A patient is complaining of a burning and gritty sensation in the eyes, with redness, itching, and crusting on the eyelids. Which question is most likely to assist in identifying the aggravating factors related to the patient's complaints?
a. "Do eyedrops help relieve your symptoms?"
b. "Do you wear eye makeup?"
c. "Do you notice a change between outdoors and indoors?"
d. "Have you noticed any change in your visual acuity?"
B
A burning and gritty sensation in the eye is an associated manifestation of the symptom of itching of the eye. Redness, itching, and crusting on the eyelids are associated manifestations of drainage or discharge of liquid from the eye. Aggravating factors related to drainage and itching are allergens, eye makeup, contact lens, chlorine, poor hygiene, and an upper respiratory infection; therefore, the question most likely to assist in identifying the aggravating factors related to her complaints would be about wearing eye makeup. Asking whether eyedrops relieve symptoms would be appropriate to identify alleviating factors. Option "c" refers to the setting in which symptoms occur. The question in option "d" is not appropriate to identify aggravating factors.
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