Medical history (history of the patient) represents an important component in the diagnosis of increasing visual impairment. Family history What is the general health of your relatives? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are you exposed to … Visual Impairment: Medical History
Eyes and ocular appendages (H00-H59). Age-related (or senile) macular degeneration (AMD)-degenerative disease of the macula lutea (yellow spot of the retina)/loss of central visual acuity. Amblyopia (severe visual impairment/weakness of one or, rarely, both eyes), toxicity-related Chorioretinitis – inflammation of the choroid (choroid) with retinal (retina) involvement. Diabetic retinopathy – retinal disease caused by diabetes … Visual Impairment: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Eyes Ophthalmic examination – examination of the eye with a slit lamp, determination of visual acuity, determination of refraction (refractive properties of the eye); stereoscopic … Visual Impairment: Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment, if necessary urine culture (pathogen detection and resistogram, i.e. testing of suitable antibiotics for sensitivity/resistance). Fasting blood glucose (fasting glucose), if necessary oral glucose tolerance test (oGTT). Laboratory parameters 2nd order – depending … Visual Impairment: Lab Test
Obligatory medical device diagnostics. Ophthalmoscopy – to view the fundus (back of the eye), especially examination of the retina (retina), optic papilla (optic nerve papilla) and blood vessels supplying them (central retinal artery with its branches). Vision test – examination and determination of visual acuity or so-called visual acuity. Tonometry (intraocular pressure measurement) Perimetry (visual … Visual Impairment: Diagnostic Tests
The following symptoms and complaints may occur together with Increasing visual impairment: Leading symptom Increasing visual impairment Associated symptoms Veiled fundus (fundus of the eye); the fundus (= visible internal structures of the posterior pole of the bulbus oculi) includes: Retina (retina) with macula lutea (yellow spot). Arteria centralis retinae with its branches. Papilla nervi … Visual Impairment: Symptoms, Complaints, Signs
