CPO FREE CPO Contact Lens Patient Instruction Questions and Answers 2

Question 1

A patient calls stating their soft contact lens tore while they were removing it, and they believe a piece is still in their eye. What is the MOST appropriate initial instruction?

Accepted Answer

"Flush the eye with sterile saline, then look in a mirror. If you see the piece, try to gently slide it to the outer corner of the eye to remove it."

Answer

"Immediately go to the emergency room, as this is a sight-threatening situation."

Answer

"Use a pair of clean, blunt-tipped tweezers to carefully grasp and remove the fragment from the eye's surface."

Answer

"Rub your closed eyelid vigorously to try and dislodge the piece and work it out naturally."

Question 2

A patient wearing monthly soft lenses calls with complaints of increasing itchiness, excessive mucus upon waking, and a sensation that the lenses are moving excessively when they blink. What should the paraoptometric advise the patient to do?

Accepted Answer

"Schedule an appointment and discontinue contact lens wear until they can be seen by the doctor."

Answer

"Switch to a new brand of multipurpose solution immediately."

Answer

"Perform an extra enzymatic protein removal cleaning on the current lenses."

Answer

"Apply over-the-counter antihistamine eye drops before and after lens wear."

Question 3

Which of the following instructions is specific and critical for a new scleral lens wearer regarding the disinfection process?

Accepted Answer

"You must use a hydrogen peroxide-based system and allow the lenses to neutralize for a minimum of six hours before insertion."

Answer

"It is acceptable to top off the multipurpose solution in the case for up to three days before replacing it."

Answer

"Always rinse your scleral lenses with tap water before filling them with saline and inserting them."

Answer

"Store the lenses dry overnight to prevent bacterial growth and rehydrate them in the morning."

Question 4

A patient who wears daily disposable lenses is going on a beach vacation and asks for the best advice on swimming in the ocean. What is the safest and most practical instruction?

Accepted Answer

"It's safest to wear well-fitting, waterproof swim goggles over a fresh pair of daily disposables, and discard the lenses immediately after swimming."

Answer

"Wear your daily lenses as usual, but be sure to rinse them with fresh water after swimming."

Answer

"Switch to monthly lenses for the trip, as they are thicker and less likely to be lost in the water."

Answer

"Close your eyes tightly underwater to form a natural seal, which is sufficient to protect the lenses."

Question 5

When instructing a patient on handwashing prior to lens handling, which of the following substances is MOST important to avoid in a soap because it can adhere to the lens surface and cause irritation or cloudy vision?

Accepted Answer

Lanolin or other oil-based moisturizers

Answer

Antibacterial agents

Answer

Saline

Answer

Chlorine

Question 6

A patient calls in a panic, stating their soft lens has folded and slid under their upper eyelid and they cannot see it. Which technique should the paraoptometric instruct the patient to try first?

Accepted Answer

"Instill rewetting drops, close the eye, and gently massage the closed eyelid to move the lens back into position."

Answer

"Use a cotton swab to sweep under the eyelid and retrieve the lens."

Answer

"Gently pull the upper eyelid out and down over the lower eyelid while looking down."

Answer

"Immediately flush the eye with a high-pressure stream of water to dislodge it."