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Days Op Sheet

This ophthalmic summary is for 67-year-old female Meenakshi L who presented with watery eyes and a history of left eye cataract surgery 4 months ago and thyroid problems for 5 years. Her right eye was diagnosed with cataract and left eye was pseudophakic. She was advised right eye cataract surgery and prescribed eye drops. A follow up was advised on August 22nd for a routine check up.

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91 views2 pages

Days Op Sheet

This ophthalmic summary is for 67-year-old female Meenakshi L who presented with watery eyes and a history of left eye cataract surgery 4 months ago and thyroid problems for 5 years. Her right eye was diagnosed with cataract and left eye was pseudophakic. She was advised right eye cataract surgery and prescribed eye drops. A follow up was advised on August 22nd for a routine check up.

Uploaded by

manju
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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SHEKAR EYE HOSPITAL

No.633,100 feet Ring Road


JP Nagar 3rd Phase, Bengaluru - 560078, India
Ph: +91 80 26593210, +91 9980562020

Ophthalmic Summary
MR Number KA-JPN2020/456540 Visit Date & Time 24/02/2024 6:02:17 PM
Patient Name MEENAKSHI L Age / Sex 67 YEARS / FEMALE
Address / Area HSR 3RD SECTOR Mobile no 99xxxx6167

Optometrist HARISHMA RAJEEV Doctor Dr. ARCHANA SINGH


Page : 1

Past History CATARACT SY DONE IN LEFT EYE - 4 MONTHS

Systemic Illness THYROID PROBLEM FOR 5 YEARS

Visual Acuity

RE LE
DIST 5/60 6/9
UNAIDED VN
NEAR N6 N12

VN WITH DIST
GLASS NEAR
VN WITH PH 6/9 6/6
IOP(NCT) 12 10
COLOUR VISION
Consulted by Dr.Archana Singh 6:14:05 PM

Presenting Complaints
C/O WATERY EYES
RE CATARACT SX OPINION
Examination Right Eye Left Eye
ORBIT NORMAL IN SIZE AND SHAPE NORMAL IN SIZE AND SHAPE

LID & ADNEXA SHAPE, MOVEMENTS AND POSITION NORMAL SHAPE, MOVEMENTS AND POSITION NORMAL

CONJUNCTIVA NORMAL NORMAL

SCLERA NORMAL NORMAL

CORNEA CLEAR CLEAR

ANTERIOR CHAMBER NORMAL IN DEPTH AND CLEAR NORMAL IN DEPTH AND CLEAR

IRIS COLOUR AND PATTERN NORMAL COLOUR AND PATTERN NORMAL

PUPIL ROUND,REGULAR AND REACTIVE ROUND,REGULAR AND REACTIVE

LENS CATARACT PCIOL

FUNDUS DISC, MACULA & PERIPHERY NORMAL DISC, MACULA & PERIPHERY NORMAL

EOM FULL AND PAINLESS FULL AND PAINLESS

Diagnosis
1.RIGHT EYE CATARACT (H25.8)

2.LEFT EYE PSEUDOPHAKOS

Procedure Adviced

(Continue....)
Page : 2

1. BOTH EYES A SCAN - Pending from patient

2. RIGHT EYE SPECULAR MICROSCOPY ROUTINE - Pending from patient

3. RIGHT EYE ITRACE - Pending from patient

Optical prescription

RIGHT LEFT
SPH CYL AXIS VA SPH CYL AXIS VA
Dist. -2.25 -0.5 65 6/9 +0.0 -0.5 30 6/6
Near +0.5 -0.5 65 N6 +2.75 -0.5 30 N6

Medicine Prescription - Detailed Prescription also given

1. Carboxymethyl Cellulose 0.5% EYE DROPS ONE DROP 3 times per day Both Eyes FOR 1MONTH(S)

Surgery Adviced
1. RIGHT EYE CATARACT SURGERY

Plan Of Care
Advised Cataract sugery in right eye and details given

Follow Up Advice

Review Advised on 22/08/2024 Routine Check-Up

Printed on 24/02/2024 7:43:37 PM

Dr. ARCHANA SINGH


(KMC Reg No: 77384)
(End..)

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