Hi! Please, have a seat! I’m Dr. EL Pleased to meet you! Today did you come here to do an eye exam? Perfect What’s your name? Name and surname Ok How old are you? Is this the first time you do an eye exam? Ok So, no Do you already wear eyeglasses? Ok So, for eyestrain not for eyesight reduction So you do not always wear them Do you take medicines? No Do you have any illnesses? No What about your relatives? No When was the last time you did the blood analysis? Ok, what were the values? Was everything ok? Perfect! Why are you here? What’s your problem? Ok… close or far away? Far away So you have an eye problem… what symptoms do you have? Burning sensation That prevents you from seeing well, ok! At what point of the day does this problem become more acute? In the evening Ok, how long? Ok Very well Does light bother you? Ok, obviously only the direct light Perfect Now I will make some exams A series of small tests Nothing painful, but It is necessary So Please sit there I’ll be there in a minute! Ok, here we are! Please, come closer to me Place your chin here… and your forehead here… Yes, come closer… Ok Do not move Very well Look up with both eyes Ok Look down Look to the right Look to the left Ok With only one eye Do the same thing… looks up Look down Look to the right Look to the left Look at my hand Ok Now with the other eye Look up Look down Look to the left Look to the right Perfect, look at my hand Perfect Ok, ok, ok, ok, ok Now let’s make another little test Nothing difficult, ok? Now I’m showing some letters to you You’ll have to tell me which letter it is… It’s very simple, as I said Ok? Perfect Here it is Do you see these letters? Do you see them? Ok Now I’ll point at some of them and you have to tell me which letters they are, ok? Start with both eyes Which letter is this? “N”, very well! This one “X”, ok! This “V” Which letter is this? “M” This one Ok, it is the letter “C” This “D”, ok! This one “G”, perfect! This one “S”? Ok… ok, please concentrate on this letter Concentrate on this letter No, no, no, no, no… no Stay calm and relax yourself, ok? As soon as you understand you can not see it well, do not panic, just close your eyes for a couple of seconds Then reopen them and tell me which letter you see, ok? Ok Please close your eyes Reopen them Which letter is this, then? “Z”, very well, very well! Which letter is this? “V”, good! This one “E”? Ok, as before, relax and do not worry… do not worry, it’s all right… calm down Close your eyes Calm down, reopen them and tell me which letter you see “F”, very well! See? Ok, let’s try again, still with both eyes Which letter is this? “Y”, perfect! Tell me this… Are you an anxious person? Ok, I knew it And… do you allow anxiety to condition you a lot? Do you know why I’m asking you this? Because Very often some vision problems are caused by anxiety… I mean Among the various problems caused by anxiety and stress, there is the one that damages the sight Yes Because sometimes the more we are worried, the more the sight weakens Ok? But we’ll talk about this later… for this reason I tell you to stay calm and to tell me just what you see Now, cover your right eye So, look only with the left one Which letter is this? “H”, perfect! Which letter is this? “L”, ok! This one Yes, this little one here Can’t you see it well? Close your eyes, reopen them but stay calm… do not tell me: “I can’t” Ok Which letter is it? “D”, very well! Ok Which letter is this? “T”, perfect! Do you have any discomfort while looking at these letters? Do you see some blurry letters? No, ok! Now do the same thing with the other eye. Cover your left eye and look only with the right eye Which letter is this? “K” This one “E”, good! And… This one “C”, perfect! This is your relaxation time! Which letter is this? “B”, very well! When you start seeing things a little blurred When you realize that you are getting nervous, remember to close your eyes for a while and then tell me what you see, ok? There is nothing to worry about! Now This other sheet Do you see it? Concentrate on the central panel Perfect Now I’m asking you where is the open part in these letters, in what direction the open part is. Right, left, up or down With both eyes Which is the open side? Perfect This one Very well This one Ok This one Ok Perfect Cover your left eye and look only with the right eye Where is it open? Perfect This one Wonderful Ok Cover your right eye and look only with the left one So, do the same thing with the other eye Where is this letter open? Concentrate Perfect This one Ok Ok Do you see blurry? No? Ok! Concentrate on this panel Tell me in which direction the lines of these letters are oriented As before With both eyes Ok Give me the answer without thinking too much, ok? Ok Cover your right eye and look only with the left one This letter in which direction is oriented? This one Ok, I see you relieved of the tension a lot Do the same thing with the other eye This letter in which direction is oriented? Perfect! This one Wonderful Very well Ok You see that it is important to be relaxed? What? This visit relaxes you… I’m glad! So, now… Now let’s do something similar to the previous visit But in a slightly different way So… Come closer, place your chin here and keep your forehead forward Look right in front of you, here where I am Perfect I have a flashlight Now I will pass the light before your eyes, but you have to look in the directions I will tell you, ok? Be very careful, stay still, do not move your head Ok, stay still Looks up Down Right Left Look at the top right Top left Bottom right Bottom left Look at my hand Ok Cover your right eye Turn your head a little bit Perfect, do the same thing, look only with your left eye Look up Down Look up Down Right Left Top right Top left Bottom right Bottom left Perfect Cover the other eye Ok, so look with one eye also this time Slowly… do not close your eyes! Look up Down Left Right Top right Top left Bottom left Bottom right Look here Ok Now, always with the flashlight … look carefully at the light with both eyes Ok, ok Perfect Don’t close your eyes I know it may bother you but it is necessary Ok Ok Don’t close your eyes Perfect Cover your right eye Ok, cover your left eye and look only with the right eye Ok Perfect Perfect, that’s fine That’s fine Now I will lightly press on your eyes Come closer Lightly… it doesn’t hurt, don’t worry… Look down Look up Look at right Left Ok Only with the right eye, turn the head a little bit Look down Look up Right Left Ok And now with the left eye Look down Up Right Left Very well Ok We finished So From the data I obtained during this visit Fortunately you have no problem with your eyes No damage, nothing like that, so you can not worry But, as I said before, I noticed that during the test with the letters you had some problems in focusing some letters, but I noticed that you could not focus on them after telling me you could not see well And since your eyes are fine, from what I could see, yours is a problem… a “problem”, of anxiety As I mentioned before, you need to know that anxiety can sometimes affect your vision Yes, especially when your eyes are healthy, as in your case So How can anxiety affect your vision? Simply, when we are already anxious people and we experience stressful situations Sometimes it may happen that the sight weakens Or, and this is a more common case when we are very focused on something and we can not focus on it, and we are already anxious subjects, we often think: “Why am I unable to focus it?” “What is happening to me?” and so on… and this only results in further weakening of the sight Yes So just relax, calm down find some way to relax, if you know it And If you work on the computer, I recommend you take a break periodically to look away from the monitor because the lights can hurt your eyes, just that And when you notice, and you told me at the beginning of this visit that it happens to you in the evening to have more problems So, when in the evening you realize you have tired eyes, massage this area and close your eyes Yes, closing your eyes will favor a greater rest Ok? Perfect, so don’t worry, simply try to be more relaxed and calm, ok? Perfect Have a nice day! Goodbye!