ENGLISH GUIDE TO
COMMON EXAMINATION PHRASES
OCULAR DISEASE
2011-10
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ENGLISH GUIDE TO COMMON EXAMINATION
GREETINGS
1 Good morning/aftemoon/evening. Welcome Mrs . How are you today? Sit down please. I am Dr .
2 I am sorry you had to wait. We are very busy today. 3 How did you hear about us? CASE HISTORY PATIENT PROFILE
4 How old are you? When is your birth date? CHIEF COMPLAINT (FOLDARS)
5 How can I help you? What is the reason for your visit? 6 Who referred you to me? For what reason?
7 Have you noticed any changes in your vision? Do you have any problems with your vision or your eyes? Can you see things well at near?. What about things which are far away? / Do you see well far away and up close?
8 Which eye or both? (Do you have questions? )
9 Can you show me? (Did you understand everything that I told you? )
10 When did this happen? /When did it start? / Since when have you had this problem? (Don't mention it. )
11 Was the change sudden or gradual? ( Same to you. ) 12 How long have you had it? (You are very kind. ) 13 When was the last time it happened?
14 How often have you had this problem? Do you have it all the time/always/once in a while/almost never?
15 Was the change sudden or gradual? 16 How long does it last? 17 Tell me, where does it hurt?
18 Excuse me? Can you please repeat what you told me? I didn't understand you completely. You told me that, correct? VOCATION
19 What type of work/do you do?
20 Are you working? Do you work on a computer? AVOCATION
21 What sports or hobbies do you do? PEH
22 Is this your first eye exam? 23 When was your last eye exam?
24 Do you wear glasses or have you worn them in the past? For distance? For reading? 25 Have you had any injuries to your eyes or surgery performed on your eyes? 26 Have your eyes been dilated before?
27 Did the doctors ever tell you that you have an eye disease? 28 What did the doctors tell you? 29 How long are your glasses?
30 How are you doing with your glasses?
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31 Do they still work well?
32 Did you bring your glasses?
33 Have you used contact lenses before?
34 What care system do you use for the lenses; OptiFree Express, Renu? 35 Are they hard or soft?. 36 Are they disposables?
37 Why did you stop using them? 38 Do you know the brand of contact lens
39 Ho long are the lenses that you are using now? 40 How is your vision with your lenses?
41 Normally, what time do you put them in and take them out?
42 Approximately how long do you use your contact lenses everyday? 43 Do you know if you have any eye disease such as glaucoma? 44 Have you had infections of the eyes? 45 How did you lose this eye? What happened? 46 Do you feel something in your eye? 47 Do your eyes get red?
48 Do you wake up with discharge in your eyes? 49 Do vou have difficulty seeing at night? 50 Does the sun bother you a lot? 51 Are you very sensitive to light?
52 Do you see cobwebs/spots in your vision?
53 Do you see flashes of light like lightning/little lights? .54 Did a stick penetrate your eye?
55 Do you think it is a small piece of wood or metal? 56 Do your eyes feel very dry? 57 Do your eyes bum or hurt? 58 Do your eyes itch?
59 What are you doing when it hurts? 60 When you read a lot does it hurt? 61 Have you ever seen double?
62 Are you seeing things double right now? 63 Do you drink much alcohol? 64 Do you smoke?
65 I need to perform some tests to make sure this is the reason FEH(family eye history)
66 is there anyone in your family who has glaucoma, cataracts, any eye turn(strabismus) or is blind?
PMH(patient medical history)
67 When was your physical exam? 68 How is your general health?
69 Do you have any problems with high blood pressure, diabetes? 70 Who is your primary care doctor?
71 Do you know if your diabetes is type I or II
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72 How was your blood sugar level? 73 What was your Hba1c level? 74 How long have you had diabetes? 75 Any fluctuation in vision? FMH(family medical history)
76 Does anyone in your family have Htn(hypertension), Cancer, Dm? 78 Are you taking any medications, vitamins or eyedrops? 79 For what reason do you take the medicines? ALLERGIES
80 Are you allergic to any medications?
81Can you put these glasses on? Can you take them off ? ENTRANCE TESTING VISUAL ACUITIES
82 Cover your right/left eye.
83 Without squinting, please read the smallest letters you are able to read on the chart (here / there) It's OK to guess.
