Abbreviations in Clinical Optometry In optometric practice the use of abbreviations or acronyms facilitates quick and accurate record taking. So that any optometrist can read a record easily and quickly, commonly used abbreviations should be utilised and there should be continuity of abbreviations from one record card to another. There should be no ambiguity of meaning. The following list provides some of the more commonly used abbreviations and acronyms in optometric practice. There is no obligation for practitioners to use these, but it is hoped that they may be useful as a guide so that there is uniformity of abbreviation use between practitioners. References 1. Millodot M. Dictionary of optometry. 3rd edition. Butterworth-Heinemann, Oxford, 1994. 2. National Health & Medical Research Council. Management of Diabetic Retinopathy - Clinical Practice Guidelines June 1997. Commonwealth Department of Health and Family Services 3. Woolf PL, Giese MJ, Stelmack TR, McMahon TT, Berman MS. Optometric Clinical abbreviations. J Am Optom Assoc 1994; 65: 480-487. 4. www.college-optometrists.org/objects_store/1125480552563.pdf Abbreviation φ Θ c 0 symptoms 0.5 Tro STD s α λ κ µm ∆ ∆ ∴ = ~ or ≈ > < ↑ ↓ A/c AC AC 4/4 AC 3/4 AC 2/4 AC 1/4 AC 0/4 AC/A ACC Acc ACG Add ADD ADHD AIDS AION AIT Meaning horizontal orthophoria horizontal and vertical orthophoria vertical orthophoria with (cum) zero symptoms 0.5% tropicamide, 1 drop applied to each eye per standard routine without (sine) angle alpha angle lambda; wavelength angle kappa -6 micron (10 m) change or change in prism (dioptres) therefore equals approximately greater than less than increase in decrease in aftercare visit anterior chamber; anomalous correspondence (formerly ARC) grade 4 anterior chamber angle grade 3 anterior chamber angle grade 2anterior chamber angle grade 1 anterior chamber angle grade 0 anterior chamber angle (closed) Accommodative convergence/accommodation ratio anterior cortical cataract accommodation angle closure glaucoma addition (lenses) Attention deficit disorder Attention deficit hyperactivity disorder acquired immune deficiency syndrome anterior ischaemic optic neuropathy after-image transfer ALT ALT SOT ALT XOT AMD amp Ant APD approx ARC Arg ARM or ARMD ASAP Astig ATR A/V bal BC BCC BCOD BCOR BCVA Bd (also bid) BD, BDP or BD∆ BDR BE BF BI, BIP or BI∆ Bid (also bd) binoc BIO bleph BO, BOP or BO∆ BOZD BOZR BP BRAO BRVO BU, BUP or BU∆ Bul BUT BV BVD BVP Cal Bk CA/C Cat(s) CB CD C/D CENTn CF CFF CL alternating alternating esotropia alternating exotropia age-related macular degeneration (also ARM and ARMD) amplitude anterior afferent pupillary defect approximately anomalous retinal (cortical) correspondence Argon Laser age-related macular degeneration; age-related maculopathy, preceded by ‘exudative’ or ‘atrophic’ (also AMD) as soon as possible astigmatism against the rule astigmatism arteriole/venule ratio balance base curve basal cell carcinoma back central optic diameter back central optic radius best corrected visual acuity twice a day base down prism (followed by R or L to indicate right or left eye respectively) background diabetic retinopathy both eyes bifocal(s) base-in prism (may be followed by R or L to indicate right or left eye respectively) two times a day (bis in die) binocular binocular indirect ophthalmoscopy blepharitis base-out prism (may be followed by R or L to indicate right or left eye respectively) back optic zone diameter back optic zone radius blood pressure branch retinal artery occlusion branch retinal vein occlusion base up prism (followed by R or L to indicate right or left eye respectively) bulbar break-up time (of the tear film) binocular vision back vertex distance back vertex power ‘Calendar Book’ eye exercise – accommodative rock convergence-accommodation ratio cataract(s) ciliary body centration distance cup to disc ratio centration count fingers (note: CF 20´(at 20 feet) 20/400); CF 6m (at 6 metres) 6/120); also central fixation critical fusion (or flicker) frequency contact lens (HCL-hard, SCL-soft, EWCL-extended wear, RGP- CLAPC CMO (CME) CMV CN (followed by numeral) CNS C/o COAG Conj conv CPR CRAO CRVO CSF CSME CSR CT CVA CW CWS cyclop (%) Cyl dB D DAF DC DD DDT DFE diam dist Dk/L D/L DM DOB DPA DR DS DV D/V DVA DVD DW Dx EBMD ECCE ECG EEG EF ELISA EOG EOM ERG ERM ESE Eso or esop rigid gas permeable) contact lens associated papillary conjunctivitis cystic macular oedema (edema) cytomegalovirus cranial nerve eg. CNIII central nervous system complains of chronic open angle glaucoma conjunctiva convergence cardiopulmonary resuscitation central retinal artery occlusion central retinal vein occlusion contrast