Term
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Definition
CC: "eye strain"
Age: school age to 50s
Time: Late in day, After near tasks |
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Term
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Definition
CC: "distance blur and clear up close"
Age: school age to 20s
Time: constant, worse at night |
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Term
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Definition
CC: "blur or shadows around letters," "ghost images"****, "monocular double vision"
Age: school age to 40s
Time: all the time |
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Term
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Definition
CC: "eye strain, loss of close reading, difficulty in dim light, arms are too short"
Age: Adult age 39 and up, stable after 54
Time: all the time |
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Term
Accommodative Dysfunction
Accommodative Insufficiency |
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Definition
CC: "words blur after 10-20 minutes of near work with HAs and distance blur after reading," "Pt has to push AWAY reading material"
Age: school age to 20s
Time: could be after reading or all of the time at near |
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Term
Accommodative Dysfunction
Accommodative Spasm |
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Definition
CC: "words blur after 10-20 minutes of reading," "Pt has to hold CLOSER reading material"
Age: school age to 20s
Time: could be after reading or all of the time at near |
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Term
Binocular Dysfunction/
Vergence Dysfunction |
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Definition
CC: "double vision at night," "double vision when reading," "discomfort around eyes," "words run together or move during reading," "skipping lines when reading or loss of place"
Age: school age to 40s
Time: all of the time, but most notable at near or video screen; may see distance complaints at night, intermittent |
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Term
Optical Quality/
Optical Distortion
(Tears) |
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Definition
CC: "difficulty with glaring lights," "constant or occasional distance blur," "decrease in night vision," "halos or rings around lights"
Age: 40 yo and up
Time: all of the time, often at distance after video screen tasks or driving, only lasts for a few minutes after blinking |
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Term
Optical Quality/
Optical Distortion
(DM) |
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Definition
CC: "difficulty with glaring lights," "constant or occasional distance blur," "decrease in night vision," "halos or rings around lights"
Age: 40 yo and up
Time: all of the time, often at distance after video screen tasks or driving, Sx fluctuate day to day |
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Term
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Definition
CC: "ghost images," "lights double at night"
Age: any age (Sx clear cut or vague)
Time: may be persistent or intermittent |
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Term
Photopsia
(Vitreoretinal Cause) |
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Definition
CC: "light bulb flash," "zig-zag lines," "blue streaks at night," "stars or sparkles"
Age: any age
Time: short duration
What would the cause if you often see floaters? |
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Term
Ocular Discomfort
(think Sinus or Teeth) |
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Definition
CC: "ache around my eyes," "irritation or burning," "pain when I blink," "lights hurt my eyes"
Age: any age
What would it be if the most common complaint was "ache around the eyes"? |
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Term
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Definition
CC: "eyes turn blood red," "road map eyes," "lids stuck together," "dry and burning eyes"
Age: young |
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Term
Red Eyes
Dry Eyes/ Poor Tears |
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Definition
CC: "eyes turn blood red," "road map eyes," "lids stuck together," "dry and burning eyes"
Age: adults |
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Term
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Definition
CC: "halos or rings around lights," "difficulty with glaring lights," "lights look like shooting stars"
Age: any age |
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Term
Photophobia
(Uveitis/Iritis if Yes)--> (Consensual Photophobia Test) |
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Definition
CC: "have to wear sunglasses when I go out in daylight," "I can't open my eyes up in the light," "lights make my eyes water," "on coming car lights are painful"
Age: any age, most often young blue eyes (idiopathic)
F/U: "Does the eye hurt when it is covered and a light is shown in the other eye?" ...If Yes, then what? What is the test too? |
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Term
Vision Loss
(think Vascular) |
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Definition
CC: "cant see out of one eye," "having vision spells," "cant see to one side," "hole in the center of my vision"
Age: older Pts, can be teens and up
Time: Episodic may last minutes to hours |
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Term
Vision Loss
(think Retinal or Optical) |
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Definition
