R. Introduction To Clinical Science II. Explanation Of Grading Policy, Attendance Requirements And Passing Out Of Laboratory Manuals
M. Evaluation of Extraocular Motilities and Heterophorias (EOMs and Cover test)

R. Slit Lamp Biomicroscopy: Types of Illumination, Anterior Segment Disease and Abnormalities. Demonstration of all Types of Illumination & Van Herick Angle Evaluation. Proper Instillation of Eye Drops Into a Patient's Eye
M. Prism Neutralization of Heterophorias, Strabismus and Preliminary Testing Sequence
(Martin Luther King's Day 17th) To Be Arranged !!!

R. Slit Lamp Biomicroscopy: Student's Perform All Illuminations Types Plus Van Herick Angle Evaluations and Tear Break Up Time
M. Trial Lens Retinoscopy and Keratometry

R. Slit Lamp Biomicroscopy: Abnormalities of the Crystalline Lens: Evaluation of Crystalline Lens Structures
M. Introduction to Refractors. Keratometry and Retinoscopy Continued

R. Slit Lamp Biomicroscopy: Abnormal Findings of the Vitreous: Lid Eversion & Vitreous Evaluation
M. Lab. Practice Week

R. Goldmann Applanation Tonometry
M. Proficiency: History, Preliminaries, K's and Retinoscopy
Part One First Written Examination Monday Feb. 12th Rm. 105 (10:00-10:50)

R. Practice Week
M. Proficiency: History, Preliminaries, and Retinoscopy

Part Two First Written Examination Monday Feb. 19th Rm. 105 (10:00-10:50)

R.Proficiency: Slit Lamp: Evaluation of the Cornea, Lens, Angles, & Vitreous; Plus, Goldmann Applanation Tonometry
M. Proficiency: Monocular Subjective Refraction: 1st Sphere Check and Introduction to the JCC

R. Slit Lamp Biomicroscopy of the Posterior Pole & Vitreous: Non-Contact Hruby Lens & Fuduscopic Lenses
M. Monocular Subjective Refraction: JCC review, MPMA to Balance and the BVA lens.

Spring Break

R. External Examination: Pupils, Lacrimal System, Lids and Signs, Exophthalmometry, and Blood Pressure
M. Monocular Subjective Refraction review and Bi-ocular Equalization Techniques

R. Introduction to Ophthalmoscopy: Internal Evaluation of the Eye; Posterior Pole, Normal and Abnormal Findings (Slide Presentation)
M. Prism-Dissociated Duochrome Test (Red-Green Balance) and the Humphriss Binocular Balance

R. Direct, Monocular Indirect & Pen Light Ophthalmoscopy
M. Lab. Practice Week

R. Slit Lamp Biomicroscopy of the Posterior Pole, Equator and Beyond Tips and Pearls
M. Proficiency: Retinoscopy & the Refractive Examination

Part One: Second Written Examination Monday Apr. 16th Room 105 (10:00-10:50)

R. Practice Week
M. Proficiency: Continued: Retinoscopy & the Refractive Examination

R. Proficiency: Blood Pressure, Funduscopic Lenses: Posterior Pole, Equator & Vitreous, Lid Eversion Behind the Slit Lamp and Lid Evaluation
M. No Lab. Makeup Routines
Part Two: Second Written Examination Monday Apr. 23rd Room 105 (10:00-10:50)

Finals Week: Laboratory Does Not Meet!

The purpose of this series of lectures is to provide students information about the clinical disorders that are examined with the testing procedures that are being learned in this course.

Thursdays 12:00 to 12:50, room 105
Week 1 (January 11) - Binocular vision disorders (Goss)
Week 2 (January 18) - Binocular vision disorders (Goss)
Week 4 (February 1) - Definitions of refractive anomalies (Goss)
Week 5 (February 8) - Prevalence of refractive anomalies (Goss)
Week 6 (February 15) - Changes in refraction with age (Goss)
Week 7 (February 22) - Emmetropization (Goss)
Week 8 (March 1) - Myopia progression (Goss)
Week 9 (March 8) - Theories of myopia etiology (Goss)
Week 10 (March 22) - Myopia control (Goss)
Week 11 (March 29) - Hyperopia (Goss)
Week 12 (April 5) - Amblyopia (Lyon)
Week 13 (April 12) - Alternative Visual Acuity Tests (Caughell)
Week 14 (April 19) - Exam

The examination on April 19 will cover all of the material from the Thursday lectures listed above. The score on the examination will be averaged into the grade for Clinical Sciences II.

