Summary of Senile Cataract (Case Presentation)- History Taking & Possible Viva Questions | Ophthalmology
The video discusses how to take history in a case of Senile Cataract, focusing on questions to ask the patient, how to ask in the patient's language, and potential viva exam questions.
- The importance of introducing oneself, asking patient particulars (name, age, sex, occupation, residence), and chief complaints (diminution of vision) is highlighted.
- Patient occupation can provide insight into cataract causes related to professions and daily activities affected by cataract.
- Demographic information, chief complaints, onset, progression, distance vs. near vision, use of glasses, glare, coloured halos, photophobia, diplopia, floaters, and systemic history are important in the case history.
- Differentiating between various symptoms and understanding their causes (e.g., glare, photopsia, scotoma) is crucial.
- Past history, drug history, family history, personal habits, and socio-economic status can provide valuable information for treatment decisions.
- Special considerations for diabetes, hypertension, drug intake, and surgical history are discussed.
- The speaker emphasizes the importance of being in control of the viva exam direction and being prepared to answer questions related to ocular conditions and systemic diseases.
Notable Quotes
— 27:58 — « If your patient has diabetes you should also ask if he has received any laser treatment or any intravitreal injections previously. »
— 28:50 — « By this I mean history of steroids to rule out a steroid-induced cataract. »
— 30:56 — « Hypertension doesn't cause cataract unless there's acute ischemia of the eye. »
— 33:08 — « There are many etiologies of cataract and there's a video on this topic already up on my channel. »
Category
Educational