinhole, Allen figures, Tumbling Es, finger count, hand motion, light perception/no light perception)
3. Perform Amsler grid testing
4. Perform automated blood pressure measurement
5. Perform stereoacuity testing
6. Perform color vision assessment
7. Perform ocular motility testing
8. Perform pupillary testing
9. Perform tonometry (contact or noncontact) to measure eye pressure/intraocular pressure
10. Perform confrontation visual field screening
11. Perform autorefraction and/or autokeratometry
12. Administer and record diagnostic and therapeutic eye drops
13. Perform testing to evaluate cornea (including pachymetry, topography)
14. Perform fundus photography and optical coherence tomography (OCT)
15. Perform automated visual field testing
Domain 02: Ophthalmic Optics and Dispensing (11.1%, 13 items covering 7 tasks)
1. Perform lensometry (automated and manual) to verify prescription
2. Perform interpupillary distance measurement at distance and near
3. Measure segment/optical center/fitting cross heights
4. Educate and assist patient in selecting eye wear (including frames, specialty considerations, lens materials and coatings)
5. Place an order for eyeglass prescriptions, including relevant components
6. Dispense/adjust/repair eyewear
7. Troubleshoot patients’ problems with eyewear
Domain 03: Contact Lenses (14.5%, 18 items covering 4 tasks)
1. Place an order for a patient’s contact lens prescription, including relevant components
2. Educate patient on contact lens care (including wear time, hygiene, disinfection, selection of care system)
3. Assist in training new contact lens patients in insertion and removal techniques (of soft and gas permeable lenses)
4. Screen patients on their experience with contact lenses (including comfort, vision, adherence to care guidelines)
Domain 04: Professional Issues (11.1%, 13 items covering 5 tasks)
1. Assist with patient complaints and concerns and refer to appropriate staff if outside of scope of training
2. Respond to incoming telephone calls (including taking accurate messages, transferring calls, triaging ocular emergencies)
3. Schedule patient appointments (including rescheduling, sending reminders/confirmations)
4. Assist with inventory (including office supplies, frames, contact lens trials/supplies, over-the-counter items, ophthalmic and medical supplies, examination room supplies)
5. Comply with federal, state, and local regulations (including HIPAA, OSHA, and CMS guidelines)
Domain 05: Science of the Eye (11.1%, 13 items covering 11 tasks)
1. Describe the structure of the eye and its components
2. Define the types of refractive disorders of the eye
3. Define and compare amblyopia and strabismus
4. Describe blepharitis
5. Describe hordeola and chalazia
6. Describe conjunctivitis and compare/contrast with subconjunctival hemorrhage
7. Explain how cataracts can affect vision
8. Explain how macular degeneration can affect vision
9. Describe common symptoms of a retinal tear or detachment
10. Describe basic topical agents for the eyes (including anesthetics, mydriatics, cycloplegics, lubricants, miotics)
11. Define commonly used terms in optometry (including abbreviations, acronyms, prefixes, suffixes, root words, directional terms)