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Blindness Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Blindness. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. Is blindness transient?

    Why: may suggest transient ischaemic attacks, epilepsy, migraine and high blood pressure.

  2. Is the blindness unilateral or bilateral?

    Why: unilateral blindness may occur in glaucoma, vitreous hemorrhage, optic neuritis, retinal vein thrombosis, central retinal artery thrombosis, carotid artery thrombosis, temporal arteritis, injury to the optic nerve, fractured skull, brain tumor, retinoblastoma and sphenoid ridge meningioma. Bilateral blindness may occur in posterior cerebral artery occlusion, pituitary tumor, retinitis pigmentosa, hereditary optic atrophy, uveitis, toxic amblyopia, cataracts, glaucoma, multiple sclerosis and iritis.

  3. Was the onset of blindness sudden or gradual and progressive?

    Why: Sudden onset of blindness may occur in optic neuritis, retinal vein thrombosis, central retinal artery occlusion, vitreous hemorrhage, detached retina, carotid artery thrombosis, temporal arteritis, injuries to the optic nerve, retrobulbar neuritis, fracture of the skull, glaucoma, posterior cerebral artery occlusion, multiple sclerosis and hysteria.

  4. If blind spot and not total field of sight blindness, where in the line of sight do you notice the blind spot?

    Why: e.g. central blind spot suggests macular disease or optic neuritis; glaucoma and retinitis pigmentosa can cause peripheral visual loss.

  5. Past medical history?

    Why: e.g. diabetes increases risk of cataracts and retinal detachment; multiple sclerosis and syphilis can cause optic neuritis; migraine can cause transient blindness.

  6. Past refractive error?

    Why: e.g. myopia (short-sightedness) people are at increase risk of retinal detachment and macula degeneration.

  7. Medications?

    Why: some medications can cause blindness e.g. ethambutol for tuberculosis and chloroquine for malaria may be toxic to the eyes.

  8. Cigarette smoking?

    Why: can cause central visual field loss due to toxic effect.

  9. Alcohol history?

    Why: can cause optic neuropathy.

  10. Family history?

    Why: of Diabetes, Glaucoma, Retinitis pigmentosa, migraine, Leber's hereditary optic atrophy.

  11. Floaters?

    Why: indicates retinal hemorrhage or choroiditis, posterior vitreous detachment.

  12. Flashing lights?

    Why: suggests retinal detachment, posterior vitreous detachment.

  13. Colored haloes around lights?

    Why: suggests glaucoma, cataracts.

  14. Zigzag lines?

    Why: suggests migraine.

  15. Vision worse at night or in dim light?

    Why: suggests retinitis pigmentosa, syphilitic retinitis.

  16. Headache?

    Why: suggests migraine, pituitary tumor, temporal arteritis, benign intracranial hypertension.

  17. Pain on moving eyes?

    Why: suggests optic (retrobulbar) neuritis.

  18. Distortion of vision e.g. seeing objects smaller or larger than actual

    Why: suggests macula degeneration.

Conditions listing medical symptoms: Blindness:

The following list of conditions have 'Blindness' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Blindness or choose View All.

View All A B C D E F G H I J K L M N O P Q R S T U V W X Z

Conditions listing medical complications: Blindness:

The following list of medical conditions have 'Blindness' or similar listed as a medical complication in our database.


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