SANKAR FOUNDATION

19-50, Sri Saimadhav Nagar,

Naiduthota, Vepagunta, Visakhapatnam 530047
Email : admin@sankarfoundation.org Website :
www.sankarfoundation.org
Contact : 9121005733 ; 9121005833 ; 8008222461

Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID

Patient History
Systemic Disease History
h/o DM Since January, 2015.
Surgical History
h/o PHACO WITH ISOPURE EDOF IOL-LE on June, 2025. By :Dr Nasrin. Place :SFEH.
h/o Cataract Surgery(RE) on July, 2025. Place :SFEH.
Family History
h/o No History of Systemic Illness
Drug Allergy
No Drug Allergies
Past History
H/o Using Glasses
Adverse Reaction : No Adverse Reaction For Any Ophtalmic Drugs
Birth History :-
NA
Remarks :-
Covid Nil

OPD Followup Date/Time : 24/Jul/2025 01:51 PM

Primary Workup Done By :Ratnam Raju
Present Complaints
POST OP 1 WEEK -RE.
Vision Right Eye Left Eye
Distance Near Distance Near
Unaided 6/6
With Pinhole 6/6
Best Correct 6/6

Examined By : Dr Sushma M 02:22 PM

Examination Details
Finding Name Right Eye Left Eye
Undilated Fundus 0.6CDR, FR DULL CDR 0.6:1IR =SR, FR DULL
Lens PCIOL PCIOL
Anterior Chamber WELL FORMED
Conjunctiva Normal Normal
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID
Iris NCP NCP
Pupil NSRL,6mm post dilatation NSRL,7mm post dilatation
Adnexa Normal Normal
Cornea CLEAR CLEAR
Examination Comments :
RE POD 6 ,
Diagnosis
POST OP CATARACT SURGERY , in Both Eyes
Clinical Impression :
6 MM DILATED

Rx
NEVANAC EYE DROPS 0.1%
Instill One drop for 3 Times a Day (9 AM , 2PM, 8PM) in right eye for 6 Weeks
PREDFORTE EYE DROPS
Instill 1 drop 5 times a day for 7 days, 1 drop 4 times a day for 7days,1 drop 3 times a day for 7 days, 1 drop 2
times a day for 7 days, 1 drop daily for 7days in right eye for 1 Week
MAHAFLOX 0.5% 5ml EYE DROPS
Instill One Drop 4 Times a Day (9AM, 1 PM, 5 PM, 9 PM) in right eye for 1 Week
Next Review : As and when required

Prognosis : GVP Clearly explained to patient in view of hard cataract ..chances of aphakia & need for VR intervention in
future explained to patient
Doctor Remarks :
Taper steroid eyedrops
Plan of Care :
To continue postoperative medication

OPD Followup Date/Time : 18/Jul/2025 08:33 AM

Primary Workup Done By :T Satyavathi
Present Complaints
Post Op Cat Sx Since 1 day in right eye.
ISOPURE EDOF IOL.
Vision Right Eye Left Eye
Distance Near Distance Near
Unaided 6/9
With Pinhole 6/6
Best Correct 6/6

Examined By : Dr Nasrin 10:31 AM

Examination Details
Finding Name Right Eye Left Eye
Lens PCIOL PCIOL
Anterior Chamber Cells & Flare WELL FORMED
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID

Conjunctiva Normal Normal

Iris NCP NCP
Pupil NSRL,6mm post dilatation NSRL,7mm post dilatation
Adnexa Normal Normal
Fundus 0.6CDR, FR DULL CDR 0.6:1IR =SR, FR DULL
Cornea CLEAR CLEAR
Examination Comments :
LE POD 1 month , came for RE cataract surgery
Diagnosis
POST OP CATARACT SURGERY , in Both Eyes
Clinical Impression :
6 MM DILATED

