眼科常用口语.docx

眼科常用口语.docx

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眼科常用口语

ENGLISHGUIDETO

COMMONEXAMINATIONPHRASES

OCULARDISEASE

2011-10

ENGLISHGUIDETOCOMMONEXAMINATION

GREETINGS

1Goodmorning/aftemoon/evening.WelcomeMrs.Howareyoutoday?

Sitdownplease.IamDr.

2Iamsorryyouhadtowait.Weareverybusytoday.

3Howdidyouhearaboutus?

CASEHISTORY

PATIENTPROFILE

4Howoldareyou?

Whenisyourbirthdate?

CHIEFCOMPLAINT（FOLDARS）

5HowcanIhelpyou?

Whatisthereasonforyourvisit?

6Whoreferredyoutome?

Forwhatreason?

7Haveyounoticedanychangesinyourvision?

Doyouhaveanyproblemswithyourvisionoryoureyes?

Canyouseethingswellatnear?

.Whataboutthingswhicharefaraway?

/Doyouseewellfarawayandupclose?

8Whicheyeorboth?

（Doyouhavequestions?

）

9Canyoushowme?

（DidyouunderstandeverythingthatItoldyou?

）

10Whendidthishappen?

/Whendiditstart?

/Sincewhenhaveyouhadthisproblem?

（Don'tmentionit.）

11Wasthechangesuddenorgradual?

（Sametoyou.）

12Howlonghaveyouhadit?

（Youareverykind.）

13Whenwasthelasttimeithappened?

14Howoftenhaveyouhadthisproblem?

Doyouhaveitallthetime/always/onceinawhile/almostnever?

15Wasthechangesuddenorgradual?

16Howlongdoesitlast?

17Tellme,wheredoesithurt?

18Excuseme?

Canyoupleaserepeatwhatyoutoldme?

Ididn'tunderstandyoucompletely.Youtoldmethat,correct?

VOCATION

19Whattypeofwork/doyoudo?

20Areyouworking?

Doyouworkonacomputer?

AVOCATION

21Whatsportsorhobbiesdoyoudo?

PEH

22Isthisyourfirsteyeexam?

23Whenwasyourlasteyeexam?

24Doyouwearglassesorhaveyouworntheminthepast?

Fordistance?

Forreading?

25Haveyouhadanyinjuriestoyoureyesorsurgeryperformedonyoureyes?

26Haveyoureyesbeendilatedbefore?

27Didthedoctorsevertellyouthatyouhaveaneyedisease?

28Whatdidthedoctorstellyou?

29Howlongareyourglasses?

30Howareyoudoingwithyourglasses?

31Dotheystillworkwell?

32Didyoubringyourglasses?

33Haveyouusedcontactlensesbefore?

34Whatcaresystemdoyouuseforthelenses;OptiFreeExpress,Renu?

35Aretheyhardorsoft?

.

36Aretheydisposables?

37Whydidyoustopusingthem?

38Doyouknowthebrandofcontactlens

39Holongarethelensesthatyouareusingnow?

40Howisyourvisionwithyourlenses?

41Normally,whattimedoyouputtheminandtakethemout?

42Approximatelyhowlongdoyouuseyourcontactlenseseveryday?

43Doyouknowifyouhaveanyeyediseasesuchasglaucoma?

44Haveyouhadinfectionsoftheeyes?

45Howdidyoulosethiseye?

Whathappened?

46Doyoufeelsomethinginyoureye?

47Doyoureyesgetred?

48Doyouwakeupwithdischargeinyoureyes?

49Dovouhavedifficultyseeingatnight?

50Doesthesunbotheryoualot?

51Areyouverysensitivetolight?

52Doyouseecobwebs/spotsinyourvision?

53Doyouseeflashesoflightlikelightning/littlelights?

.54Didastickpenetrateyoureye?

55Doyouthinkitisasmallpieceofwoodormetal?

56Doyoureyesfeelverydry?

57Doyoureyesbumorhurt?

58Doyoureyesitch?

59Whatareyoudoingwhenithurts?

60Whenyoureadalotdoesithurt?

61Haveyoueverseendouble?

62Areyouseeingthingsdoublerightnow?

63Doyoudrinkmuchalcohol?

64Doyousmoke?

65Ineedtoperformsometeststomakesurethisisthereason

FEH（familyeyehistory）

66isthereanyoneinyourfamilywhohasglaucoma,cataracts,anyeyeturn（strabismus）orisblind?

PMH（patientmedicalhistory）

67Whenwasyourphysicalexam?

68Howisyourgeneralhealth?

69Doyouhaveanyproblemswithhighbloodpressure,diabetes?

70Whoisyourprimarycaredoctor?

71DoyouknowifyourdiabetesistypeIorII

72Howwasyourbloodsugarlevel?

73WhatwasyourHba1clevel?

74Howlonghaveyouhaddiabetes?

75Anyfluctuationinvision?

FMH（familymedicalhistory）

76DoesanyoneinyourfamilyhaveHtn（hypertension）,Cancer,Dm?

78Areyoutakinganymedications,vitaminsoreyedrops?

79Forwhatreasondoyoutakethemedicines?

ALLERGIES

80Areyouallergictoanymedications?

81Canyouputtheseglasseson?

Canyoutakethemoff?

ENTRANCETESTING

VISUALACUITIES

82Coveryourright/lefteye.

83Withoutsquinting,pleasereadthesmallestlettersyouareabletoreadonthechart（here/there）It'sOKtoguess.

84Canyouseethelastline?

85Readmethislineandthenextandtheonebelow?

86Theselettersareextra.Mostpeoplecan'treadthose.

87Thoselettersareverysmall.Fewcanreadthem.