There are several useful sources for reading and study about these conditions. Particularly recommended are:

Primary Care Optometry, 4th ed., by Grosvenor, 2002:
See especially chapters 1-4 (pages 1-112), chapter 10 (pages 275-306), chapter 12 (pages 325-352), and chapter 16 (pages 505-524).

Borish's Clinical Refraction, 2nd ed., edited by Benjamin, 2006:
See especially chapters 1-3 (pages 3-92), chapter 7 (pages 217-246), and chapter 31 (pages 1461-1467).

I. Attendance is required. If you are unable to attend Lab at your assigned time you must make it up that same week.

Dress for class must be appropriate for those times when it is necessary to be on the clinic floor. Intact dress jeans with a shirt or intact clean sweatshirt would be acceptable (No cut-offs, sweat suits, T-shirts, sandals or hats).

You are responsible for all information given during lectures plus any reading assignments on all written examinations.

Unannounced quizzes ("pop-quizzes") may/will be given in Dr. Meetz's portion of the course. "THERE ARE NO MAKE-UPS ALLOWED ON "POP-QUIZZES".

The Days of January 26, 27 and 28th you will be required to sit as patients for the 2nd year V656 Clinical Competency Examinations.

II. Grading: Your final grade will be determined by averaging the letter grades of the three (3) areas below. All areas are of equal weight and each constitutes 1/3 of the final grade. However, if you earn a grade of D or F in any one of the areas your final grade for the course will be a D or F.

Example: Your proficiency grade average for Dr. Riley's area is a C (2.0) and your proficiency grade from Dr. Meetz is an A (4.0) your final grade will be: (C) 2.0 + (A) 4.0 = 6/2 or 3.0 a letter grade of B for the Lab areas. Remember, should you earn a D or F in any one of the above areas your final grade for the course will be a D or F for the courses.

• 1.) Written Examinations: There are two (2) written examinations in each lab area. There will also be one written examination over Dr. Goss' lecture material. The raw scores of the 5 written examinations will be summed, ranked by Z-score and analyzed on a normative basis. Worst case scenario, the final written area grade will be determined by the following distribution of the total point z-scores.
  Worst Case Scenario By Z Score:
  +1.25 = A
  +1.00 = A-
  +0.75 = B+
  -0.50 = B
  -1.00 = B-
  -1.25 = C+
  -1.75 = C
  -1.99 = C-
  -2.00 = D+
  -2.20 = D below = F
  
  *If class performance so indicates, a more favorable scale will be used.
  
• 2.) Dr. Meetz's Requirements: Proficiencies with scores of less than 75% must be re-taken. The recorded proficiency score in Dr. Meetz's area after a re-take is the average of the two scores, but no higher than 75%. Lab assignments, Quizzes and Proficiencies must have a total overall average of 75% for a "C", 72% or better for a "C-".
• 3.) Dr. Riley's Requirements and Proficiencies must have a score of 75% on each individual proficiency. Scores of less than 75% are deemed unsatisfactory and must be re-taken. Proficiencies will each be graded on a scale from A to Failing. If you receive a grade of less than 75% on a given proficiency, you must re-take that proficiency and score better than 75%. The maximum grade attainable on any re-take in either area is a grade of "C".
  
  If a grade of D or a score of less than 75% is earned in either lab section the highest possible course grade will be a D.
  
  Final Grade Example Continued: Assuming you earned a grade of (B) 3.0 on the written portion and a (C) 2.0 in Dr. Riley's area and an (A) 4.0 in Dr. Meetz's area your grade for the course would be (B) 3.0 + (C) 2.0 + (A) 4.0 = 9/3 or 3.0 a letter grade of B.
  
  Remember: If you receive a grade of D or F in any one of the areas your final grade for the course will be a D or F regardless of the grade from the other sections! You cannot fail any one of the above parts and pass the course.

