COT study materials
COT study resources

COT case studies

COT · Put your knowledge to work in context.

The Certified Ophthalmic Technician (COT) is one of the certification tiers offered by the International Joint Commission on Allied Health Personnel in Ophthalmology (IJCAHPO), an organization that promotes global eye health and prevent blindness through training program accreditation, education and the certification of Allied Ophthalmic Personnel. According to IJCAHPO, certification validates your knowledge, skills, and ability as an AOP, and demonstrates your commitment to the profession. The COT case studies are 5 cases and about 3,947 words.

1

Timolol Started in a Patient With Poorly Controlled Asthma

Delgado, 68, arrives as a new patient for glaucoma evaluation. While you take his history before the physician is free, he mentions that an outside optometrist started latanoprost at bedtime and timolol 0.5% twice daily two weeks ago.

790 words, about 4 min
2

A Visual Field That Looks Worse but May Not Be Reliable

Okafor, 61, is a glaucoma suspect being followed for a slightly enlarged optic cup in the right eye. Today's Humphrey 24-2 SITA Standard field on the right eye was obtained after a 45-minute wait in a crowded lobby; she has a cold and kept shifting in the chair.

786 words, about 4 min
3

Contact Lens Wearer With a Painful Red Eye Who Wants Numbing Drops

A 24-year-old graduate student walks in at 8:40 am without an appointment, holding a tissue over her left eye. She wears monthly soft contact lenses and admits she slept in them for three nights while finishing a thesis.

757 words, about 4 min
4

Converting a High Myopic Spectacle Rx for Soft Toric Lenses

A 41-year-old software engineer wants to switch from glasses to monthly soft toric lenses. Spectacle refraction at a 14-mm vertex distance: OD -9.50 -1.25 x 175, OS -9.00 -0.75 x 010; add +1.25 OU.

827 words, about 4 min
5

Alkali Splash With pH 12 and a 20-Minute Wait for the Physician

A 34-year-old maintenance worker is brought to the clinic at 10:15 am after a drain-cleaning product splashed into his right eye about 10 minutes earlier. He is blepharospastic, with copious tearing and intense pain, and cannot open the eye for visual acuity.

787 words, about 4 min