Chart
51y · Male · MRN MV-703021 · IC 750101-12-4499
Clinical Summary
- Day case · Daycare Dr. Chan Jan Bond05/10/2026
- Clinical note
- Pseudophakia OS (Z96.1); age-related nuclear cataract (H25.1) operated — phacoemulsification with IOL OS done; BCVA OS 6/36, unchanged; IOP 17 mmHg.
- Diagnosis
- H25.1 Age-related nuclear cataract (OS)
- Care plan
- Home today on Moxifloxacin 0.5% 1 drop QID OS x 1/52, Prednisolone Acetate 1% 1 drop QID OS x 4/52 taper. Eye shield at night, no rubbing or bending. Review post-op D1 on 06/10/2026. Repeat HbA1c, Fasting Blood Sugar before the next visit.
- Follow-up
- Post-op D1 · 06/10
Test Reports
- HbA1c Range 4 – 5.605/10/2026
- Fasting Blood Sugar Range 3.9 – 5.505/10/2026
- OCT macula OD 297 · OS 292 µm CMT20/09/2026
- Biometry OD 22.25 · OS 22.55 mm ALAcrySof IQ Toric SN6AT5 22 D20/09/2026
- Corneal topography OD 46 · OS 46 D Kmax20/09/2026
- Specular microscopy OD 2920 · OS 2830 cells/mm²20/09/2026
- Fundus photograph OD R1 M0 · OS R1 M020/09/2026
- B-scan ultrasound Dense nuclear cataract, no fundal view20/09/2026
Current medicines
7- Moxifloxacin 0.5% 5ml Eye drops 1 drop QID OS x 1/52 · Eye
- Prednisolone Acetate 1% 5ml Eye drops 1 drop QID OS x 4/52 taper · Eye
- Paracetamol 500mg (Panadol) 1000 mg prn
- Metformin 500mg (Glucophage) 500 mg bd
- Bisoprolol 2.5mg (Concor) 2.5 mg od
- Atorvastatin 20mg (Lipitor) 20 mg on
- Amlodipine 5mg (Norvasc) 5 mg od
Visit
6 Cataract & Refractive- Upcoming3
- Post-op D1 Dr. Chan Jan Bond06/10/2026
- Post-op W1 Dr. Chan Jan Bond12/10/2026
- Post-op M1 Dr. Chan Jan Bond04/11/2026
- Current stay
- Admitted Daycare · 00205/10/2026
- Past visits
- Follow Up · Cataract & Refractive Dr. Chan Jan Bond21/08/2026
- Follow Up · Cataract & Refractive Dr. Chan Jan Bond12/07/2026
- Follow Up · Cataract & Refractive Dr. Chan Jan Bond30/05/2026
- New Case · Cataract & Refractive Dr. Chan Jan Bond20/04/2026
- Follow Up · Cataract & Refractive Dr. Chan Jan Bond07/03/2026
Diagnoses
5- H25.1 · Age-related nuclear cataract (OS) Since 07/03/2026
- E78.0 · Hypercholesterolaemia Since 12/08/2021 · comorbidity
- I10 · Hypertension Since 18/01/2021 · comorbidity
- E11.9 · Type 2 Diabetes Mellitus Since 26/09/2018 · comorbidity
- H36.0 · Diabetic retinopathy, R1 M0 (OU) Since 07/12/2021 · comorbidity
Procedure
8- Refraction05/10/2026
- Cataract Extraction with IOL Phacoemulsification · OS05/10/2026
- OCT macula20/09/2026
- Biometry20/09/2026
- Corneal topography20/09/2026
- Specular microscopy20/09/2026
- Fundus photograph20/09/2026
- B-scan ultrasound20/09/2026
Vital signs
6Temp 36.6 °CPulse 68 bpmBP 129/66 mmHgSpO₂ 99 %RR 17 /minWt 67.3 kg
Allergy
0No known allergy.