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MUDr. Pavel Stodůlka,PhD. stodulka@zln.cz www.LASIK.cz
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Medical history in ophthalmology Medical history in ophthalmology Pavel Stodůlka stodulka@lasik.cz www.lasik.cz www.gemini.czwww.lasik.czwww.gemini.cz
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Well done medical history = half of diagnosis Well done medical history = half of diagnosis
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Medical history u get in touch with a patient u contemporary troubles u overall health
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3 kinds of troubles u visual decrease / lost u pain u unusual eye appearance
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VISUAL DECREASE u sudden u progressive
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SUDDEN BLINDNESS u CRAO - Centr. Ret. Art. Oclusion u amaurosis fugax u neuritis n. II u haemophtalmus
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VISUAL DECREASE u decreased central vision u decreased peripheral vision - defect in visual field - defect in visual field = scotoma = scotoma
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DIPLOPIA u monocular u binocular
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STRABISM - squint u convergent = esotropia u divergent = exotropia
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PAIN u feeling of foreign body u hemicrania u accomodative pain u pain behind the eye
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EYE APPEARANCE u subconjunctival suffusion u squint u exoftalmus u gray cornea u white pupil
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GENERAL DISEASES u cold u diabetes mellitus u arterial hypertension u diseases of connective tissue u drugs – Daraprim
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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
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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
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BREAK BREAK MUDr. Pavel Stodůlka,PhD. stodulka@zln.cz www.LASIK.cz
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