This document outlines the key areas to cover in an eye examination history. It discusses collecting information on the patient's ocular history, medical history, medications, allergies, family history, visual tasks, and pediatric-specific considerations like prenatal, birth, and postnatal history. For squint cases, it notes the importance of gathering details on the direction and nature of deviation. Taking a thorough history is important for understanding the onset, progression, and treatment of any eye conditions.

1. OPTOM ASKAR.PK

2.  History
 Vision evaluation
 Field
 Colour vision
 Binocularity

3. LVn ASSESSMENTCOLOUR VN GLARE TEST

5.  SYSTEMIC
 OCULAR
 TASK RELATED

6.  Onset
 Disease appearance
 Progression
 Treatment

7. Past ocular history
 Previous eye examinations and
treatments, injuries to the eye,
surgeries to the eye and any other
medical procedures involving the eye
like the laser treatments etc.

8. Past medical history
 Diabetes, Hypertension.
 Arteriosclerosis, Heart disease.
 Migraine and other headache
 Thyroid disorders, multiple sclerosis…..

9. Medications used by the patient
 The name of the drugs used for both the
systemic and ocular pathologies, their
concentration, dosage & the time of last
application must all be noted and updated at
subsequent visits.

10. Allergies
 Allergies to drugs like Sulpha groups,
penicillin, steroids might help in planning
the treatment modality for many ocular
diseases
 Because the above mentioned drugs
might have been included in a drug which
is used to treat certain ocular
conditions.

11. Family ocular/health history
 This becomes more important in ocular
pathologies like glaucoma, retinal
degenerative conditions like retinitis
pigmentosa and others, diabetic and
hypertensive retinopathies, squint etc.,

12.  Day- to-day problem visual task
oDistance – street signs, traffic light, face,
watching TV & black board work
oIntermediate – seeing the
computer, food on the plate, reading
musical notes and enjoying hobbies.

13. HISTORY AND PRELIMINARY WORKUP IN
PAEDIATRIC CASES
 How the problem was detected and what?
 Decreased vision
 Squint
 White reflex
 Nystagmus

14. PEDIATRIC CASE
 Pre natal
 Birth history
 Post natal history

15. PRE NATAL
 Fever & skin rashes (Torch's infection)
 Immunization
 Injury
Pre-natal factors
1. Maternal age at the time of delivery
2. H/o maternal infections
/medications/Radiation therapy

16. Birth history
 Birth weight
 Birth cry
 Home delivery

17. Peri-natal factors
 Normal delivery
 Caesarian/ forceps /traumatic delivery
 H/o premature delivery

18. Family history
 Consanguinity parent
 If its twins (identical or non identical)
 Siblings having similar problems
 Genetic factors

19. Post-natal factors
 Trauma
 H/o Incubation
 H/o Oxygenation / phototherapy
 H/o vaccinations & booster doses

20. Others
 Contact with pets (Toxoplasma,
Toxocara)
 Oral and genital ulceration (Behcet’s
disease)
 Fever, Weight loss, cough (Tuberculosis)
 Immunosuppressive usage.

21. IN SQUINT CASES
 Direction of deviation
 Age of onset
 Deviation constant or intermittent
 Head tilt , turn
 Chin up/down position

22. Past history
 Any treatment for amblyopia associated
with squinting
 Patching
Glasses prescribed
surgery done