To the Editor.
—We read with interest the modifications suggested by Javitt1 in slit-lamp examination of wheel-chair-bound patients. We frequently examine mentally retarded, elderly, and hospitalized, debilitated children and adults who are confined to a wheelchair. Each examination room in our clinic is equipped with the pole-mounted slit lamp. It can be conveniently rotated away from the standard examination chair to move the wheelchair-bound patient in position for examination without transferring him or her to the regular chair. It can be moved up and down to a comfortable height for children, the short-statured, and the kyphotic patient in the wheelchair. Its weight is supported by the mount pole and it does not carry the risk of tipping over even if the patient leans over it. Additional equipment, such as a Phoropter, can be mounted on the same pole for a complete and easy examination without moving the patient.The
Singh G. Examination of Wheelchair-Bound Patients. Arch Ophthalmol. 1989;107(10):1422. doi:10.1001/archopht.1989.01070020496013