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F2F Editable
URC
f2f
test4
MOCT rev
cataract
F2FVF
Post Cataract
VGC
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Inj Test
POST CATARACT
Diagnosis
Eye(s):
Right Eye
Left Eye
Both Eyes
Systemic
Diagnosis:
Select Diagnosis
Cataract
PCIOL
PCO
Pupil Block
Narrow Angle
AAC
OHT
DMO
BRVO
CRVO
PDR
Severe NPDR
NVG
POAG
NTG
Glaucoma Suspect
PXF Glaucoma
Failed Trabeculectomy
Diabetes
HTN
Stroke
AF
Dementia
PE
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Previous Treatments
Select Treatment:
Phaco IOL
Phaco istent
Phaco Trabeculotomy
Trabe MMC
Trabe
YAG Caps
YAG PI
PRP
Sect PRP
Focal Laser
SLT
Cyclodiode
MicroPulse
Eylea
Faricimab
Lucentis
Ongavia
Ozurdex
Iluvien
Diagnosis2:
Cataract
PCO
POAG
Narrow Angles
Pupil Block
Wet AMD
CRVO
BRVO
DMO
Myopic
Dry AMD
Eye:
Right Eye
Left Eye
Both Eyes
Add
Treatment
Eye(s):
Right Eye
Left Eye
Both Eyes
Oral
Treatment Option:
Select Treatment Option
G Maxidex
G Nevanac
G Dexa PF
G CPL PF PF
G Cyclopentolate PF
G Atropine PF
G Acular
G Monopost
G Cosopt
G Cosopt
G Fixapost
G Trusopt BD
G Trusopt TDS
G Alphagan BD
G Alphagan TDS
G Thealoz
G Cationorm
G Hyloforte
G VisuXL
OC Hylonight
VisuXL gel
G Xailin Night
Tab Acetazolamide BD
Tab Acetazolamide TDS
Tab Acetazolamide QDS
Add Treatment
Planned Procedure
Eye(s):
Right Eye
Left Eye
Both Eyes
Procedure Option:
Select Procedure Option
Phaco
Phaco/ECCE
YAG Caps
YAG PI
SLT
PRP
Focal
Sector PRP
Supp PRP
Phaco 5FU
Phaco MIGS
Diagnosis3:
Cataract
PCO
POAG
Narrow Angles
Pupil Block
Wet AMD
CRVO
BRVO
DMO
Myopic
Dry AMD
Add Procedure
Findings
Vision
Right Eye: 6/
Left Eye: 6/
Intraocular Pressure
Right Eye:
Left Eye:
Impression
Post
RE Dry but VA Worse
LE dry but worse VA
RE Persistent SRF
LE Persistent SRF
RE Resolution of SRF
LE Resolution of SRF
RE Reduction of SRF
LE Reduction of SRF
Hyper reflective spots
Dry Macula BE
Plan
Enlist 1st eye
Rev 6m
T&E Ext
T&E Reduce
Custom Plan 5
Custom Plan 6
Custom Plan 7
Custom Plan 8
Custom Plan 9
Custom Plan 10
Title:
Mr
Mrs
Ms
Miss
Gender:
Gentleman
Lady
Patient's Name:
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