Which of the following is NOT a component of a vision rehabilitation exam?

• A. Surgical planning for ocular prosthesis
• B. Extended history
• C. Trial frame refraction
• D. Discussion of services

Answer: (A)

The main thing this item tests is understanding the scope of a vision rehabilitation exam. A vision rehabilitation assessment is centered on how vision loss affects daily functioning and what can be done to maximize function. It includes collecting an extended history to capture long-term and daily-life impact, determining what refractive correction will help most through a trial frame refraction, and discussing available services and resources to support adaptation—such as low-vision devices, training, and transportation or counseling.

Surgical planning for an ocular prosthesis, on the other hand, belongs to the medical-surgical realm of care. It involves decisions about prosthesis fabrication, socket management, and surgical considerations after enucleation or significant eye injury. That planning is not part of evaluating functional vision or planning rehabilitation strategies, which is why it does not fit as a component of a vision rehabilitation exam. The other items align with the exam’s purpose: gathering a comprehensive history, assessing residual refractive status, and outlining services to support the patient’s daily functioning.