Rx
PREDFORTE EYE DROPS
Instill One Eye Drop at 9 AM, 11 AM, 1 PM, 4 PM, 6 PM & 9 PM for 1-7th Day Instill One Eye Drop at 9 AM, 12 PM,
4 PM, 6 PM & 9 PM from 8-14th Day Instill One Eye Drop at 9 AM, 1 PM, 5 PM & 9 PM from 15-21st Day Instill One Eye
Drop at 9 AM, 2 PM, 9 PM from 22 - 28th Day Instill One Eye Drop at 9 AM, 9 PM from 29 - 35th Day Instill One Eye
Drop at 9 PM from 36 -42nd Day and stop in right eye
MAHAFLOX 0.5% 5ml EYE DROPS
Instill One Drop 4 Times a Day (9AM, 1 PM, 5 PM, 9 PM) in right eye for 2 Weeks
Review after 5 days on 23/Jul/2025

Prognosis : GVP Clearly explained to patient in view of hard cataract ..chances of aphakia & need for VR intervention in
future explained to patient
Doctor Remarks :
Taper steroid eyedrops
Plan of Care :
To continue postoperative medication

OPD Followup Date/Time : 17/Jul/2025 09:25 AM

OPD Followup Date/Time : 16/Jul/2025 09:33 AM

IOL Detail Right Eye Left Eye
K1 Reading 44.70 44.64
K2 Reading 45.18 45.49
Axial Length 23.54MM 23.65MM
A-Constant 1 118.00 118.00
Power 1 +18.00D +18.00D
A-Constant 2 118.40
Power 2 +18.50D
A-Constant 3 118.7/8 119.0/10
Power 3 +19.00D
A-Constant 4 119.30/40
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID

Power 4 +19.50D
Final Power +19.50d(119.40)
K1 Axis 45 68
K2 Axis 135 158
IOL Remarks BE OPTICAL BIOMETER DONE
Created By SATYAVATH

OPD Followup Date/Time : 11/Jul/2025 02:06 PM

Primary Workup Done By :T Satyavathi
Present Complaints
POST OP REVIEW.
Auto Refraction and Keratometer(Undilated) at 02:22 PM By T Satyavathi
Right Eye Left Eye Right Eye Left Eye
Sph Cyl Axis Sph Cyl Axis D MM Axis D MM Axis
ERR +1.00 -1.50 76

IOP/Pachy/CCT Right Eye Left Eye

Detail

Method / Time IOP Corrected CCT IOP Corrected CCT

IOP IOP
NCT / 02:22 19 17

Vision Right Eye Left Eye

Distance Near Distance Near
Unaided CF 2 MTR N36 6/9 N12
With Pinhole NI 6/6
Best Correct NIG 6/6 N6

Undilated Right Eye Left Eye

Refraction
Sph Cyl Axis Prism V/A Sph Cyl Axis Prism V/A

Distance NAG CF 2 +/- +0.75 170 6/6

MTR
Add +2.50 N6
Examined By : Dr Sushma M 03:01 PM
Examination Details
Finding Name Right Eye Left Eye
ROPLAS NEGATIVE NEGATIVE
NEAR MATURE CATARACT[NS3, PCIOL
Lens PSCC, CC]
Anterior Chamber ND WELL FORMED
Conjunctiva Normal Normal
Iris NCP NCP
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID
Pupil NSRL,6mm post dilatation NSRL,7mm post dilatation
Adnexa Normal Normal
hazy view , disc appears normal OTHER CDR 0.6:1IR =SR, FR DULL
Fundus DETAILS NOT CLEAR
Cornea CLEAR CLEAR
Examination Comments :
LE POD 1 month , came for RE cataract surgery
Diagnosis
Cataract , in Right Eye
POST OP CATARACT SURGERY , in Left Eye
Clinical Impression :
6 MM DILATED

Rx
NEVANAC EYE DROPS 0.1%
Instill One drop for 3 Times a Day (9 AM , 2PM, 8PM) in left eye for 2 Weeks
MOXICIP EYE DROPS
Instill One Drop 6 Times Daily (8 AM, 11 AM, 2 PM, 5PM, 8PM, 10 PM) in both eyes As and when required (To
start 1 day before surgery)
PREDFORTE EYE DROPS
Instill 1 drop 2 times a day for 7 days, 1 drop daily in left eye for 2 Weeks (stop after 2 weeks)
Next Review : As and when required
Advised Investigations
BP Syringing
PHYSICIAN CONSULTATION
A SCAN
B Scan (Right Eye)
Cataract Surgery Profile(HB,RBS,HCV HIV,HBS Ag,SC,ECG)
Advised Surgical Procedures
PHACO FOLDABLE IOL , in Right Eye

