The document provides guidance on evaluating patients presenting with eye symptoms. It lists common eye complaints and recommends asking questions to develop the chief complaints in a concise and chronological manner, including details on onset, progression, affected eyes, previous treatments, aggravating factors and medical history. Potential infectious and non-infectious diseases that could be underlying causes are listed. Medications that could impact the eyes are also noted, as well as relevant family history details.

1. By
Dr Abid Ahmad Sofi
3rd year MEM

2.  Blurred vision and double vision.
 Pain and Red eye.
 Itching and unable to read small print.
 Discharge and abnormal appearance.
 Asthenopia and headache.
 Floating spots and light flashes.
 Tearing.

3.  Briefly explore and develop chief complaints.
 Be concise , focussed and chronological.
 1.When did the problem begins.
 2. What happened.
 3. How was the progression.
 4. Where one or both eyes are affected.
 5. What treatment was received.
 6. What are aggravating factors.
 7. Course of symptoms

4.  Any ocular medications ,surgery or eye
hospital visits.
 Use of spectacles ,contact lens etc.
 Last time spectacles where changed.

5. A : Infectious diseases :-
 Toxoplasmosis , Toxocariasis , TB , Syphilis ,
Leprosy , HIV and CMV.
 B : NON Infectious diseases :-
 Endocrine – diabetes and Thyroid.
 Connective tissue diseases –
RA/SLE/WEGENERS/PAN/SYSTEMIC
SCLEROSIS.
 Sarcoidosis.
 Behcet `s disease.

6.  Beta blockers.
 Anticoagulants.
 Steroids [causes glaucoma].
 Topical Gentamycin [causes epthelial toxicity]
familyhistory
 Myopia and eye blindness.
 Squint and glaucoma.
 Eye cancers.

27. THANK YOU
FOR
YOUR ATTENTION