What are some chief complaints we need to pay attention to
- asthenopia
- poor cosmetics
- failed screening
- second option
- family history of strabismus
- Genetic abnormalities
- birth defects
- signs of asthenopia
- developmental concerns (not walking, crawling, etc.)
If someone says they have a constant or intermittent symptom what can this help predict?
Presence of amblyopia and sensory adaptations
If someone says their symptom is worse during a time of day what can this help predict?
AC/A problems, decompensations, when inattentive
What are 2 things you need to ask about onset?
- age
- mode (sudden or gradual)
What are 3 things you need to ask about location?
- D or N
- particular gaze
- unilateral or alternating
What are some things you need to ask about birth history?
- birth weight
- premature?
- complications
- prenatal and perinatal care
What are 4 things you need to look at when looking at the patients appearance?
- head positioning
- head movements
- attentiveness
- motor control (ask to write name)
If someone was a head tilt to the left what does this mean?
A left superior oblique palsy.
–they do this so they dont see double
T/F: the face is placed in the affected muscles diagnostic action field (head tilt)
True
Name some facial asymmetry and syndromes you can direct observe
- Down syndrome
- cerebral palsy
- hydrocephaly
- craniofacial abnormalities
Name some lid position signs you can directly observe
-ptosis
-exopthalmos, enopthalmos
-lagophthalmos/incomplete lid closure
Prominent epicanthal folds
A wide bridge makes ____ less obvious
XT
A narrow bridge makes ____ less obvious
ET
A wide face makes ____ less obvious
XT
A narrow face makes ____ less obvious
ET
A (+) angle lambda makes ___ more obvious
XT
A (-) angle lambda makes ___ more obvious
ET
Hirschberg nasal to the pupil means
(+) angles, exo posture
