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primary eye care
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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.
Thank you