symptomsinophthalmology-190702175452.pptx
- 1. PRESENTATION BY NAZNEEN NASIR
- 2. WHAT ARE SYMPTOMS? subjective evidence of disease or physical disturbance Or What the patient feels and describes it to the doctor.
- 3. Symptoms in ophthalmology 皃Related to vision 皃Pain 皃Symptoms associated with external diseases related to eyelids ,eyelashes ,conjunctiva or cornea 皃Symptoms related to internal diseases involving retina ,vitreous, vessels and nerves related to eye
- 4. Symptoms related to vision 皃For example ; 皃 Blurred vision 皃 Decreased vision 皃 Vision loss 皃 Night blindness 皃 photophobia 皃 Floaters ,halos around light, flashes, dark spots in vision 皃 Eye strain
- 5. Symptoms related to eyelids ) 皃 Lumps or swelling 皃 Eyelids turned in (entropion) 皃 Eyelids turned out (ectropion 皃 Crusts 皃 Drooping of lids 皃 Spots 皃 Spasm or twitching 皃 Limited movements 皃 Eyelashes touching cornea or conjunctiva
- 6. COMMON OCULAR SYMPTOMS 皃 Redness 皃 Hemorrhage 皃 Burning 皃 Itching 皃 Grittiness 皃 Discharge 皃 Foreign body sensation 皃 Irritation 皃 Spot 皃 Swelling 皃 Tearing 皃 Any new growth
- 7. RELATED TO ORBIT 皃Outward Protusion 皃Inward displacement 皃 Restricted movements
- 9. Symptoms related to vision 皃 Vision loss 皃 Blurring of vision 皃 One eye involved or both eyes. 皃 Mode of onset (gradual or sudden) 皃 Painful or painless 皃 Duration 皃 For distance or near 皃 Time of day when it is maximum 皃 Any associated symptom ( diplopia, flashes,halos,photophobia, headache ,nausea vomiting,blepharospasm,lacrimation)
- 10. Sudden painless vision loss 皃Vitreous hemorrhage 皃Retinal detachment 皃Optic neuritis 皃 Central retinal artery occlusion 皃Central retinal vein occlusion
- 11. Sudden painful vision loss 皃 Acute congestive glaucoma 皃Trauma 皃Chemical injuries 皃Foreign body 皃Giant cell arteritis
- 12. Gradual painless dimness of vision 皃Cataract 皃Open angle glaucoma 皃 Age related macular degeneration 皃Diabetic retinopathy 皃Corneal dystrophy 皃Optic atrophy
- 13. Gradual painful vision loss 皃 Corneal ulcer /keratitis 皃Chronic iridocyclitis
- 14. Transient vision loss (amaurosis fagax) 皃Migraine 皃Carotid artery disease 皃Papilloedma 皃 Prodormal symptom of CRAO
- 15. FLOATERS 皃 Vitreous degeneration 皃Exudates in vitreous 皃Uveitis 皃Vitreous hemorrhage
- 16. Night blindness 皃VitaminA deficiency 皃Retinitis pigmentosa 皃pathological myopia 皃 Peripheral cortical cataract
- 17. Day blindness (hamarlopia) 皃 Central nuclear or polar cataract 皃Central corneal opacity 皃Central vitreous opacity 皃Congenital deficiency of cones
- 18. Flashes of light 皃 Posterior vitreous detachment 皃Retinal detachment 皃Traction bands in retina
- 19. Distorted vision 皃Micropsia (small size objects) 皃Macropsia (large size objects) 皃Metamorphopsia (distorted shape of object) 皃In macular diseases
- 20. Halos around light 皃Acute congestive glaucoma 皃Mucupurulent conjunctivitis 皃 Mature or hypermature cataract
- 21. Diplopia 皃 Binocular 皃 Paralytic and restrictive strabismus 皃 Nerve palsy ,myesthenia gravis, thyroid eye diseases ,blow out fracture of globe 皃 Uniocular 皃 Subluxated lens 皃 Double pupil 皃 Decentered IOL 皃 High astigmatism
- 22. Watering from eye 皃Lacrimation 皃Epiphora ( due to nasolacrimal system block) 皃Foreign body 皃Irritation 皃infection
- 23. Discharge from eyes 皃Watery 皃 Purulent or mucopurulent 皃Hemorrhagic 皃Ropy discharge
- 24. Itching ,burning or foreign body sensation 皃 Conjunctivitis 皃Trachoma 皃Dry eyes 皃Trichiasis 皃 Foreign body
- 25. RED EYE 皃 Subconjunctival hemorrhage 皃Conjunctivits 皃Episcleiritis 皃Corneal ulcer 皃Acute congestive glaucoma 皃Anterior uveitis 皃 Scleritis 皃 trauma
- 26. Ocular or periocular pain 皃 Acute congestive glaucoma 皃Uveitis 皃Trauma 皃Giant cell arteritis
- 27. Headache 皃Pseudotumor cerebri 皃 Refractive error ( mostly astigmatism) 皃Sinusitis 皃Migraine
- 28. PHOTOPHOBIA 皃corneal abrasion 皃 uveitis 皃meningitis. 皃detached retina 皃 contact lens irritations 皃 sunburn 皃 refractive surgery.
- 29. Asthenopic symptoms or eye strain 皃 Convergence or fusional insufficiency 皃Refractive error 皃astigmatism