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KLE DR. PRABHAKAR KORE CHARITABLE HOSPITAL& MRC
BELGAUM
DEPARTMENT OF OPHTHALMOLOGY
DISCHARGE SUMMARY
IP NUMBER 10130965 DOA 22/02 /25 DOD 25 /02 /25
NAME : GANGAVVA FAKIRAPPA TALWAR AGE/ SEX : 78 Y /
FEMALE
Credit catg: FREE WARD : SUVARNA FREE WARD
Consultant ; DR SMITHA K.S.
Address : BELAGAVI
DIAGNOSIS : BOTH EYE ADVANCED POAG WITH LEFT EYE NSIII CATARACT
Complaint & History :
DIMINUTION OF VISION IN LEFT EYE SINCE 3 MONTHS.
THE PATIENT WAS APPARENTLY ALRIGHT 3 MONTHS AGO WHEN SHE DEVELOPED
DIMINUTION OF VISION IN LEFT EYE, WHICH WAS GRADUAL IN ONSET, PROGRESSIVE
AND PAINLESS IN NATURE, NOT ASSOCIATED WITH
REDNESS/WATERING/DISCHARGE/PHOTOPHOBIA/DIPLOPIA/CURTAIN FALLING
SENSATION IN FRONT OF THE EYE / METAMORPHOPSIA
H/O SPECTACLE USE SINCE 4 MONTHS
NO H/O OCULAR TRAUMA
NO H/O SURGERY PRESENT
K/C/O HTN SINCE 2 YEARS
N/H/O DM,IHD,THYROID D/O
EXAMINATION:
VISUAL ACUITY OD OS
UNAIDED 6/24 (P) CF 1 ½ MTR
PH NI NI
ANTERIOR OD OS
SEGMENT
LID NORMAL NORMAL
CONJUNCTIVA NORMAL NORMAL
CORNEA CLEAR CLEAR
AC ND ND
IRIS NCP NCP
PUPIL RRR RRR
LENS GREYISH GREYISH
FUNDUS OD OS
GLOW + +
MEDIA CLEAR CLEAR
DISC PALE PALE
C:D 0.8 0.8
B/V PPA PPA
B/G HIGHLY TESSELATED HE + INFERIOR QUADRANT
MACULA FR DULL FR DULL
INVESTIGATION :
IOP OD 11.00 mmHg OS 7.9 mmHg BY NCT T 12.21 PM
NLD OD- PATENT OS – PATENT
HIV NR , HbsAg NR
LEFT EYE A SCAN : K143.50 D K2 44.00 D AxL –23.66mm ACD –2.26 mm
PCIOL- +19.50 D( HOLLADAY/HOFFER Q )
TREATMENT : LEFT EYE SICS WITH PCIOL UNDER LA UNDER GVP BY
DR SMITHA K.S. ON 24/02 /25
OPERATION : LEFT EYE SICS WITH PCIOL UNDER LA UNDER GVP BY
DR SMITHA K.S. ON 24/02 /25
Results : IMPROVED
Discharge Instruction : 1.WEAR DARK GOGGLES FOR 6 WEEKS.
2.AVIOD HEAD BATH FOR 6 WEEKS.
3.AVOID SUNLIGHT AND DUST EXPOSURE FOR 6 WEEKS
4.T. CIPROBID 500 MG 1-0-1 x 3 days
5.T.PAN 40 MG 1-0-0 FOR 3 DAYS
6.T.DOLO 650 MG 1-0-1 FOR 3 DAYS
7. OCUPOL DX EYE DROPS 6 TIMES PERDAY
8. CIPLOX EYE DROPS 4 TIMES PER DAY
9. T PLUS EYE DROP 2 TIMES PER DAY
Hospital Stay : 4 DAYS
Condition on Discharge : IMPROVED
Follow-up Appointment FOLLOW UP IN OPD NO 17 ON WEDNESDAY / SATURDAY UNDER
DR.SMITHA K.S. FOR EMERGENCY CONTACT 0831 2473777.
IN CASE OF PAIN,REDNESS AND SUDDEN DIMINUTION OF VISION REPORT
IMMEDIATELY
Prepared by Ditacted but not edited Doctors Seal & Signature