The British OrthoKeratology Society

Accreditation
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BOKS Accreditation Patient Record Submissions

Please use the following suggestions when submitting patient files.

We are looking for evidence that you are familiar with the fitting protocols of the particular lenses that you're using and that you are able to solve the normal problems that occur to achieve the final orthok effect.

We are especially interested in the reasons for changing particular lenses and topography difference maps are essential.

Please do not assume that we know which orthok system you're using.  It is up to you to explain the system to us and to illustrate your command of it in the relevant patient records.

Page 1 should have full clinical details of the patient and any other relevant information.

A sample, patient record card table is enclosed.

YOU DO NOT HAVE TO USE THIS IF YOU DO NOT WANT TO.        

 I suggest that after the details of each lens are recorded and the refractive results, you reference where the topography maps, photographs and comments are, which should be on separate pages, on the following lines of the chart.

 

You should also detail, on the relevant maps, the time the lenses have been worn and the time since the lenses were removed,

 

You may submit in any format, hard copy, word doc powerpoint or PDF.

( I cannot deal with Mac formats)

 

Please return your 5 patient records to me.

 

Basil Bloom
2 Byeways
Twickenham
Middx
TW2 5JN
Mail@boks.org.uk

 Download Sample Record Sheets


 

 

Practitioner Name

 Patient ID

Date

 

R

K

@

mm

D

 Ro=

e=

HVID=

Rx

LENS   TYPE

 

 

@

mm

D

 Rx Change Needed

 

 

 

 

 

 

Date

Lens Details

Wearing Time

Fitting comments

V

RET / Autoref.

Subjective

VA

Ro

E

dRx

 

R.

 

 

 

 

 

 

 

 

 

 

 

 

Comments

 

R.

 

 

 

 

 

 

 

 

 

 

 

 

Comments

 

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Comments

 

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Comments

 

                                                         

 

L

K

@

mm

D

 Ro=

e=

HVID=

Rx

 

 

 

@

mm

D

Rx Change Needed

 

 

 

 

 

 

 

 

Date

Lens Details

Wearing Time

Fitting comments

V

RET / Autoref

Subjective

VA

Ro

E

dRx

L.

 

 

 

 

 

 

 

 

 

 

 

 

Comments

 

L.

 

 

 

 

 

 

 

 

 

 

 

 

Comments

 

L.

 

 

 

 

 

 

 

 

 

 

 

 

Comments

 

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Comments

 

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Comments

 

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Comments

 

                                                                         

 

Continuation Sheet

Practitioner Name

 Patient ID

Date

 

Date

Lens Details

Wearing Time

Fitting comments

V

RET / Autoref

Subjective

VA

Ro

E

dRx

R.

 

 

 

 

 

 

 

 

 

 

 

Comments

R.

 

 

 

 

 

 

 

 

 

 

 

Comments

R.

 

 

 

 

 

 

 

 

 

 

 

Comments

R.

 

 

 

 

 

 

 

 

 

 

 

Comments

R.

 

 

 

 

 

 

 

 

 

 

 

Comments