A complete history includes four aspects:

1. Family history. Many eye disorders are hereditary or of higher incidence in members of the same family. Examples include refractive errors, strabismus, cataract, glaucoma, retinal detachment, and retinal dystrophy.

2. Medical history. As ocular changes may be related to systemic disorders, this possibility must be explored. Conditions affecting the eyes include diabetes mellitus, hypertension, infectious diseases, rheumatic disorders, skin diseases, and surgery. Eye disorders such as corticosteroid-induced glaucoma, corticosteroid-induced cataract, and chloroquine-induced maculopathy can occur as a result of treatment with medications such as steroids, chloroquine, Amiodarone, Myambutol, or chlorpromazine (see table in Appendix).

3. Ophthalmic history. The examiner should inquire about corrective lenses, strabismus or amblyopia, posttraumatic conditions, and surgery or eye inflammation.

Fig. 1.3 From left to right: Foreign body needle, glass spatula, and Desmarres eyelid retractor.

4 1 The Ophthalmic Examination

4. Current history. What symptoms does the patient present with? Does the patient have impaired vision, pain, redness of the eye, or double vision? When did these symptoms occur? Are injuries or associated generalized symptoms present?

Was this article helpful?

0 0
Discarding Negative Habits

Discarding Negative Habits

I ought to change, but I've attempted and failed. Does this seem familiar? Frequently, altering habits does seem insurmountable. A lot of us merely don't have enough motivation to alter our habits all of our foul habits in a way that would really affect our life. We hold them tight as we view them as rewards. But your habits determine your life. Discarding Negative Habits Methods That Will Help You Deconstruct The Bad Habits Holding You Back.

Get My Free Ebook

Post a comment