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Case History for the Pediatric Eye Examination

Case History for the Pediatric Eye Examination
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Author(s): Amy Moy (New England College of Optometry, USA & Martha Eliot Health Center of Boston Children's Hospital, USA)
Copyright: 2022
Pages: 19
Source title: The Pediatric Eye Exam Quick Reference Guide: Office and Emergency Room Procedures
Source Author(s)/Editor(s): Lily Zhu-Tam (Citywide Eye Care Optometry, USA)and Ida Chung (College of Optometry, Western University of Health Sciences, USA)
DOI: 10.4018/978-1-7998-8044-8.ch001


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The art of taking a patient's case history is essential for a solid understanding of pertinent details before proceeding with an examination. While establishing rapport with the patient, the clinician should ask questions about birth history, developmental history, educational and social history. Active listening skills and flexibility of the provider are useful tools for an effective start to the examination. This chapter reviews categories of questions needed for optimization of case history for the pediatric patient. This includes questions focused on specific age categories, including infants and toddlers, preschoolers, elementary-aged children, and adolescents. The chapter author provides clinical pearls for a more efficient and effective exam, including a section on assisting children with special needs.

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