Appendix A
COA, COT, and COMT Content Area Percentages
CONTENT AREA
COA %
COT %
COMT %
History Taking
8
6
3
Pupillary Assessment
3
5
4
Contact Lenses
2
3
0
Equipment Maintenance and Repair
4
4
3
Lensometry
3
5
6
Keratometry
3
5
3
Medical Ethics, Legal, and Regulatory Issues
5
3
5
Microbiology
2
3
5
Pharmacology
8
5
8
Ocular Motility
3
5
11
Assisting in Surgical Procedures
7
6
3
Ophthalmic Patient Services and Education
16
7
10
Ophthalmic Imaging
3
7
6
Refractometry
6
7
6
Spectacle Skills
3
3
0
Supplemental Skills
8
9
10
Tonometry
4
5
5
Visual Assessment
8
6
6
Visual Fields
4
6
6
Skill Areas for the COT Skill Evaluation (Also required for COMT level if not previously COT certified)
Candidates will be asked to demonstrate their skill in each of the following seven areas:
♦ Lensometry: Demonstrate the ability to perform non-automated lensometry to determine the strength of the distance
correction and the bifocal or trifocal add.
♦V
isual Fields: Demonstrate the ability to perform an automated visual field on a specified automated visual field test as
determined by JCAHPO.
♦O
cular Motility: Demonstrate the ability to detect a phoria or tropia, and identify the direction of the deviation using
appropriate cover tests.
♦ Keratometry:
Demonstrate the ability to perform keratometry.
♦ Retinoscopy:
Demonstrate the ability to perform retinoscopy.
♦ Refinement:
Demonstrate the ability to perform refinement.
♦ Tonometry:
Demonstrate the ability to perform applanation tonometry.
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Examinatio A Study Guide
2011_COA_Study_Guide_Layout
Skill Areas for the COMT Performance Test
Candidates will be asked to demonstrate their skill in each of the following five areas:
♦
Measure patient’s ocular motility using prism and cover tests at a distance.
♦
Perform manual lensometry: Identify and measure prism.
♦
Perform fundus photography and identify fluorescein angiography phases.
♦
Measure, compare, and evaluate pupil function at a distance.
♦
Evaluate versions and ductions, identifying any abnormalities.
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