What is the goal of a case history in a low vision exam?

• A. To determine the patient's prescription needs
• B. To collect family medical history
• C. To evaluate insurance coverage
• D. To understand the patient and form realistic visual goals

Answer: (D)

In a low vision exam, the purpose of the case history is to understand the patient as an individual and to form realistic visual goals that fit their daily life. By exploring how vision loss affects everyday tasks, what activities the patient values, their living environment, lighting conditions, safety concerns, and personal motivations, the clinician can tailor the evaluation and rehabilitation plan.

This information helps decide which interventions will be most meaningful—whether it’s magnification strategies, lighting adjustments, eccentric viewing techniques, training for safe mobility, or selecting assistive devices. It also sets attainable targets, such as being able to read mail, prepare meals, or recognize faces, so progress is measurable and connected to the patient’s real-life needs. While other data like medical history or insurance considerations may be relevant, they do not drive the central goal of guiding rehabilitation and goal-setting in a low vision context.