Primary eye care examination

Primary eye care examination.

•Case history.• Examination of eye.

Case history

History.

• Patient is encouraged to narrate his complaints but relevant enquiries are made.

History.

• Present history.• Past history.• Personal history.• Family history.

Present history

• Name.• Age• Gender• Occupation.

Dimness of vision.

• Mode of onset(sudden ,gradual).• Duration(short or long).• For distance or near.• Seeing double objects.• Seeing flashes of light.• Night blindness.

Pain in the eye.

• Mode of onset.• Severity and duration.• relation to close work.• Time of day when maximum.• Associated nausea, vomiting, photophobia,

impaired vision.

Redness , congestion

• Of the eyelids.• Of the area surrounding the eye• Of the eye.

Secretion.

• Excessive and normal secretion• Type of altered secretion• Sticky eyes• Associated crusts and flakes.

Disturbance of eyeball

• EyelidsAltered position.Altered direction of margin.Disturbance in function.• Direction of eyeball.• Fixation of pupil or eyeball.

Headache.

• Location.• Severity and type• Relation to near work• Time of day when maximum• Factors which relieve or aggravate• Associated nausea, vomiting blurred vision.

Past history.

• Previous disease.• Treatment• Operation history• Using glasses

Personal history

• HabitsSleep.Tobacco.Alcohol intake.Diet.• Blood pressure• Diabetes mellitus• Infection in teeth , tonsils,ears.

Family history

• Diabetes mellitus• Hypertension• Myopia• Glaucoma• Congenital cataract.

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