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Content Outline and Test Specifications for the National Contact Lens Registry Advanced Certification Examination
I. Prefit, Preparation and Evaluation
Obtain and document the history of patients who have complex ocular conditions that require specialty lenses.
Assess the technical aspects of the patient’s ocular status to determine complex contact lens opticians.
Discuss with the patient his/her needs, expectations and limitations.
Evaluate information and explain lens options to meet patient needs.
II. Design, Fit and Dispense Standard and Specialty Lenses
Select lens material and design (e.g. piggyback, custom soft, complex corneal, hybrid, scleral, irregular cornea lenses) to conduct a diagnostic lens evaluation.
Evaluate diagnostic lenses to determine initial fit.
Order lenses, including specialty and customized lenses, by specifying lens parameters.
III. Patient Instruction and Delivery Procedures
Verify lens parameters.
Educate the patient on lens wear and care (e.g., scleral, hybrid, piggyback) by providing verbal and written instructions.
Provide hands-on practice on lens application and removal, including scleral and hybrid lenses.
Schedule appointments for follow-up assessment of lens wear.
IV. Routine and Emergency Follow-up Visits
Discuss with the patient his/her subjective response to lens wear.
Evaluate lens fit and performance, including evaluation of complex designs.
Implement and evaluate modifications to lens design.
Review patient compliance.
Schedule follow-up appointments to monitor lens fit and ocular integrity.
Education patients on new developments in contact lens technology.
Triage patients with acute contact lens complications.
V. Administrative Procedures
Maintain a safe contact lens environment.
Comply with professional, ethical and legal guidelines (e.g., HIPPA, FCLCA).
Maintain patient records.