Prognosis : GVP Clearly explained to patient in view of hard cataract ..chances of aphakia & need for VR intervention in
future explained to patient
Doctor Remarks :
RE CATARACT SURGERY [PHACO] + /- IOL UNDER LA UNDER GVP
TAB DIAMOX 250 MG STAT 30 MINUTES BEFORE SURGERY
Plan of Care :
RE CATARACT SURGERY [PHACO] + /- IOL UNDER LA UNDER GVP
TAB DIAMOX 250 MG STAT 30 MINUTES BEFORE SURGERY
DETAILED FUNDUS EXAMINATION POST OPERATIVELY

OPD Procedure / Investigations

Sr. No. Procedure Date Procedure Name Comments Done By
1 11/Jul/2025 BScan T Vasanthi
Field Name Right Eye Left Eye
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID
Ax L
Vitreous
Retina
RCS Complex
ONH
Lens

Counseling/Booking Record
Head Name Values
Advised Date 11/Jul/2025
Advised By M Padmavathi
Site Right Eye
Operation Type CATARACT (PHACO)
Procedure Name PHACO FOLDABLE IOL
Surgery Status Done
Booking Date 11/Jul/2025
Surgery Date & Time 17/Jul/2025 04:39 PM
Surgeon Name Dr Sushma M
Party Name National Institute of Oceanography
Counselor Remarks
Patient Remarks
Package Name Phaco with ISOPURE EDOF IOL
Settled Amount 50000
Insurance Company
Claim Date 11/Jul/2025
Claim Amount 50000
Sanction Date 01/Jan/0001
Sanction Amount 50000
Co-Amount
Employee Name
Relation With Employee
Insurance Policy No

OPD Followup Date/Time : 11/Jun/2025 02:00 PM

Primary Workup Done By :P Divya
Present Complaints
POST OP CATARACT SX 6 DAYS- OS.
Vision Right Eye Left Eye
Distance Near Distance Near
Unaided 6/12+
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID
With Pinhole 6/9+

Examined By : Dr Madhulika Singh 02:16 PM

Examination Details
Finding Name Right Eye Left Eye
Lens NS3, PSCC, CC PCIOL
Anterior Chamber ND Cells & Flare
Conjunctiva Normal Normal
Iris NCP NCP
Pupil NSRL,7mm post dilatation NSRL,7mm post dilatation
Adnexa Normal Normal
Fundus hazy view , disc appears normal CDR 0.6:1IR =SR, FR DULL
Cornea CLEAR DM FOLDS
Examination Comments :
LE POD 1
Diagnosis
NS3+PSC+CC , in Right Eye
POST OP CATARACT SURGERY , in Left Eye

Rx
NEVANAC EYE DROPS 0.1%
Instill One drop for 3 Times a Day (9 AM , 2PM, 8PM) in left eye for 6 Weeks
PREDFORTE EYE DROPS
Instill One Eye Drop at 9 AM, 11 AM, 1 PM, 4 PM, 6 PM & 9 PM for 1-7th Day Instill One Eye Drop at 9 AM, 12 PM,
4 PM, 6 PM & 9 PM from 8-14th Day Instill One Eye Drop at 9 AM, 1 PM, 5 PM & 9 PM from 15-21st Day Instill One Eye
Drop at 9 AM, 2 PM, 9 PM from 22 - 28th Day Instill One Eye Drop at 9 AM, 9 PM from 29 - 35th Day Instill One Eye
Drop at 9 PM from 36 -42nd Day and stop in left eye for 6 Weeks (THEN TAPER 6)
MOXICIP EYE DROPS
Instill One Drop 4 Times a Day (9AM, 1 PM, 5 PM, 9 PM) in left eye for 1 Month
Review after 1 month on 11/Jul/2025