III. Readings: A readings list for both sections will be provided along with this syllabus. You will be expected to have these read before class each week.
Required texts this semester:

Dr. Riley's: Dr. Casser, L et al: "Atlas of Primary Eye Care Procedures" 1997, 2nd Edition
Dr. Riley's Laboratory Manual 1995, Edited January 2003
Dr. Meetz's: Carlson et al: "Clinical Procedures for Ocular Examination" 2004, 3rd Edition,

Recommended Texts:

"Introduction to Ophthalmoscopy" is on Reserve in the Library.

"The Retinoscopy Book" 4th Ed. is on Reserve in the Library.
"Optometric Instrumentation" 2nd Ed. is on Reserve in the Library.

"Introduction to Ophthalmoscopy" is on Reserve in the Library.
"Duane's Clinical Ophthalmology" is on Reserve in the Library.
"Visual Optics and Refraction", 3rd Ed. 1985 is on Reserve in the Library.
"Clinical Procedures in Optometry" is on Reserve in the Library.
"Cataract Types" is on Reserve in the Library
"Introduction to Ophthalmoscopy Slides" and Accompanying Transcript are on Reserve in the Library.
"Primary Care Optometry" 3rd Ed. is on Reserve in the Library.

Also, on reserve in the library are copies of Dr. Meetz's lecture notes. Dr. Riley's lecture notes are on the internet. There are a large number of handouts (Laboratory Manual) which help explain the diagnostic and clinical procedures that will be tau ght each week. You are responsible for the information contained in those handouts on the written examinations.
Dr. Riley's Web site URL is http://www.opt.indiana.edu/riley/rileyshome.html and his notes can be printed out in the computer cluster.
New additional information may be added during lectures.

TEXTS: Required:
Carlson, N. , Clinical Procedures for Ocular Examination, 3rd 2004

 

Recommended:
Corboy, J.,"The Retinoscopy Book", 4th Ed. 1996
Grosvenor, T.,"Primary Care Optometry", 3rd Ed. 1996
Reference:
Benjamin, Wm J., "Borish's Clinical Refraction", 1998
Michael's, D.,"Visual Optics and Refraction", 3rd Ed. 1985
Eskridge, J.B. et al., "Clinical Procedures in Optometry", 1991
Henson, D., "Optometric Instrumentation", 2nd Ed. 1996

Week of January 8th	Lab EOMs & Cover Test: Carlson pg. 35-41, 57-58 (26-33, 49-51)
January 15th	Preliminary Examination sequence and Prism CT: Carlson pg. 7-60, 64-70 (8-43, 49-64) Grosvenor Chap 6 pgs. 155-175 Henson Chap. 10 pgs. 206-223 Lab Handouts
January 22nd	Retinoscopy: Review G.O. Lab. #9 & 9a, Corboy Chaps:1,2,3,4,5,6,7:pg.71-74,8:pg.92-96,10:pg.97-101,113 Grosvenor Chap. 8 pg. 263-271 Henson Chap. 2 pgs.-46
January 29th	Keratometry: Carlson pg. 81-94(67-69,76-81) Grosvenor Chap. 8 pg. 253-263 CHenson Chap. 5 pgs. 107-137 Retinoscopy Continued & Refractors: Carlson pg. 87-94(82-90) Corboy Chaps. 10 pg. 105-113, 11:pg. 115-118, 127-128
February 5th	1 Lab Practice Week
February 12th. & 19th	Proficiency: Hx, Preliminaries, Retinoscopy
Febrauay 26th	Monocular Subjective: Carlson pg. 95-105,117(91-102,116-117) Grosvenor Chap. 9 pg. 288-293 Eskridge Chap. 18 pg. 174-182
March 5th	Monocular Subjective: Carlson pg. 95-105,117 (91-102,116-117) Grosvenor Chap. 9 pg. 292-293 Eskridge Chap. 18 pg. 182
March 12th	Spring Break
March 19th	Bi-ocular Equalization Tech: Carlson pg. 106-111,120(103-109,120) Grosvenor Chap. 9 pg. 294-296 Eskridge Chap. 18 pg. 185-188 Lab Handouts
March 26th	Prism-Dissociated Duochrome Test : Carlson pg. 118-119(118-120) Humphriss Binocular Method: Carlson pg. 139-141(142-144)
April 2nd	Lab Practice Week
April 9th April 16th	Proficiency: Retinoscopy & the Refractive Examination
April 23rd	Written Exam, Lab Makeup week
April 30th	Finals Week No Lab