Taking a Good Ocular History


History of Present Illness

  • Duration, onset, and timing of symptoms Ophthalmology 
  • Presence, severity, duration (constant or intermittent), and quality of painHistory of similar presentation 
  • Ocular symptoms: flashes, floaters, double vision, blurry vision, sudden loss of vision, blind spots, or curtain coming down over vision 
  • Review of systems 
  • Past Ocular History: 
    • Do you wear glasses, distance/reading/both? Contact lenses and proper use (no rewearing, sleeping, swimming, showering in them, etc.)? Last time you saw an eye doctor? 
    • History of eye surgeries, intraocular injections, eye drops 
    • History of any other eye conditions: cataracts, glaucoma, macular degeneration, diabetic retinopathy, infections, trauma to eye 
  • Medical History: diabetes, autoimmune disease, immunodeficiency, malignancy 
  • Family History: family history of any eye diseases as above 
  • Social History: tobacco, alcohol, illicit drugs, sexual activity, exposures

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