Prognosis : GVP Clearly explained to patient in view of hard cataract ..chances of aphakia & need for VR intervention in
future explained to patient
Doctor Remarks :
MEDICATIONS AS ADVISED
Plan of Care :
LE POST OP MEDICATIONS

OPD Followup Date/Time : 06/Jun/2025 09:16 AM

Primary Workup Done By :Ratnam Raju
Present Complaints
POST OP 1 DAY -LE.
PHACO WITH ISOPURE EDOF IOL-LE.
Vision Right Eye Left Eye
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID
Distance Near Distance Near
Unaided 6/12P
With Pinhole 6/9P
Best Correct 6/9P

Examined By : Dr Sushma M 09:56 AM

Examination Details
Finding Name Right Eye Left Eye
Lens NS3, PSCC, CC PCIOL
Anterior Chamber ND Cells & Flare
Conjunctiva Normal Normal
Iris NCP NCP
Pupil NSRL,7mm post dilatation NSRL,7mm post dilatation
Adnexa Normal Normal
Fundus hazy view , disc appears normal CDR 0.6:1IR =SR, FR DULL
Cornea CLEAR DM FOLDS
Examination Comments :
LE POD 1
Diagnosis
NS3+PSC+CC , in Right Eye
POST OP CATARACT SURGERY , in Left Eye

Rx
NEVANAC EYE DROPS 0.1%
Instill One drop for 3 Times a Day (9 AM , 2PM, 8PM) in left eye for 6 Weeks
PREDFORTE EYE DROPS
Instill 1 Drop Every 2 hours Till Sleep time in left eye for 5 Days (THEN TAPER 6)
MOXICIP EYE DROPS
Instill One Drop 4 Times a Day (9AM, 1 PM, 5 PM, 9 PM) in left eye for 2 Weeks
Next Review : As and when required

Prognosis : GVP Clearly explained to patient in view of hard cataract ..chances of aphakia & need for VR intervention in
future explained to patient
Doctor Remarks :
MEDICATIONS AS ADVISED
Plan of Care :
R/A 5 DAYS

OPD Followup Date/Time : 02/Jun/2025 11:24 AM

IOL Detail Right Eye Left Eye
K1 Reading 44.64 44.58
K2 Reading 44.76 45.55
Axial Length 23.56MM 23.80MM
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID
A-Constant 1 118.00 118.00
Power 1 +18.50D +17.50D
A-Constant 2 118.4/7
Power 2 +18.00D
A-Constant 3 118.8 119.0/10/30
Power 3 +18.50D
A-Constant 4 119.40
Power 4 +19.00D
K1 Axis 119 75
K2 Axis 29 165
IOL Remarks BE OPTICAL BIOMETER DONE
Created By SATYAVATHI

OPD Followup Date/Time : 31/May/2025 10:17 AM

Primary Workup Done By :P Divya
Present Complaints
Blurred Vision For Distance Since 9 Months BE.
Auto Refraction and Keratometer(Undilated) at 10:27 AM By P Divya
Right Eye Left Eye Right Eye Left Eye
Sph Cyl Axis Sph Cyl Axis D MM Axis D MM Axis
ERROR +2.25 -6.00 101

IOP/Pachy/CCT Right Eye Left Eye

Detail
Corrected Corrected
Method / Time IOP IOP CCT IOP IOP CCT

NCT / 10:27 19 19

Vision Right Eye Left Eye

Distance Near Distance Near
Unaided CF3MTR N36 CF1.5MTR N36<
With Pinhole NI NI
Best Correct NIG NIG

IOL Detail Right Eye Left Eye

Examined By : Dr Bhanu B 10:33 AM
Examination Details
Finding Name Right Eye Left Eye
ROPLAS NEGATIVE NEGATIVE
Lens NS3, PSCC, CC NS3-4 , Dense PSCC, CC
Anterior Chamber ND ND
Conjunctiva Normal Normal
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID

