Visual Disorders: Medical History

The medical history (history of the patient) represents an important component in the diagnosis of the visual disorder.

Family history

  • Are there any eye diseases in your family that are common?

Social anamnesis

Current medical history/systemic history (somatic and psychological complaints).

  • When did the visual disturbance occur? Describe the nature of the visual disturbance:
    • Flicker
    • Black dots*
    • sudden appearance of dense black or red spots in the visual field (sooty rain)* .
    • Blurred/distorted vision*
    • wavy vision*
    • Visual field loss*
    • rapid, progressive loss of vision
    • Total blindness*
  • What changes have you noticed?
  • Does the change occur in one eye or on both sides?* .
  • Does the visual disturbance change? Does it get worse? Does it get better again?
  • Have there been any other symptoms such as headaches, nausea, etc.?
  • Has this symptomatology occurred before?

The sudden loss of vision is always an emergency, no matter how long it lasts!

Vegetative history including nutritional history.

  • Do you smoke? If so, how many cigarettes, cigars, or pipes per day?
  • Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?
  • Do you use drugs? If yes, which drugs and how often per day or per week?

Self history incl. medication history.

  • Pre-existing conditions (eye diseases, infections)
  • Operations (eye surgery)
  • Radiotherapy
  • Vaccination status
  • Allergies
  • Pregnancy
  • Environmental history

Medication history

  • Amiodarone
  • Chloramphenicol
  • D-Penicillamine
  • Ethambutol
  • Isoniazid
  • Methanol
  • Streptomycin
  • Sulfonamide

Environmental history

  • Arsenic
  • Lead

* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)