sensitivity function, also cerebro spinal fluid clinically significant macular (o)edema Central serous retinopathy cover test cerebral vascular accident close work Cotton wool spot(s) cyclopentolate, % used cylinder (also C when following D(ioptre)) decibel dioptre also distance diagnostic action fields dioptres cylinder disc diameter (usually preceded by a number to indicate distance or size in terms of disc diameters) Dyslexia Determination Test dilated fundus examination diameter distance oxygen transmissibility of a contact lens driver’s licence diabetes mellitus date of birth diagnostic pharmaceutical agent diabetic retinopathy dioptres sphere distance vision double vision Department of Veterans’ Affairs dissociated vertical divergence daily wear diagnosis epithelial basement membrane dystrophy extracapsular cataract extraction electrocardiogram electroencephalogram eccentric fixation enzyme linked immunosorbent assay electrooculogram extra-ocular muscles electroretinogram epiretinal membrane explained side effects esophoria (sometimes EP or S) ESR ET or esot etc EW exop or X exot Ext FA fac FAZ fap FB FBS (cornea) FD FDR FF FH Fl FMH fMRI FOH FOL FOZD F/U FVP GH GI Glauc Gonio GP GPC gt gtt or gutt HA Haem HARC HCL HEx HIV HLA HM hor hr(s) or H HRT HSV ht (seg) H/T HVID Hx hyperp hypert hypop hypot ICCE ICE IGT erythrocyte sedimentation rate esotropia (preceded by R or L to designate right or left) et cetera extended wear (EWSL-extended wear contact lens; EWSCLextended wear soft contact lens) exophoria exotropia external fluorescein angiography facility foveal avascular zone contact lens fit as previously noted foreign body foreign body scar fixation disparity Florid diabetic retinopathy (now seen rarely) foveal fixation family history fluorescein family medical history functional magnetic resonance imaging family ocular history follicles front optic zone diameter follow-up appointment front vertex power general health gastrointestinal glaucoma gonioscopy general practitioner giant papillary conjunctivitis drop Drops (guttae) headache haemorrhage harmonious abnormal retinal correspondence hard contact lens lipid (hard) exudate(s) human immunodeficiency virus human leucocytic antigen eg. HLA B27 hand movements horizontal hour(s) Hormone replacement therapy, also Heidelberg Retinal Tomograph herpes simplex virus height (segment) hypertension horizontal visible iris diameter history hyperphoria hypertropia hypophoria hypotropia intracapsular cataract extraction irido-corneal-endothelial syndrome impaired glucose tolerance inf Inj INO Int IO IOL ION IOP IPC IR IRMA IV K KCS KP L LE LH LHON LHyperT LHypoT LHP (also L/R) logMAR LOs LP LR L/R (also LHP) L/RFD LSOT LTG LV LVA LXOT Ma Mac Max MDU Meds MEM Min MNU MR MRI MS MVA M.Wing MWT N Na N/A NAD NAG inferior injection or injected internuclear ophthalmoplegia internal or intermittent inferior oblique muscle; also intraocular; also indirect ophthalmoscopy intraocular lens ischaemic optic neuropathy intraocular pressure inferior palpebral conjunctiva inferior rectus muscle (preceded by R or L to indicate right and left respectively) intra-retinal microvascular abnormalities intravenous keratometry reading keratoconjunctivitis sicca keratic precipitates left left eye left hypertropia Leber’s hereditary optic neuropathy left hypertropia left hypotropia left hyperphoria logarithm of the minimum angle of resolution; logMAR chart (acuity) lenticular opacities light perception (acuity) mark (+) or (-) in the quadrant tested lateral rectus muscle (preceded by R or L to indicate right and left respectively) left hyperphoria L/R fixation disparity left esotropia low tension glaucoma low vision low vision aids left exotropia Microaneurysm(s) macula or macular maximum Mallett distance unit medications monocular estimate method minimum, also minute(s) (also m) Mallett near unit medial rectus (preceded by R or L to indicate right and left respectively) also Maddox rod magnetic resonance imaging multiple sclerosis motor vehicle accident Maddox wing maximum wearing time near sodium not applicable (also NA) no abnormality detected (or no apparent defect) narrow angle glaucoma NC N/C NCT ND Neg NFL NLP No I/S (POH) Nocte NPA NPC NPDR NRC NS NTG NV NVD NVE NVI NVP NWT OAD OAG Obj Occ Occ. OCs OD OKN OMB ON ONH Oph OR ORTHO-K OS OU OZD PAL PALC PAP PC PCC PD PDR PDS PERRLA PES or PXF PGX PH phaco PHNI pilo ping PK PL PMMA normal correspondence no charge non-contact tonometer neutral density filter negative nerve fibre layer no light perception no eye injuries/surgery at night near point of accommodation near point of convergence non-proliferative diabetic retinopathy (preceded