Iris NCP NCP

Pupil NSRL,7mm post dilatation NSRL,7mm post dilatation
Adnexa Normal Normal
Fundus hazy view , disc appears normal hazy view , disc appears normal
Cornea CLEAR CLEAR
Diagnosis
NS3+PSC+CC , in Right Eye
NS3-4, CC, PSC , in Left Eye

Rx
MOXICIP EYE DROPS
Instill One Drop 6 Times Daily (8 AM, 11 AM, 2 PM, 5PM, 8PM, 10 PM) in both eyes for 1 Day (1 DAY PRIOR To
SURGERY)
Next Review : As and when required
Advised Investigations
B Scan one eye
BP SYRINGING
A SCAN
PHYSICIAN CONSULTATION
Cataract Surgery Profile(HB,RBS,HCV HIV,HBS Ag,SC,ECG)
Advised Surgical Procedures
PHACO FOLDABLE IOL , in Left Eye

Prognosis : GVP Clearly explained to patient in view of hard cataract ..chances of aphakia & need for VR intervention in
future explained to patient
Doctor Remarks :
LE CATARACT SURGERY +/- PCIOL (PHACO) UNDER LA UNDER GVP
pre op tab.diamox 250mg stat 1/2 hr before surgery
Plan of Care :
LE CATARACT SURGERY + /- PCIOL (PHACO) UNDER LA UNDER GVP
( 3 - piece IOL standby)

Counseling/Booking Record
Head Name Values
Advised Date 31/May/2025
Advised By M Padmavathi
Site Left Eye
Operation Type CATARACT (PHACO)
Procedure Name PHACO FOLDABLE IOL
Surgery Status Done
Booking Date 31/May/2025
Surgery Date & Time 05/Jun/2025 12:23 PM
Surgeon Name Dr Bhanu B
Party Name National Institute of Oceanography
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID
Counselor Remarks
Patient Remarks
Package Name Phaco with ISOPURE EDOF IOL
Settled Amount 50000
Insurance Company
Claim Date 31/May/2025
Claim Amount 50000
Sanction Date 01/Jan/0001
Sanction Amount 50000
Co-Amount
Employee Name
Relation With Employee
Insurance Policy No

OPD First Date/Time : 12/Oct/2022 10:48 AM

Primary Workup Done By :Ratnam Raju
Present Complaints
Routine Eye Check Up.
Auto Refraction and Keratometer(Undilated) at 12:00 AM By Admin
Right Eye Left Eye Right Eye Left Eye
Sph Cyl Axis Sph Cyl Axis D MM Axis D MM Axis
-1.25 --1.00 90 -0.75 -2.00 90

IOP/Pachy/CCT Right Eye Left Eye

Detail

Method / Time IOP Corrected CCT IOP Corrected CCT

IOP IOP
NCT / 11:05 19 20

Vision Right Eye Left Eye

Distance Near Distance Near
Unaided 6/24 N12 6/24 N12
With Pinhole 6/6P 6/6P
Best Correct 6/6P N6 6/6P N6

Undilated Right Eye Left Eye

Refraction
Sph Cyl Axis Prism V/A Sph Cyl Axis Prism V/A
Distance -1.00 -1.00 90 6/6P -0.75 -1.75 90 6/6P
Add +2.25 N6 +2.25 N6
Primary Workup Remarks: Explained About Progressive Glasses
Examined By : Dr P Sowmya 12:00 AM
Examination Details
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID
Finding Name Right Eye Left Eye
Lens ELC ELC
Anterior Chamber ND ND
Conjunctiva NORMAL NORMAL
Iris NCP NCP
Pupil NSRL NSRL
Adnexa NORMAL NORMAL
Fundus WNL WNL
Cornea NORMAL NORMAL
Diagnosis
Refractive Error , in Both Eyes

Rx
HYLUZEN EYE DROPS 10ML
1 drop 3 times in a Day (9AM, 3 PM, 9 PM) in both eyes for 1 Month
Review after 6 months
Doctor Remarks :
CONSTANT USE OF GLASSES
Plan of Care :
Glasses Prescribed

