Floaters Tired Eyes

PLEASE HELP US KEEP OUR RECORDS CURRENT DATE:
PLEASE HELP US KEEP OUR RECORDS CURRENT DATE: _____/_____/_____ (Circle One) Dry Itchy Red Watery Gritty Discharge Flashes/Floaters Tired eyes Ache/Sore Pain Pressure Seasonal ... Return Document

PATIENT INFORMATION SHEET About You Family Medical History
Styes or chalazion Flashes / floaters Tired eyes Corneal abrasion Lazy eye Eye injury Retinal detachment Glaucoma Macular degeneration Cataracts Endocrine Thyroid / Other glands Ears, Nose, Mouth, Throat Allergies Sinus ... Doc Retrieval

Medical History Sheet - Atchison Eye Center
Dryness Redness Itching Glare/Light Sensitivity Flashes/Floaters Tired Eyes If you circled any of the above or have a condition not listed, please explain: _____ _____ Social History Do you use tobacco products? Yes No If yes, type/amount/how long: _____ Do you ... Read More

Dr. Zane R. Lawhorn, OD Dr. D. Scott Carpenter, ODI Ac
Flashes/Floaters Dryness Watering Tired Eyes Have you ever had any eye surgery? Yes/No Explain_____ Any eye injuries? Yes/No Explain_____ Do you currently have any health problems in the following body areas? ... Get Document

LA PAZ OPTOMETRIC CENTER Welcome To Our Office
Welcome To Our Office Patient’s Name: Date of Birth: Gender: M or F Last Flashes / Floaters in Vision .. Tired Eyes .. ENDOCRINE Thyroid / Other Glands ... Fetch Content

MEDICAL HISTORY QUESTIONNAIRE - Midway Eye Care
MEDICAL HISTORY QUESTIONNAIRE Name: List any of the following that you have had: crossed eyes, lazy eye, drooping eyelid, prominent eyes, glaucoma, Flashes / Floaters in Vision _____ Tired Eyes ... Fetch This Document

Review Of Systems - Bissell Eye Care
Review of Systems Do you currently, or have you ever had any problems in the following areas: Flashes / Floaters in Vision _____ Tired Eyes / Fatigue _____ Pathology (glaucoma, macular degeneration, etc) _____ Eye ... Doc Viewer

Patient Name Medical Information Date
Patient Name _____ Medical Information Date _____ INTEGUMENTARY (Skin) NEUROLOGIC Headaches Migraines Seizures EYES Loss of Vision Blurred Vision Distorted Vision/Halos Loss of Side Vision Sties or Chalazion Flashes/Floaters in Vision Tired Eyes Glaucoma ... Retrieve Content

Aging And Your Eyes - National Institute On Aging AgePage
Have headaches or strained, tired eyes. F Floaters are tiny specks or “cobwebs” that seem to float across your vision. You might see them in well-lit rooms or outdoors on a bright day. Floaters can be . 3 a normal part of aging. ... Fetch Full Source

Nystagmus - Wikipedia, The Free Encyclopedia
When the head rotates about any axis, distant visual images are sustained by rotating eyes in the opposite direction on the respective axis. [4] The semicircular canals in the vestibule sense angular acceleration. These send signals to the nuclei for eye movement in the brain. ... Read Article

Aging And Your Eyes - National Institute On Aging
2 AgePage National Institute on Aging Aging and Your Eyes Are you holding the newspaper farther away from your eyes than you used to? Join the crowd—age can bring changes that affect ... Return Document

Presyncope - Wikipedia, The Free Encyclopedia
Presyncope is a state consisting of lightheadedness, [1] muscular weakness, blurred vision, and feeling faint (as opposed to a syncope, which is actually fainting). ... Read Article

Visionsource-afejoplin.com
Flashes/Floaters in Vision Tired Eyes NOSE, MOUTH, THROAT Allergies/Hay Fever. Congestion\\ Runny Nose Post-Nasal Drip Chronic Cough Dry Throat/Mouth RESPIRATORY Asthma Chronic Bronchitis Emphysema VASCULAR / CARDIOVASCULAR Heart Pain ... Get Content Here

Beta-Carotene - Wikipedia, The Free Encyclopedia
Medical uses. β-Carotene has been used to treat various disorders such as erythropoietic protoporphyria. It has also been used to reduce the risk of breast cancer in women before menopause, and the risk of age-related macular degeneration (AMD). ... Read Article

SYSTEM NO YES ? NO YES - BRIDGEMILL EYECARE
EYES RESPIRATORY Loss of Vision · · Flashes/Floaters in Vision · · · LYMPHATIC / HEMOTOLOGIC Tired Eyes · · ... Visit Document

Medical HealtH History Questionnaire - Grandville Eye Care
Medical HealtH History Questionnaire Grandville Eye Care 3100 Wilson Ave SW, Suite 2 Grandville, MI 49418 Flashes/Floaters in Vision Tired Eyes ENDOCRINE Thyroid/Other Glands NO YES ? EARS, NOSE, MOUTH, THROAT Allergies/Hay Fever ... Return Document

Dr. Richard A. Greene Patient History And Information
Tired Eyes Sinus Disorders Tearing Burning Atrial Fibrillation Dryness Heart Disease Eyelid Swelling Hypertension Floaters or Spots Rash/Itching Fluctuating Vision Rosacea Loss of Central Vision Shingles Loss of Side Vision Skin Cancer ... Retrieve Doc

The Brimhall Eye Center - YouTube
Brett D. Brimhall, MD is a board certified, award winning physician and eye surgeon. His unique and extensive training and skills have enabled him to provide ... View Video

Red Eye With Other Symptoms: Warning Signs (Vision)
Most of the time, a case of red eye is short-lived and disappears on its own. Sometimes, however, red eyes can be caused by a more serious condition. ... Read Article

Medical History - Familyopticalcentre.com
List any of the following that you have had – crossed eyes, lazy eye, drooping eyelid, glaucoma, cataracts, retinal disease, eye infections, or eye injury_____ Are you pregnant and/or nursing? No Yes Do you wear glasses Flashes/Floaters in Vision Tired Eyes ... Read Here

Family History: Personal Medical History: Please CHECK If ...
Floating Spots in your vision (Floaters) Tired Eyes Cataracts Diabetic Retinopathy Glaucoma Macular Degeneration Retinal Detachment Personal Medical History: Please CHECK all that apply to YOU: ... Retrieve Document

O.M. Initials: PLEASE FILL OUT COMPLETELY MEDICAL HISTORY
PLEASE FILL OUT COMPLETELY MEDICAL HISTORY List any of the following that you have had – crossed eyes, lazy eye, drooping eyelid, glaucoma, cataracts, retinal disease, eye Flashes/Floaters in Vision Tired Eyes ... Read Document

Medical History Questionnaire - Karteszeyecare.com
Medical History Do you have any allergies to medications? Flashes/Floaters in Vision _____ Tired Eyes _____ EARS, NOSE, MOUTH, THROAT Allergies ... Get Document