88Canyoumakethemout?

89Lookthroughtheseholes.Pickonetolookthrough.Dotheyhelpyou?

COVERTESTNERSIONS/NPC

90Wearecheckingtoseeifyouhaveanyproblemswithyoureyemuscles.

91PleasekeepyoureyesfocusedonthisletterwhileIcoveryoureyes.

92Iamcheckinghowwellyoureyemusclesworkasateam.

93Withoutmovingyourhead,pleasefollowthistargetbymovingyoureyesonly.

94Iamcheckinghowwellyoureyescansustainfocus.

95Iamgoingtobringthisclosetoyou.Keeplookingatitandletmeknowifitsplitsintotwo.CONFRONTATIONS

96IamCheckinghowwellyoursidevisionis.

97Coverthiseyeandlookatmyrighteye.Withoutlookingofftotheside,letmeknowhowmanyfingersIamholding_upaltogether

STEREO

98Iamcheckinghowgoodyourdepthperceptionis.Tellmewhichofthecircleinbox#1seemtocomeoffthepage.

REFRACTION

99Iamgettinganestimationofyourprescription.Don'tlookatmylight,butlookattheletterfaraway.

100Iamgoingtocoveroneeye.

101Iamgoingtohaveyoumakeseveralchoicesbetweentwolens.Therearenoright/wronganswers,justtellmewhatyouprefer.

102Lookingatthechartfaraway,letmeknowassoonasyoucanstarttoreadthelettersonthesecondlastrow.

103Comparingthislens#1andthissecondlens#2whichonelooksclearerandsharper.

104Whenevertheylookthesame,justletmeknow.

105Thingsmaylookblurrywiththislens.

106TrytoreadtheseBlurryletters.

107CloseyoureyeswhileIsetsomespeciallensesinplace.

108Areyouabletoseetworowsofletters:

oneaboveandtheotherbelow.

109Comparingthetopandbottomrow,whichrowlookssharper/clearer?

Thetoponeorthebottomone?

110Iamgoingtodimthelights.Comparingtheredsideandgreenside,thelettersonwhichsidelooksdarker/moreblack.

111Nowwearecheckingaprescriptionforreadingglasses.Iamgoingtoputlensesinfrontofyoutoseehowwellyoucanfocus.Tryyourbesttokeepthelettersfocusedbutletmeknowwhenitbecomestooblurrytoread.

112Doyouseetwoboxesofletters?

Iamgoingtousespeciallensestomovetheletters.Letmeknowwhentheboxoncetopislinedupdirectlywiththeonebelowitlikeoneice-creamscoopontopofanother.

113Letmeknowwhenthelettersareblurry,whenyouseedoubleandwhentheyappearoneagain.

114Iamgoingtocheckthehealthofthefrontpartofyoureyestolookforsignsofinfection,cataracts.

115Pleaserestyourchinhereandforeheadhereandcloseyoureyes.Iamgoingtomoveyourchair.

116Iamlookingatamagnifiedviewofyourlashes.Openyoureyesandthenlookup.Iamgoingtotouchyourlids.

117Lookright,lookleft,lookstraightaheadandlookdown,blink,trytokeepyoureyesopen,lookoverhere/there.

118Iamgoingtoplacedropsinyoureyes.Itwillsting.Buttrynottorubyoureyes.

119Lookatdirectionofmyearoverhere.Pickapointfarawaytolookat.Iamcheckingyoureyepressure.Itisoneofthewaywecheckforsignsofglaucoma.Youwillseeabluelightandthisisgoingtocomecloseandtouchyourtears.Remembertobreath.

120Iamusingthistocheckthehealthofthebackareaofyoureyestolookatyourbloodvesselsandcheckforsignsofhighbloodpressure,diabetesinyoureyes.Thelightwillbebright.

121Iamgoingtoshinealightatyoureyestoseehowwellyourpupils,theblackpartofyoureyesrespondtolight.Itletsmeknowhowwelltheconnectionfromyoureyesaretothebrain.

Cataracts

122Youhavethebeginningsofcataracts.

123Rightnowtheyarenotaffectingyourvision,butinthefutureitispossibletheywill.

124Cataractsareverycommon.Thisisanormalagerelatedchangeoritcouldbefrommedications.Thecataractwillcontinuetoprogress.Youwilleventuallyneedsurgeryandreplacenewlensinyoureye.

125Yourcrystallinelensinsideyourbecomescloudy.Manyolderpeoplehavecataracts.Likehowourhaircolorchangeswithage;withourlens,thesamethinghappens.Itbeginstogetmoreyellowwithage.

126Thecataractsaren’tmatureyet.Theyarenotreadyforsurgery.Perhapsinfiveyearstheywillbe.

127Justreturneachyearforaneyecheck-up.

128Wearegoingtoobservethem

129Theoperationforremovingthelensisveryeasynowadays.Usuallytheoperationlastsnomorethan20minutes.Theanestheticdoesn'thurt,andisstitchless.

130Youwillbeabletoreturnhomethesameday.Don'tworry.

131Let'smakeanappointment.

132Complicationsarerare.

133Inthemajorityofcases,muchvisionisregained.

PCO/Nd-YAGCap.

134Youhaveafilmbehindthelensimplant.

135Thisisacommonchangeoneseesfollowingcataractsurgery.

136Thetreatmentiseasywithalaserthatcleansthefilmaway.

GOODBYE

137Iwanttoseeyouagainintwoweeks.

138Don'sskipthenextvisit.Itisveryimportant.

139Iwiilseeyouagaininoneyear.Butifyouthinkorsuspectthereisaproblemwithyoureyes,certainlyretumatonce.

140Hereismycardwiththetelephonenumberswhereyouc