Glass Prescription

Adv.Glasses Right Eye Left Eye

Sph Cyl Axis Prism V/A N/V Sph Cyl Axis Prism V/A N/V
Distance -1.00 -1.00 90 6/6P -0.75 -1.75 90 6/6P
Add +2.25 N6 +2.25 N6

LAB REPORT

Date : 02/Jun/2025

Test Name Result Unit Reference

Value
(Cataract Surgery Profile(HB,RBS,HCV HIV,HBS Ag,SC,ECG))
HB% 10.8 gm% 11.5 - 13.5
RBS 163 mg/dl 80 - 160
HIV Non Reactive -
HbSAg (RAPID METHOD) Non Reactive -
HCV Non Reactive -
S.CREATININE 0.8 mg/dl 0.6 - 1.6
ECG -
 Medical Record
Patient ID 399611 Reg. Date 12/Oct/2022
Patient Name Mrs. Thonangi Shanti Latha Age/Gender 56 Yrs / F
Category A Block Date of Birth 12/Oct/1969
24-1-57/1/4,F -401, Sri Balaji Castle,
Address Shipyard Mobile No. 9162178541
Layout,Simhachalam,Visakhapatnam,
Dist. Visakhapatnam
Referred By Hospital Case National ID

Date : 16/Jul/2025

Test Name Result Unit Reference

Value
(RBS)
RBS 190 mg/dl 80 - 160

Admission Record
IPD File No 181009
Admission Date & Time 05/Jun/2025 09:13 AM
Surgical Case ? YES
Case Type CGHS

Nursing Medication Sheet

Date Medicine Name Dosage Site Dose GivenTime Status Remarks AdvisedBy GivenBy
Time Time
05/06/25 Nil - NA 12:00 AM 12:00 AM True P Bhavani
12:35

Vital Detail
Date Time BP(S) BP(D)
(mmHg) (mmHg) Temp Pulse Respiration SPO2 RBS O.P. EnteredBy

12:36
05/06/25 PM 130 70 98 80 18 98 0 0 P Bhavani

Surgical Record
Surgery Date & Time 05/Jun/2025 11:08 AM
Surgeon Name Dr Nasrin
CoSurgeon Name Not Applicable
Procedure Type CATARACT (PHACO)
Procedure Name PHACO WITH ISOPURE EDOF IOL
Operated Eye LE
Manual OT No 2

Anaesthesia Type Local Anesthesia with (Lignocaine+Bupivacaine) under Peribulbar

with26G Needle
Anaesthetist Name DR.C V Srinivas
Surgery Status Done
Theatre Name OT-2 Cataract
Duration 18 MIN
Case Type EMPANELMENT
Xylocain / Xylocain Type Yes / 0.1ML
Diagnosis Name NS3+PSC+CC IN RIGHT EYE,NS3-4, CC, PSC IN LEFT EYE
Is IOL Surgery Yes
Complication (if any) NIL
Is Postponed / Reason No
Created By Pushparaj

OT Notes
After draping Povidine Iodine 5% drops instilled
Clear Corneal Temporal Section Phaco.
CCC done and followed by hydrodissection.
Nucleus removal by phaco, chop technique.
PCIOL Implanted into bag.
Wound secured by hydration.
I/C Moxifloxacin 0.1ml given
Povidine Iodine 5% drops instilled
Uneventful Surgery.
CDE:35.36
AUROGEL-1.
Post Operative Orders :
1. Tab. PARACETMOL+ACECLOFENAC - At Night (SOS)
2. Remove Pad and Bandage tomorrow
3. Post Op Vision and Fundus Examination tomorrow
4. Patient Can be Shifted to ward
OT Notes [ Phacoemulsification operative notes ]
Pre operative preparation Yes
Eye LE
Time Out Yes
Anaesthesia Local
Betadine eye drops Yes
Parts painted and draped Yes
Betadine eye wash Yes
Type of Section Clear Corneal
Section Site Temporal
Section Size 2.8
Side port Incisions Two
Capsolorrhexis 5mm
Trypan blue Yes
Hydrodissection Yes
Hydrodeliniation Yes
Technique Direct Chop
Cortical aspiration Yes
PCIOL insertion technique with Injector
IOL position in the Bag
Wound hydration Yes
Wound integrity checked No leak
Suture None
Sub Conjunctival Injection Gentamycin+Dexamethasone Intra Cameral moxifloxacin 0.1ml
Betadine Drops Yes
Complications Nil
Additional procedures Nil
Eye patched YES
Remarks SURGERY UNEVENTFUL
BSS/RL batch 12MM2
Viscoelastic Batch 5B110
Autoclave indicator strips STERILE
Phaco machine number
Phaco probe Number
IA tube number
Cassette Number
IOL Sticker Attached to Discharge Summary
OT Number 2
Case Number 3
Assistant one VENKATALAXMI
Assistant Two BUTCHI BABU