CC: "cant see out of one eye," "having vision spells," "cant see to one side," "hole in the center of my vision"
Age: older Pts, can be teens and up
Time: gradual constant loss |
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Term
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Definition
CC: "headache"
Age: children and up |
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Term
Ocular Discomfort
(think Dry Eye) |
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Definition
CC: "ache around my eyes," "irritation or burning," "pain when I blink," "lights hurt my eyes"
Age: any age
What would it be if the most common complaint was "irritation or burning"? |
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Term
Photopsia
(Vascular Cause) |
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Definition
CC: "light bulb flash," "zig-zag lines," "blue streaks at night," "stars or sparkles"
Age: any age
Time: long duration (10 to 20 minutes)
What would the cause if you often had migraines? |
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Term
Diplopia
(secondary to Cataracts) |
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Definition
CC: monocular diplopia
Age: older patients |
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Term
Diplopia
(decompensating vertical phoria) |
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Definition
CC: binocular diplopia
Age: older patients |
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Term
|
Definition
| CC: sudden onset of any incomitant binocular Sx |
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Term
|
Definition
-"far sighted"
- not enough power or eye is too short
- Pt can accommodate to clear the distance, but has to focus more at near |
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Term
|
Definition
-"near sighted"
- squinting helps
- too much power or eye is too long
- eyes are focused for near |
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Term
|
Definition
| - warpage of cornea (causes slight blur or "double image" at ALL distances) |
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Term
|
Definition
- loss of near vision as part of normal aging
- can occur in conjunction with myopia, hyperopia, and/or astigmatism |
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Term
| Accommodative Dysfunction |
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Definition
- inability to hold clear near vision or a spasm of near focus under 35 yo
- most notable at near or on video screens
- may see distance blur after reading
-***watch for side effects of medicaiton |
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Term
Binocular Dysfunction/
Vergence Dysfunction |
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Definition
| -***head tilts are common! |
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Term
Optical Quality/
Optical Distortion |
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Definition
- loss of sharp optic transmission due to degrading of tears, cornea, or lens
- CL wearers
- often with Sx of burning dry eyes (with allergy Sx) |
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Term
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Definition
| - Sx of double vision, can binocular (vergence or neurologic) or monocular (optical or retinal) |
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Term
|
Definition
| -associated with S&S of HTN, HA, Trauma, Retinal Detachment, Stroke, Vertigo |
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Term
|
Definition
- Sx vary from asthenopia to compelling pain arising or localizing in the eye or peri-ocular tissues
- often with other S&S of redness, tearing, HAs, FBs
- often associated with refractive errors, vergences, lighting, time at near tasks, stress, allergies |
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Term
|
Definition
- increased visibility of conjuctival vessels
- Sx range from a mild sting or irritation to compelling pain and nausea
- often with allergies, CL, exposure, infections, medications, pollutants, trauma, uveitis |
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Term
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Definition
- reports of rings around light or streaks shooting out of lights at night
- due to edema or water in cornea or lens
- CL wearers, old persons, associated with glaucoma, corneal degeneration, cataracts, DM |
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Term
Halos or Rings
(think corneal/tears) |
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Definition
CC: "halos or rings around lights," "difficulty with glaring lights," "lights look like shooting stars"
Age: younger |
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Term
Halos or Rings
(think Cataract) |
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Definition
CC: "halos or rings around lights," "difficulty with glaring lights," "lights look like shooting stars"
Age: older |
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Term
|
Definition
- abnormal sensitivity to light
-***ocular pain with light
- often with infections, medications, trauma, ***uveitis |
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Term
|
Definition
- diminution of vision in part or all of the visual field in one or both eyes
- constant or episodic visual disturbances
- gradual or sudden
- often with Sx of cataracts, CHD/CVD, HTN, HA, migraine, trauma, TIA, stroke, smoking, vertigo, etc. |
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Term
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Definition
| - reports of pain, discomfort around, top of, through, under the head |
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