Taking a Good Ocular History


History of Present Illness

  • Duration, onset, and timing of visual or eye symptoms
  • Presence of pain, and if yes, describe severity and quality
  • Duration of symptoms: constant or intermittent Ophthalmology
  • History of similar presentation.“Has this happened to you before?”
  • Ocular symptoms: flashes, floaters, curtain, or veils coming down in your field of vision
  • Associated systemic symptoms: nausea, vomiting, fever, chills, headache, neuro deficits

Past Ocular History

  • Do you wear glasses? For distance or reading or both? Contact lenses?
  • When was the last time you saw an eye doctor?
  • History of eye surgeries
  • History of any other eye conditions: cataracts, glaucoma, macular degeneration, diabetic retinopathy

Family History: family history of any eye diseases as above

Social History: tobacco, alcohol, or other illicit drugs


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