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Self Exam – Basic Eye Questions

FIRST STEP: BASIC EYE QUESTIONS

Before continuing, it is necessary to answer some basic questions to find out if you have previous illnesses or surgeries.

On a sheet of paper with pencil and paper, answer the following questions truthfully. These will be corroborated later by our collaborators in the teleconsultation:

BASIC EYE QUESTIONS
Please answer completely truthfully:

Do you have any of the following illnesses?

1. High blood pressure

So

B. No

2. Diabetes mellitus

So

B. No

3. Rheumatoid arthritis

So

B. No

Write down any other illnesses you suffer from

Write down the medications you take (name and daily dose) _____________

4- Have you had eye surgeries performed?

So

B. No

Write down the surgeries and year in which they were performed______________________

5- Are you allergic to anything?

So

B. No

Write down what you are allergic to ________________

SECOND STEP: SYMPTOMS YOU ARE PRESENTING

It is very important that you know how to define the symptom you are presenting.
  • Think and analyze carefully before calling the doctor.
  • Discuss with your family to be more precise on dates and times.
  • Write down if necessary, so you can make a coherent description.

Click on the symptom you are presenting and follow the instructions, remember to have a pencil and paper to take notes on the questions.

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