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OM t of c.iii - Vision Research Coordinating Center - Washington ...

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2/1/99 Chapter 5 Scheduling page 5-2<br />

Table 5-2. Forms used at CLEK Study Visits.<br />

Patient-Completed Forms<br />

Visit<br />

Patient<br />

History<br />

Quality <strong>of</strong><br />

Life<br />

Patient<br />

Background<br />

Investigator-Completed<br />

Forms<br />

Eligibility Examination<br />

Baseline X X X X X<br />

Repeat - X X - X<br />

Year 1 - X X - X<br />

Year 2 - X X - X<br />

Year 3 - X X - X<br />

Year 4 - X X - X<br />

Year 5 - X X - X<br />

Year 6 - X X - X<br />

Year 7 - X X - X<br />

Year 8 - X X - X<br />

Table 5-3 Examinations, tests and measures.<br />

VISIT<br />

TESTS AND MEASURES<br />

Baseline<br />

Quality <strong>of</strong> life<br />

Annual Visits 1-8<br />

History<br />

Presurgical Visit<br />

Visual acuity<br />

Repeat Visit<br />

In rigid contact lens wearers: current contact len<br />

evaluation<br />

Manifest refraction<br />

Keratometry/corneal topography<br />

Slit lamp examination<br />

Corneal photography<br />

Fluorescein photography <strong>of</strong> first apical clearance<br />

lens and trial lens 0.2 mm flatter than that<br />

5.3 Scheduling<br />

All scheduling <strong>of</strong> visits is performed by the Participating Clinic. Each visit after<br />

the Baseline Visit is scheduled one month ahead. The Clinic Coordinator telephones the<br />

patient to remind him/her <strong>of</strong> his/her appointment day and time one week before the<br />

appointment and then again one day before the appointment.<br />

5.4 Baseline Examination<br />

After evaluating eligibility and obtaining informed consent, the patient is<br />

requested to complete the Patient Background Form, the Quality <strong>of</strong> Life Form, and the<br />

Patient History Form. The Clinician and other Clinic personnel (as certified per Chapter<br />

12 <strong>of</strong> this Operations Manual) complete the Examination Form.

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