Eyes assessment - What are the things to ask?

9. Self-care behaviors. Last vision test? Who tested it?
* Ever tested for color vision?
* Any environmental conditions at home or at work that may affect your eyes? For example, flying sparks, metal bits, smoke, dust, chemical fumes? If so, do you wear goggles to protect your eyes?

Rationale: Self-care behaviors for eyes and vision. Ocular diseases or injuries may be work related, e.g., an auto mechanic with a foreign body from metal working.

10. What medications are you taking? Systemic or topical? Do you take any medication specifically for the eyes?

Rationale: Some medications have ocular side effects, e.g. prednisone may cause cataracts or increased intraocular pressure.


11. If you have experienced a vision loss, how do you cope? Do you have books with large print, books on audio tape, Braille?

* Do you maintain living environment the same?
* Do you sometimes fear complete loss of vision?

Rationale: A constant spatial layout eases navigation through the home.

ADDITIONAL HISTORY FOR THE AGING ADULT
1. Have you noticed any visual difficulty with climbing stairs or driving?

Rationale: Any loss of depth perception.


2. When was the last time you were tested for glaucoma?

* Any aching pain around eyes? Any loss of peripheral vision?
* If you have glaucoma, how do you manage your eyedrops?

Rationale: Assess for any loss of depth perception.

3. Do you have any problem with night vision?

4. Is there a history of cataracts? Any loss of progressive blurring of vision?

5. Do your eyes ever feel dry? Burning? What do you do for this?

Rationale: Decreased tear production may occur with aging.

6. Any decrease in usual activities, such as reading or sewing?

Rationale: Macular degeneration causes a loss in central visual acuity.


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