30 Miss. Code. R. 2901-9.1 - Adequate Examination

(a) In order to insure an adequate examination in the initial examination of the patient, the optometrist or therapeutic optometrist shall make and record, if possible, the following findings of the condition of the patient:

(1) case history (ocular, physical, occupational, and other pertinent information);

(2) visual acuity;

(3) biomicroscopy slit lamp examination (lids, cornea, sclera, etc.);

(4) internal ophthalmoscopic examination (media, fundus, etc.);

(5) static retinoscopy, O.D., O.S., or autorefrector;

(6) subjective findings, far point and near point;

(7) assessment of binocular function;

(8) amplitude or range of accommodation;

(9) tonometry;

(10) field of vision, to right and to left.

(b) In order to insure an adequate contact lens exam, the optometrist or therapeutic optometrist shall preform following items in addition to 9.1 (a).

(1) perform and record keratometry testing.

(2) must schedule one follow-up visit for examination within 30 days of the contact lens fitting, and must inform the patient on the initial visit regarding the requirement of the follow-up care.

(3) must observe proper hygiene in the handling and dispensing of the contact lenses and in the conduct of the examination. Proper hygiene includes sanitary office conditions, running water in the office where contact lenses are dispensed and proper sterilization of diagnostic lenses and instruments.

(4) must instruct the patient in the proper care of lenses, including proper hygiene.

(c) Basic Competence Violations.

(1) The omission of a single, essential finding shall be reason for an investigational hearing or informal conference. The following findings are essential in the initial examination of a patient:

(a) Biomicroscopy slit lamp examination (lids, cornea, sclera, etc.);

(b) Internal ophthalmoscopic examination (media, fundus, etc.);

(c) Subjective findings, far point and near point;

(d) Tonometry.

(2) The omission of a total of four significant findings in the initial examination of a patient shall be reason for an investigational hearing or informal conference. The following findings are significant in the initial examination of a patient:

(a) Case history (ocular, physical, occupational and other pertinent information);

(b) Visual acuity;

(c) Static retinoscopy, O.D., O.S., or autorefractor;

(d) Assessment of binocular function;

(e) Amplitude or range of accommodation;

(f) Angle of Vision, to right and to left.

(3) All other omissions or combination of omissions of findings shall be reason to send noncompliance letters. The absence of the optometrist's or therapeutic optometrist's signature on the prescription shall be considered an omission.

(4) An investigational hearing or informal conference is required when a second alleged violation has occurred. Likewise, if a licensee has had a previous investigational hearing or informal conference, a subsequent complaint may result in a formal disciplinary hearing.

Notes

30 Miss. Code. R. 2901-9.1

Miss Code Ann.§ 73-19-3

Amended 11/21/2022