|
CATARACT POST OP VISIT
|
|
|
EYE / Surgery Date
/
|
EYE / Surgery Date
/
|
|
Surgeon
• • •
|
|
|
Drops used
• • •
|
Drops Comments
|
|
Symptoms
• • •
|
Symptom Comments
|
|
VAsc OD
• • •
|
VA OS
• • •
|
|
Pupils
• • •
|
Pupil Comments
|
|
EOMs
• • •
|
EOM Comments
|
|
|
|
|
SLE OD
• • •
|
SLE OD Comments
|
|
SLE OS
• • •
|
SLE OS Comments
|
|
IOP OD/OS iCare
/
|
IOP OD/OS Goldmann
/
|
|
|
|
|
Refraction OD
|
VAcc @ Dist OD
|
|
Refraction OS
|
VAcc@Distance OS
|
|
Add OU
|
VAcc@Near OU
|
|
|
|
|
Fundus Eval OD
• • •
|
Fundus Comments OD
|
|
Fundus Eval OS
• • •
|
Fundus Comments OS
|
|
|
|
|
Assessment
|
|
|
Plan
• • •
|
|
|
RTC
• • •
|
|
