Current
Symptoms
Describe any recent changes in
your vision.
Sudden changes in vision are
associated with acute problems
such as head trauma or increased
intracranial pressure
Do you experience blind spots? Scotoma is a blind spot that is
surrounded by either normal or
slightly diminished peripheral
vision
 
Do you see halos or rings
around lights?
Seeing halos around lights is
associated with narrow-angle
glaucoma
 
Do you trouble seeing at night? Night blindness is associated with
optic atrophy, glaucoma and
vitamin A deficiency
 
Do you experiencing double
vision?
Double vision (diplopia) may
indicate increased intracranial
pressure due to injury or a tumor
 
Do you have any eye pain.
Describe?
Burning or itching pain is Usually
associated with allergies or
superficial irritation
 
Do you have any redness or
swelling in your eyes?
This could be related to an
inflammatory response caused by
allergy, foreign body or bacterial
or viral infection
 
Do you experiencing excessive
watering or tearing of the eyes
the excess tearing. Excessive
tearing (epiphora) is caused by
exposure to irritants or obstruction
of the lacrimal apparatus
 
Do you have any eye discharge? Discharge other than tears
suggesting bacterial or viral
infection
 

 

Material File