IOL Detail Operated

Eye
Site Left Eye
K1 Reading 44.58
K2 Reading 45.55
Axial Length 23.80MM
A-Constant 118.00
Power +17.50D
A-Constant 118.4/7
Power +18.00D
BE OPTICAL
IOL Remarks BIOMETER
DONE
Need to Discus with Doctor
Machine Name AL SCAN

IOL Consumption Record

Company Name BVI MEDICAL
IOL Name ISOPURE MONOFOCAL EDOF
IOL Modal 123
IOL Power +19.00D
SerialNo
Batch No 23BVJD43
MFG Date 03/Jun/2025
Expiry Date 01/Mar/2026
Discharge Summary
Admisssion Date 05/Jun/2025 09:13 AM Discharge Date 05/Jun/2025
12:37 PM
Complaints Blurred Vision For Distance,Routine Eye Check Up
Diagnosis NS3+PSC+CC IN RIGHT EYE,NS3-4, CC, PSC IN LEFT EYE
Procedure Done PHACO WITH ISOPURE EDOF IOL in Left Eye
Created By P Bhavani

Rx
PANSEC TABLETS 40 mg
One Tablet before Breakfast at 7 AM for 2 Days
HIFENAC P TABL
10 AM and 9 PM for 2 Days
Admission Record
IPD File No 187335
Admission Date & Time 17/Jul/2025 09:13 AM
Surgical Case ? YES
Case Type CGHS

Nursing Medication Sheet

Date Medicine Name Dosage Site Dose GivenTime Status Remarks AdvisedBy GivenBy
Time Time
17/07/25 Nil - NA 12:00 AM 12:00 AM True Vineela
11:24

Vital Detail
Date Time BP(S) BP(D)
(mmHg) (mmHg) Temp Pulse Respiration SPO2 RBS O.P. EnteredBy

17/07/25 11:24
AM 130 90 98 74 20 98 0 0 Vineela

Pre Operative Check List

Verified Patient Details (Name & MR No) :Yes
Reconfirmed advised surgery, package :Yes
Investigation reports attached, and abnormal investigations (if any) informed to the Patient/Consult :Yes
Verified Fitness and Instructions given by Anesthetist/Physician :Yes
Verified type of Anesthesia and documented (TA/LA/GA/MAC) :Yes
Informed fasting time to the patient (If surgery is posted under GA) :No
A Scan done and Appropriate IOL Power is available (for Cataract Sx) :Yes
Syringing/ROPLAS is done for both eyes and patent :Yes
Enquired about any known allergy. If so, the same is documented in the medical record :Yes
Enquired whether Patient is on antiplatelet (Ecosprin/Clopidogrel) If so, advised to stop 5 days (pr :None
Informed patient to bring all prescribed Medicines while coming for admissin (Systemic and Ophthalmi :Yes
All required documents are attached
Patient is to be admitted in Day Care /Paid Rooms /Aarogyasree Ward ________ :Yes
Patient is to be admitted under (Paid/Aarogyasree/EHS/Empanelment/TPI/Subsidy /Free /Emergency)_ :Yes
Patient can be Admitted :Yes
Special Instructions (If Any) :No

Surgical Record
Surgery Date & Time 17/Jul/2025 11:18 AM
Surgeon Name Dr Nasrin
CoSurgeon Name Not Applicable
Procedure Type CATARACT (PHACO)
Procedure Name PHACO WITH ISOPURE EDOF IOL
Operated Eye RE
Manual OT No 2