by minimal, mild, moderate or severe) normal retinal correspondence nuclear sclerosis normal tension glaucoma near vision new vessels on the (optic) disc new vessels elsewhere (other than the disc) new vessels on the iris near vision point normal wearing time overall diameter (contact lens) open angle glaucoma objective ointment Occupation optical centres right eye (oculus dexter) also overall diameter optokinetic nystagmus oculo-motor balance optic nerve (neuropathy) optic nerve head ophthalmoscopy over refraction orthokeratology left eye (oculus sinister) also overall size both eyes (oculus uterque) optic zone diameter progressive addition lenses per age lenticular changes papillae peripheral curve posterior cortical cataract interpupillary distance proliferative diabetic retinopathy pigment dispersion syndrome pupils equal, round, responsive to light and accommodation pseudoexfoliation syndrome grey photochromic (lenses) pinhole phacoemulcification pinhole no improvement pilocarpine pingueculae penetrating keratoplasty perception of light polymethyl methacrylate POAG POH Pos post POST-OP PPA ppconv PPDR PPM PRC PRE-OP prev PRK PRN PRP(C) PSC or PSCC Pt or Px pteryg PTK PUT PVD Px PXF PXM Q (q) qd QID or qid R RAPD RB RBC RD re: RE Ret rev RGP RH or RHyperT RHP RHypoT RK RNFL ROP RP RPE RSOT RWR Rx RXOT SCC SCL SD SE SEAL seg SEM sl SL S/L SLE primary open angle glaucoma previous ocular history positive postenor post-operative peripapillary atrophy proximal point of convergence preproliferative diabetic retinopathy persistent pupillary membrane positive relative convergence pre-operative previous photorefractive keratectomy as necessary (pro re nata) pan-retinal photocoagulation posterior subcapsular cataract patient pterygium phototherapeutic keratectomy push-up test posterior vitreous detachment patient pseudoexfoliation pseudoexfoliative material every (eg. Q2H = every 2 hours) Once per day four times daily (or x4) (quarter in die) right Relative afferent pupil defect rose bengal red blood cells retinal detachment regarding right eye retinoscopy review rigid gas permeable right hypertropia right hyperphoria right hypotropia radial keratotomy retinal nerve fibre layer retinopathy of prematurity (old term RLF) retinitis pigmentosa retinal pigment epithelium right esotropia ring when ready (take) prescription right exotropia squamous cell carcinoma soft contact lens standard deviation sore eyes superior epithelial arcuate lesion segment scanning electron microscopy slightly Schwalbe’s line slit lamp systemic lupus erythematosus SLK SLO SM SMD SO SOAG SOP SOT SPC Sph SPK SR SRNVN SS STD STI STRAB subj SV SVD SVN TBUT Tc Tds also TID Te tear/supps TEM TF TIA TID also tds TM TPA Trop (%) TVAS TWT Tx Type 1 DM Type 2 DM UBM UCVA URTI UV V VA VAL VAR VB VD VDU VEP ver VER verg VF V/H Vis vis hyg or slit-lamp examination superior limbic keratoconjunctivitis scanning laser ophthalmoscope spectacle magnification senile macular degeneration (no longer used; see ARM) superior oblique muscle (preceded by R or L to indicate right and left respectively) secondary open angle glaucoma esophoria exotropia superior palpebral conjunctiva sphere (also S after D(ioptre)) superficial punctate keratitis superior rectus (preceded by R or L to indicate right and left respectively) subretinal neovascularisation scleral spur standard; sexually transmitted disease sexually transmitted infection strabismus subjective single vision (lenses) single vision distance single vision near tear break up time centre thickness three times a day edge thickness tear supplements transmission electron microscopy tri-focals transient ischaemic attack three (3) times a day trabecular meshwork therapeutic pharmaceutical agent Tropicamide (% used) Test of Visual Analysis Skills today wearing time treatment Type 1 diabetes mellitus Type 2 diabetes mellitus upgaze blink movement uncorrected visual acuity upper respiratory tract infection ultraviolet vision visual acuity left visual acuity (corrected) right visual acuity (corrected) venous beading venereal disease visual display unit(s) visual evoked potential vertical visual evoked response vergence visual field van Herick vision visual hygiene Vit VPA VPS W-4-D w/o WD wk(s) WNL WT WTR WTT Xcyl XO XOP XOT XT X/12 X/52 X/7 y/o YAG yr(s) vitreous vertical palpebral aperture variable prism stereoscope Worth 4 dot without working distance week(s) within normal limits wearing time with-the-rule astigmatism wearing time today cross cyl exophoria (also exo) exophoria exotropia exotropia (preceded by R or L to designate right or left) x months x weeks x days year old Yttrium aluminium garnet (laser) year(s)