History Taking

Dr. Amani Badawi

Assistant Professor, Ophthalmology Amani Badawi

History

Outline for History Taking

  1. Personal Details: Name, Address, Age, Occupation
  2. History of Present Complaint
  3. General Health and Medications: DM, HTN, Endo, CNS, Rheumatoid, Hypothyroid
  4. Past Ophthalmic Medical and Surgical History
  5. Family History

Good History Must Include

  • Ocular Symptoms: Time of onset, eye affected, associated non-ocular symptoms.

  • Past Ocular History: Poor vision in one eye since birth, recurrence of previous disease, particularly inflammatory.

  • Past Medical History: Hypertension, diabetes, systemic inflammatory disease.

  • Ocular Operation History

  • Drug History: Some drugs like chloroquine may be toxic to the eye.

  • Family History: Inherited ocular diseases like retinitis pigmentosa, glaucoma.

  • Trauma History

  • Allergies