L18 Flashcards
(12 cards)
What does the acronym LOFTSEA stand for?
Location, Onset, Frequency, Type, Self-treatment, Effect, Associated symptoms.
Why is LOFTSEA used?
To guide clinical questioning based on patient complaints and symptoms.
What are key general observations to record?
Physical appearance, head position, eyelid and eye abnormalities, speech, emotional state, mobility.
What is the importance of general health in eye exams?
Systemic diseases like diabetes and hypertension can have ocular manifestations.
What symptoms should be screened for during history taking?
Blurred vision (DV/NV), asthenopia, headaches, pain/burning, diplopia, flashes, floaters.
What is asthenopia?
Eye strain that may be visual or pathological in origin.
What should be asked about contact lens use?
Type, duration, care routine, last aftercare, satisfaction, and daily wear habits.
What is the relevance of family ocular history?
Conditions like strabismus and glaucoma may be hereditary.
What are tips for effective case history?
Keep logical order, avoid repetition, record positive/negative responses clearly, ensure confidentiality.
What comes after history and symptoms in the exam routine?
Visual acuity testing (distance and near), PD measurement, and trial frame fitting.
What visual acuity tests may be used?
Snellen chart, logMAR, Sheridan Gardener, Kay picture chart, based on patient needs.
Why is it important to measure both unaided and aided vision?
To evaluate baseline vision and effectiveness of current correction.
