Medical history (history of the patient) represents an important component in the diagnosis of glaucoma.
Family history
- Is there a history of frequent eye disease in your family?
Social anamnesis
Current medical history/systemic history (somatic and psychological complaints).
- Have you noticed any visual field loss?
- Has your visual acuity decreased?
- Do you have acute pain in one eye?*
- Does a progressive loss of vision occur at the same time?*
- Do you feel nauseous?
Vegetative anamnesis including nutritional anamnesis.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Do you suffer from sleep disorders?
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
Self history including medication history.
- Pre-existing conditions (eye disease, hypertension, diabetes mellitus, dyslipidemia (hypercholesterolemia), obesity, sleep apnea).
- Injuries of the eye
- Operations
- Allergies
Medication history
- Antidiabetic drugs
- Biguanides (pressure increase of > 1 mmHg = 14% increased risk of developing glaucoma within five years)
- Sulfonylureas (pressure increase of > 1 mmHg = 14% increased risk of developing glaucoma within five years).
- Bevacizum – patients with age-related macular degeneration (AMD) who received seven or more intravitreal injections of this drug per year (2.48-fold increased risk)
- Cortisone (ointment or eye drops), long-term treatment.
Environmental history
- Particulate matter levels – people from neighborhoods in the top quarter of particulate matter levels (PM 2.5) were 6% more likely to suffer from glaucoma than those living in the lowest quarter of particulate matter levels
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)