Anaesthesia Type Local Anesthesia with (Lignocaine+Bupivacaine) under Peribulbar

with26G Needle
Anaesthetist Name DR.C V Srinivas
Surgery Status Done
Theatre Name OT-2 Cataract
Duration 10 min
Case Type EMPANELMENT
Xylocain / Xylocain Type Yes / 0.1ML

Diagnosis Name CATARACT IN RIGHT EYE,POST OP CATARACT SURGERY IN LEFT

EYE
Is IOL Surgery Yes
Complication (if any) NIL
Is Postponed / Reason No
Created By Pushparaj

OT Notes
After draping Povidine Iodine 5% drops instilled
Clear Corneal Temporal Section Phaco.
CCC done and followed by hydrodissection.
Nucleus removal by phaco, chop technique.
PCIOL Implanted into bag.
Wound secured by hydration.
I/C Moxifloxacin 0.1ml given
Povidine Iodine 5% drops instilled
Uneventful Surgery.
CDE:19.65
AUROGEL-1.
Post Operative Orders :
1. Tab. PARACETMOL+ACECLOFENAC - At Night (SOS)
2. Remove Pad and Bandage tomorrow
3. Post Op Vision and Fundus Examination tomorrow
4. Patient Can be Shifted to ward
OT Notes [ Phacoemulsification operative notes ]
Pre operative preparation Yes
Eye RE
Time Out Yes
Anaesthesia Local
Betadine eye drops Yes
Parts painted and draped Yes
Betadine eye wash Yes
Type of Section Clear Corneal
Section Site Temporal
Section Size 2.8
Side port Incisions Two
Capsolorrhexis 5mm
Trypan blue Yes
Hydrodissection Yes
Hydrodeliniation Yes
Technique Direct Chop
Cortical aspiration Yes
PCIOL insertion technique with Injector
IOL position in the Bag
Wound hydration Yes
Wound integrity checked No leak
Suture None
Sub Conjunctival Injection Gentamycin+Dexamethasone Intra Cameral moxifloxacin 0.1ml
Betadine Drops Yes
Complications Nil
Additional procedures Nil
Eye patched YES
Remarks SURGERY UNEVENTFUL
BSS/RL batch 12MM2
Viscoelastic Batch 4J851
Autoclave indicator strips STERILE
Phaco machine number
Phaco probe Number
IA tube number
Cassette Number
IOL Sticker Attached to Discharge Summary
OT Number 2
Case Number 4
Assistant one CHINNATHALLI
Assistant Two RAJESH

IOL Detail Operated

Eye
Site Right Eye
K1 Reading 44.70
K2 Reading 45.18
Axial Length 23.54MM
A-Constant 118.00
Power +18.00D
A-Constant 118.40
Power +18.50D
IOL Type EDOF

Final Power +19.50d

(119.40)
BE OPTICAL
IOL Remarks BIOMETER
DONE
Need to Discus with Doctor
Machine Name AL SCAN

IOL Consumption Record

Company Name BVI MEDICAL
IOL Name ISOPURE MONOFOCAL EDOF
IOL Modal 123
IOL Power +19.50D
SerialNo
Batch No 23FVBD47
MFG Date 08/Jul/2025
Expiry Date 01/Aug/2026
Discharge Summary
Admisssion Date 17/Jul/2025 09:13 AM Discharge Date 17/Jul/2025 11:36
AM
POST OP REVIEW,POST OP CATARACT SX 6 DAYS-
Complaints OS,PHACO WITH ISOPURE EDOF IOL-LE,POST OP 1 DAY
-LE,Blurred Vision For Distance,Routine Eye Check Up

Diagnosis CATARACT IN RIGHT EYE,POST OP CATARACT SURGERY IN

LEFT EYE
Procedure Done PHACO WITH ISOPURE EDOF IOL in Right Eye
Created By Vineela

Rx
PANSEC TABLETS 40 mg
One Tablet before Breakfast at 7 AM for 2 Days
HIFENAC P TABL
10 AM and 9 PM for 2 Days