MUDr. Pavel Stodůlka,PhD.

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Presentation transcript:

MUDr. Pavel Stodůlka,PhD.

Medical history in ophthalmology Medical history in ophthalmology Pavel Stodůlka

Well done medical history = half of diagnosis Well done medical history = half of diagnosis

Medical history u get in touch with a patient u contemporary troubles u overall health

3 kinds of troubles u visual decrease / lost u pain u unusual eye appearance

VISUAL DECREASE u sudden u progressive

SUDDEN BLINDNESS u CRAO - Centr. Ret. Art. Oclusion u amaurosis fugax u neuritis n. II u haemophtalmus

VISUAL DECREASE u decreased central vision u decreased peripheral vision - defect in visual field - defect in visual field = scotoma = scotoma

DIPLOPIA u monocular u binocular

STRABISM - squint u convergent = esotropia u divergent = exotropia

PAIN u feeling of foreign body u hemicrania u accomodative pain u pain behind the eye

EYE APPEARANCE u subconjunctival suffusion u squint u exoftalmus u gray cornea u white pupil

GENERAL DISEASES u cold u diabetes mellitus u arterial hypertension u diseases of connective tissue u drugs – Daraprim

Medical history in the case of INJURY Medical history in the case of INJURY u description of the injury mechanism u names of the participants

Medical history before cataract surgery Medical history before cataract surgery u most freqent surgery on earth u first or second eye for surgery? u whom operated the first eye u when was the operation performed u type of IOL - intraocular lens

BREAK BREAK MUDr. Pavel Stodůlka,PhD.