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For each complaint, ask about: Onset (sudden or gradual) Course (how it has progressed) Duration (how long) Severity. Location (involving one or both eyes) Any relevant associated symptoms. Any similar problems in the past. Previous medical advice and any current medication.
The results indicate that our kind of eyethe type common across vertebratestook shape in less than 100 million years, evolving from a simple light sensor for circadian (daily) and seasonal rhythms around 600 million years ago to an optically and neurologically sophisticated organ by 500 million years ago.
For each complaint, ask about: Onset (sudden or gradual) Course (how it has progressed) Duration (how long) Severity. Location (involving one or both eyes) Any relevant associated symptoms. Any similar problems in the past. Previous medical advice and any current medication.
Opening the consultation. Presenting complaint. History of presenting complaint. Systemic enquiry. Past ocular history. Past medical history. Drug history. Family history.
Diagnosis is best made with the pupil dilated. Well-developed cataracts appear as gray, white, or yellow-brown opacities in the lens. Examination of the red reflex through the dilated pupil with the ophthalmoscope.
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The earliest documented case of cataract was reported to be in a museum in Cairo that houses a small statue from the 5th dynasty (about 2457-2467 B.C.E.) The wooden statue of a priest reader clearly has a white patch carved into the pupil of the left eye, and is thought to represent a cataract.
Using a slit lamp or a special device called an ophthalmoscope, your eye doctor can examine your lens for signs of a cataract. Fluid pressure test. This test, also called applanation tonometry, measures fluid pressure in your eye. There are multiple different devices available to do this.
POH (past ocular history): Ocular history should inquire about past clinic visits and surgeries. Specifically inquire about cataract surgeries, eye trauma, and glaucoma. You can often piece together your patients ocular history by examining their eyedrops.

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