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Early Eye Exams As early as 2000 BCE there were references to patients being afflicted with diseases of the eye which could be treated by physicians. The codes of Hammurabi enforced severe penalties, such as having their hands cut off, for doctors that performed operations which resulted in the loss of an eye.
Ocular History (Ocular Hx)
Create a Checklist Greet patients and introduce yourself. Ask why the patient is being seen. Inquire about previous medical and surgical history. Ask about allergies and current medications. Request information about family medical history. Ask about social history, as well as smoking and drinking.
As with all other specialties, a detailed ocular history is crucial to diagnosis. You should explore every complaint with the basic questions when did it start, whats it like, is there anything that makes it better or worse, are you taking any medications for relieve, etc..
Past eye history History of similar eye complaints in the past. History of similar complaints in the other eye is important in bilateral conditions such as uveitis, cataract. History of past trauma to the eye may explain occurrence of conditions such as cataract and retinal detachment. History of eye surgery.
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Questions to ask for the HPI: Did your vision come back or stay gone? - How long did you lose vision for? (seconds, minutes, etc.) Are both eyes or one eye affected? - Which parts of the visual field are affected in each eye? Is there pain? Is there redness?
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.

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