13 Compulink Best Practices – Refraction Tab

A refraction typically consists of four parts – verification of the patient’s habitual Rx, retinoscopy, subjective refraction, and an indication of the final patient Rx. To record these four items, first create three grid entries, labeling them as follows:

Historical: record the patient’s historical Rx here. Consider transferring visual acuities into this grid entry to enhance decision making with respect to your final Rx.

Retinoscopy: record the results of your retinoscopy – including visual acuities – here.

Subjective: record the results of your subjective refraction – including visual acuities – here. You should routinely trial frame your distance and/or your near results here, recording the results of your trial frame in the notes section. A good shorthand is, “TF: prefers subj v. Hx”. This succinctly indicates the test you performed, the two things you compared, and which of those two the patient preferred.

Final: once you’ve populated the three grid items above, you can determine your final Rx. In many cases, your final Rx will be one of the three lines above, or a simple variant of one of the three lines. If that’s the case, select the line that contains the information about your final Rx and forward it to a new line using the green arrow. Once you’ve done that, make any changes as appropriate, and save it.

We expect to see these in the order listed above, so make sure to create them in order.  They can’t be reordered once you create them.