Kerntaak 1 een nieuwe
patiënt
Stap 1, noteren Noteren van naam, geboortedatum
Je mag vragen om brilsterkte en tonometrie
Stap 2: anamnese Klacht specifieke anamnese
- De reden van komst
- Hoelang?
- OD of OS of ODS
- Stabiel, toenemend of afnemend?
- Continue aanwezig of wisselend?
- Bij klachten zicht
+ Op welke afstand?
+ Omstandigheden
+ Tijdstippen
- Bij bepaalde klachten
+ Lichtflitsen?
+ Visusdaling?
+ Pijn?
+ Jeuk?
Vragen algemene anamnese
- Medicatie?
- Allergie?
- Eerder bij de oogarts geweest?
- Familiare oogaandoeningen? (GCL, MGD)
- Grotere operaties ondergaan?
- Onder controle andere medische specialisten?
- Bloeddruk?
- DM?
- Hartfalen?
- Schildklier?
- Alcohol, roken, drugs?
- Bril of CTL
+ Bril
- Sterkte
- Hoe oud is de bril
- Wanneer voor het laatst opticien?
- Hoelang brildragend
+ CTL
- Sterkte?
- Type?
- Wanneer voor laatst CTL specialist
- Reservebril?
Stap 3 visusbepaling - Je doet 1 verbeterpoging
- Eerst + en zonodig
- <0,6 of lager stenopese opening
Stap 4: spleetlamponderzoek Diffuus
- 6-10 x
- Adnexa bekijken
- Ogen dicht en open
- Beneden, boven, links en rechts
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