OPHTHALMIC PERFORMA

NAME AND ADDRESS

AGE AND SEX
OCCUPATION
DURATION OF HIV
OCULAR COMPLAINT IF ANY
SYSTEMIC HISTORY
HAART DETAILS
DURATION OF HAART
TIME BETWEEN DIAGNOSIS AND START OF HAART
TYPE OF HAART
PERSONAL HISTORY
OCULAR RIGHT LEFT
EXAMINATION
VISUAL ACUITY
_ DISTANCE (WITH AND
WITHOUT GLASSES)
_ NEAR

EYEBALLS
_ POSITION
_ SIZE
_ ALIGNMENT
_ MOVEMENTS
UNIOCULAR
BINOCULAR

EYELIDS
_ POSITION
_ MOVEMENTS
_ LID MARGIN
_ EYELASHES
_ SKIN OF LIDS

LACRIMAL APPARATUS
_ PUNCTA
_ LACRIMAL SAC AREA

CONJUNCTIVA
_ BULBAR
CONJUNCTIVA
_ PALPEBRAL
_BULBAR
_ FORNICES
_VASCULATURE
_MASS

TEAR FILM
_HEIGHT
_SCHIRMERS TEST
_TEAR FILM BREAKUP
TEST

SCLERA
_ DISCOLORATION
_ NODULE
_ ECTASIA
_ ANY OTHER
ABNORMALITY

CORNEA
_ SIZE
_ SHAPE
_ SURFACE
_ TRANSPARENCY
_ULCER
_ OPACITY
_ SENSATIONS
_ VASCULARIZATION
ENDOTHELIUM

ANTERIOR CHAMBER
_ DEPTH
_ CONTENTS
IRIS
_ COLOUR
_ PATTERN
 _ SYNECHIAE

PUPIL
_ SIZE
_ SHAPE
_ PUPILLARY
REACTIONS

LENS
_ TRANSPARENCY

INTRAOCULAR PRESSURE GOLDMANN APPLANATION TONOMETER
FUNDUS EXAMINATION
_ DIRECT
_ INDIRECT
SPECIAL INVESTIGATIONS (as an when required)
o CORNEAL SCRAPING(corneal ulcer)
o FUNDUS PHOTO
o VISUAL FIELDS
o SQUINT WORK UP IN NEURO-OPHTHALMIC CASES