APPROACH TO OPTHALMOLOGY

Question 1

HISTORY

Answer 1

HPI
Vision Loss
Eye pain / discomfort (ache, burn, throb, pruritis)
Photophobia
Change in appearance
Injury:
Projectiles / Foreign body
Exposure to chemicals

Flashers
Floaters

OCULAR HX
Previous Ocular disease
Previous Ocular surgery
Use of corrective lenses / Contact lenses

RELEVANT PMHx
Diabetes
HTN
Autoimmune Disease

RELEVANT ROS
Nausea/Vomit
Abdo Pain
Blood in stool
Mouth Ulcers
Skin change
Back pain
Joint pain

Question 2

PHYSICAL EXAM

Answer 2

Visual Acuity (VA)
Confrontational Visual Fields (CVF)
Extra Ocular Movement (EOM)

Pupillary Reactions:
Direct pupillary response (PERRLA)
Afferent pupillary response
Swinging flashlight
Accommodation / Convergence

Lids and Adenexa
Conjunctiva and Sclera

Slit Lamp:
Cornea
Anterior Chamber
Iris
Lens

Intra Ocular Pressure (IOP)
Fundoscopy