Ophthalmology: Refraction, visual acuity, optical prescriptions and eye-clinic workflow

Ophthalmology — refraction, IOL calculation, OCT, visual field, glaucoma, cataract surgery.

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HMS Core

What's inside

Everything in Ophthalmology

46 items in 8 areas, every one shipping with the app today.

Eye Care Episode Management
- Eye Care Episode RecordsCentral eye case file per patient with auto-numbered reference (EYE-YYYY-000001) linking all examinations, tests and surgeries.
- Auto-Sequenced Case NumbersEvery episode gets a year-prefixed, six-digit padded reference number from a dedicated sequence.
- Episode Lifecycle StatusbarFive-stage workflow (Active, Surgery Planned, Surgery Completed, On Follow-up, Discharged) shown as a header statusbar.
- Presenting Complaint & Clinical IntakeCaptures presenting complaint, relevant systemic conditions, allergies and occupational exposure on the case header.
- Ocular History TaggingTag each episode with pre-existing eye conditions from a managed catalog via many2many tags.
- Family History of Eye ConditionsFree-text field records hereditary eye disease relevant to the patient.
Clinical Examination
- Comprehensive Eye ExaminationFull ophthalmic exam record with eight exam types from Initial and Follow-up to timed post-op and screening visits.
- Visual Acuity BatteryRecords uncorrected, pinhole, corrected and near visual acuity separately for right (OD) and left (OS) eyes.
- IPD MeasurementInterpupillary distance captured in millimetres for spectacle and surgical planning.
- Pupil AssessmentPer-eye pupil size and response including brisk, sluggish, fixed-dilated and Marcus Gunn readings.
- Extraocular Motility & BinocularityRecords EOM fullness, color vision, stereopsis in arcseconds and cover test findings.
- Intraocular Pressure with MethodIOP per eye with tonometry method (Goldmann, iCare, non-contact, Schiotz).
Refraction & Prescriptions
- Manifest RefractionSphere, cylinder, axis and resulting VA recorded per eye for the manifest refraction.
- Cycloplegic RefractionSeparate cycloplegic sphere/cylinder/axis per eye for accurate pediatric and hyperopic measurement.
- Refraction Method TrackingRecords whether refraction was objective retinoscopy, subjective or autorefractor, with device ID.
- Spectacle Lens RecommendationRecommends lens type from single-vision, bifocal variants, progressive, photochromic or prism.
- Prism PrescriptionCaptures prism amount and base direction for binocular vision correction.
- Prescription Finalization & ValidityMarks a prescription final, tracks in-facility dispensing and sets validity in months (default 24).
IOL Calculation & Cataract Surgery
- IOL Power CalculationPer-eye intraocular lens power calculation record tied to a planned surgery date.
- Biometry Data CaptureRecords axial length, K1/K2 keratometry with axis, ACD, lens thickness and white-to-white measurements.
- Nine IOL FormulasSelectable modern formulas including Barrett Universal II, Kane, Hill-RBF, Haigis, Olsen, SRK/T, Holladay and Hoffer Q.
- Refractive Target PlanningSet the surgical goal: emmetropia, monovision distance/near, or mini-monovision.
- IOL Model RecommendationLinks the calculation to a specific lens from the IOL catalog with the constant used and recommended power.
- Predicted Post-op RefractionRecords the expected residual refraction so surgeons can counsel patients pre-operatively.
Glaucoma Management
- Glaucoma Case FileDedicated glaucoma record with nine subtypes from POAG and normal-tension to secondary and congenital forms.
- Target & Peak IOP TrackingRecords target IOP and maximum recorded IOP per eye to gauge control.
- Glaucoma Medication ListLinks current glaucoma drops from the product catalog as many2many tags.
- Visual Field Progression SummaryStores VF mean deviation and PSD per eye plus stable/slow/fast progression per eye.
- OCT RNFL ProgressionRecords global RNFL thickness per eye and an OCT progression note within the glaucoma case.
- Treatment & Surgical PlanningDocuments treatment response and surgical options considered for escalation decisions.
Diagnostic Imaging & Testing
- Visual Field Test RecordsPer-eye perimetry results with machine (Humphrey 24-2/30-2, Octopus, FDT) and strategy (SITA Standard/Fast, Full Threshold).
- VF Reliability IndicesCaptures false-positive, false-negative and fixation-loss percentages for test validity.
- VF Global IndicesRecords MD, PSD and VFI plus glaucoma hemifield test result and pattern classification.
- VF GPA Progression StatusGuided Progression Analysis outcome (no progression, possible, likely) recorded per test.
- VF Printout AttachmentAttach the original perimetry PDF printout to the visual field record.
- OCT Scan RecordsPer-eye OCT with machine (Cirrus, Spectralis, Topcon, Optovue) and scan type across RNFL, GCC, macula and anterior segment.
Configuration & Catalogs
- IOL Master CatalogManaged lens catalog with brand, model code, type, material, A-constant, diameters and filter attributes.
- Seeded IOL LibraryShips ten real-world lenses (Alcon AcrySof/Vivity/PanOptix, J&J Tecnis/Eyhance/Synergy, Zeiss, B+L, Hoya, Rayner).
- IOL Pricing & Stock FlagsEach catalog lens carries a price with currency, in-stock flag and UV/blue-light filter attributes.
- Eye History Condition CatalogManaged list of pre-existing conditions seeded with 17 entries (amblyopia, uveitis, AMD, diabetic retinopathy and more).
- Complication Master CatalogCategorized complication list (intraoperative, early/late post-op, refractive) with severity, seeded with 14 entries.
- Manager-Only Configuration MenusIOL Catalog, History Conditions and Complications config menus are restricted to Eye Clinic Managers.
Navigation & Reporting Views
- Dedicated Eye Clinic MenuAdds an Eye Clinic section under HMS Clinical with eight operational sub-menus plus configuration.
- Direct Cross-Case RegistersStandalone menus list all Examinations, Refractions, IOL Calculations, Cataract, Glaucoma, Visual Fields and OCT across patients.
- Case Search & GroupingSearch view with Active/Surgery-Planned/On-Follow-up filters and group-by state or ophthalmologist.
- Notebook-Organized Case FormTen tabs organize history, medications and each test type into a single navigable patient record.

Works with

What Ophthalmology works with

Ophthalmology shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.