Consult
Arrived 10:10 · 15m · next: SLT
Ophthalmology
6Device Results CMT · OD 258 µm · CMT · OS 274 µm
5 · In the note In the note: Visual Acuity, Intraocular Pressure, Refraction, Anterior Segment, Posterior Segment
- Alerts & allergies
- 1
- Active problems
- 2
- Current medicines
- 2
- Lab & imaging
- 4
- Care & screening
- 0
- Past visit summary
- 12
Clinical note
DraftVA OD 6/12 (0.30)VA OS 6/9 (0.18)IOP OD 22IOP OS 14CDR 0.7 / 0.3
- Complaint
- Glaucoma review
- Diagnosis
- H40.1Primary open-angle glaucomaOn record
VA / Refraction
OD UA 6/24 (0.60) · PH 6/18 (0.48) · BCVA 6/12 (0.30) · Rx +1.00 / -1.00 x30 · Optometrist Tang Shin Ying
OS UA 6/18 (0.48) · PH 6/12 (0.30) · BCVA 6/9 (0.18) · Rx +1.25 / -0.50 x120 · Optometrist Tang Shin Ying
Anterior segment
OD Cornea clear · AC deep, van Herick grade 3 · Gonio open angle, Shaffer grade 3, no PAS · CCT 562 µm · Lens NO2 NC2 C1 P0, nuclear sclerosis, mild
OS Cornea clear · AC deep and quiet · Gonio open angle, Shaffer grade 4 · CCT 537 µm · Lens NO2 NC2 C1 P0, nuclear sclerosis, mild
Fundus
OD CDR 0.7 · Disc inferior rim thinning, notch · Macula flat, foveal reflex present
OS CDR 0.3 · Disc pink, healthy neuroretinal rim · Macula flat, foveal reflex present
IOP · target 15 / 21
OD 22 mmHg · GAT · Tang Shin Ying
OS 14 mmHg · GAT · Tang Shin Ying
- History
- -
- Plan
- Not written yet
View only · doctors write and sign Dr. Michael S. H. Law reads this note; the treating doctor writes and signs it.
Plan
Assist
1IOP OD · 22 · 10:20
Allergy on file
Latex (Contact)
Next review
Review 4 wk Suggested 02/11 · the treating doctor confirms
Orders today
3Selective Laser Trabeculoplasty (SLT)
Booked
Timolol 0.5% 5ml Eye drops · 1 drop · right eye · twice daily
Current
Latanoprost 0.005% 2.5ml Eye drops · 1 drop · right eye · ON (night)
Current