84 Can you see the last line?
85 Read me this line and the next and the one below? 86 These letters are extra. Most people can't read those. 87 Those letters are very small. Few can read them. 88 Can you make them out?
89 Look through these holes. Pick one to look through. Do they help you? COVER TESTNERSIONS/NPC
90 We are checking to see if you have any problems with your eye muscles. 91 Please keep your eyes focused on this letter while I cover your eyes. 92 I am checking how well your eye muscles work as a team.
93 Without moving your head, please follow this target by moving your eyes only. 94 I am checking how well your eyes can sustain focus.
95 I am going to bring this close to you. Keep looking at it and let me know if it splits into two. CONFRONTATIONS
96 I am Checking how well your side vision is.
97 Cover this eye and look at my right eye. Without looking off to the side, let me know how many fingers I am holding_up altogether STEREO
98 I am checking how good your depth perception is. Tell me which of the circle in box #1 seem to come off the page. REFRACTION
99 I am getting an estimation of your prescription. Don't look at my light, but look at the letter far away.
100 I am going to cover one eye.
101 I am going to have you make several choices between two lens. There are no right / wrong answers, just tell me what you prefer.
102 Looking at the chart far away, let me know as soon as you can start to read the letters on the second last row.
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103 Comparing this lens #1 and this second lens #2 which one looks clearer and sharper. 104 Whenever they look the same, just let me know. 105 Things may look blurry with this lens. 106 Try to read these Blurry letters.
107 Close your eyes while I set some special lenses in place.
108 Are you able to see two rows of letters: one above and the other below.
109 Comparing the top and bottom row, which row looks sharper / clearer? The top one or the bottom one? 110 I am going to dim the lights. Comparing the red side and green side, the letters on which side looks darker / more black.
111 Now we are checking a prescription for reading glasses. I am going to put lenses in front of you to see how well you can focus. Try your best to keep the letters focused but let me know when it becomes too blurry to read.
112 Do you see two boxes of letters? I am going to use special lenses to move the letters. Let me know when the box once top is lined up directly with the one below it like one ice-cream scoop on top of another. 113 Let me know when the letters are blurry, when you see double and when they appear one again. 114 I am going to check the health of the front part of your eyes to look for signs of infection, cataracts.
115 Please rest your chin here and forehead here and close your eyes. I am going to move your chair.
116 I am looking at a magnified view of your lashes. Open your eyes and then look up. I am going to touch your lids.
117 Look right, look left, look straight ahead and look down, blink, try to keep your eyes open, look over here / there.
118 I am going to place drops in your eyes. It will sting. But try not to rub your eyes. 119 Look at direction of my ear over here. Pick a point far away to look at. I am checking your eye pressure. It is one of the way we check for signs of glaucoma. You will see a blue light and this is going to come close and touch your tears. Remember to breath .
120 I am using this to check the health of the back area of your eyes to look at your blood vessels and check for signs of high blood pressure, diabetes in your eyes. The light will be bright.
121 I am going to shine a light at your eyes to see how well your pupils, the black part of your eyes respond to light. It lets me know how well the connection from your eyes are to the brain. Cataracts
122 You have the beginnings of cataracts.
123 Right now they are not affecting your vision, but in the future it is possible they will.
124 Cataracts are very common. This is a normal age related change or it could be from medications. The cataract will continue to progress. You will eventually need surgery and replace new lens in your eye.
125 Your crystalline lens inside your becomes cloudy. Many older people have cataracts. Like how our hair color changes with age; with our lens, the same thing happens. It begins to get more yellow with age.
126 The cataracts aren?t mature yet. They are not ready for surgery. Perhaps in five years they
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