When a comprehensive examination is warranted, the minimum comprehensive optometric examination shall consist of the following:

1. (1) Patient case history and visual acuity;
2. (2) Internal and external physical ocular examination;
3. (3) Objective and subjective analysis of refractive error by an optometrist that does not consist solely of information generated by an automated or internet-based testing device;
4. (4) Analysis of accommodation, convergence, and fusional ability when clinically necessary;
5. (5) Tonometry;
6. (6) Pupil evaluation, extraocular movement testing, and visual field testing (confrontationorelectronic);
7. (7) Assessment and plan; and

8. (8) Where indicated by case history and findings produced by the current examination, any additional tests that should be performed to enable the optometrist to advise the patient and prescribe for or refer, as indicated.

   No prescription for ophthalmic lenses or contact lenses may be written based solely upon the diagnosis of a refractive error of the human eye as generated using automated equipment or

   internet-based devices.

   Failure to make or supervise the minimum comprehensive examination in all cases and to keep a permanent record of it is unprofessional conduct unless there are professional reasons to the contrary.

Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 13 SDR 44, effective October 20, 1986; 39 SDR 127, effective January 21, 2013; 44 SDR 99, effective December 11, 2017.

General Authority: SDCL 36-7-15.

Law Implemented: SDCL 36-7-1 , 36-7-15.

Prior versions effective: 2013-01-21.