F/U eye condition
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Eye condition comment
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No new complaints
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Amsler Grid Changes
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Complaints
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Complaints Comment
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Onset/Timing
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Onset Comment
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Location
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Location comment
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Quality, Description
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Quality/Descripton Comment
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Severity
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Severity
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Chronology
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Chronology comments
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Context
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Context Comment
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Modifying Factors
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Modifying Factors Comment
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Associated Symptoms
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Associated Symptoms Comments
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Pertinent Negatives:
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Pertinent Neg Comments
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Needs new glasses Rx
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Needs new contact Rx
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HgbA1c
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Blood sugars
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