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History taking and case examination OF EYE
- 1. History taking and case examination DNYANESHWAR B. POTFODE OPHTHALMIC OFFICER
- 3. History
- 5. Chief complaint • Defective vision • Watering and discharge • Redness • Asthenopic symptomes • Photophobia • Burning sensation • Itching • FB sensation • Pain • Headache • Deviation of eye • Diplopia • Black spot in front of eye • Color halos • Distorted vision
- 6. History of present illness • Mode of onset with duration • Severity • Progression • Accompainment of each symptomes
- 7. History of past illness • It is specially important in recurrent condition such as herpes simplex kertities, uveitis and recurrent corneal erosions • Similar complaint of other eye is impotant in bilateral condition such as uveitis, senile cataract, retinal detachment • Ocular surgery past • History of drug taking (steroid drug)
- 8. Family history • Congenital cataract • Ptosis • Squint • Corneal dystrophies • Glaucoma • Refractive error • RP
- 9. Defective vision Sudden painless loss of vision Sudden painful loss of vision Gadual painless loss of vision Gradual painful loss of vision Night blindness DOV at near only
- 10. Extraocular movement • 4 Rectus • 2 Oblique
- 12. Ocular examination • Testing of visual acuity • External ocular examination • Fundus examination
- 13. Testing of visual acuity • Distance (with and without glass) • Near
- 14. External Ocular examination • Examination of head posture • Examination of forehead • Examination of eyebrows • Examination of eyelids • Examination of lacrimal apparatus • Examination of eyeball as whole • Examination of conjunctiva • Examination of scela • Examination of cornea • Examination of anterior chamber • Examination of iris • Examination of pupil • Examination of lens • Measure IOP
- 15. Examination of eyeball as whole
- 18. Abnormalities of eyelid • Poliosis • Distichiasis • Trichiasis • Madarosis • Ptosis • Entropion • Ectropion • Blepharitis
- 20. Examination of lacrimal apparatus
- 21. Dacryocystitis • Congenital • Chronic dacryocystitis • Acute dacryocystitis
- 22. Sac syringing
- 28. Congenital corneal anomalies • Megalocornea • Microcornea • Cornea plana • Congenital cloudy cornea
- 29. Ectatic condition of cornea • Keratoconus • Keratoglobus • Keratoconus posterior
- 30. Abnormalities of corneal transparency • Corneal oedema • Drying of cornea • Deposition on cornea • Imflammmation of cornea • Corneal degenration • Dystrophies of cornea • Vascularization of cornea • Scaring of cornea
- 32. Examination of anterior chamber
- 33. Angle of anterior chamber
- 38. cataract
- 39. Measure IOP
- 43. Posterior segment disease • Vitreous hemorrhage • Retinal detachment • Diabetes retinopathy
- 46. Thank you