Consultant |
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VP | Dist | Near | W/O Dist | W/O Near | PIN | IOP |
Right Eye: | ||||||
Left Eye: |
Medicine | Status | Next Visit |
No. | Medicine | Instructions | Durations | Remarks | Action |
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Pwr | Sph | Cyl | Axis | Sph | Cyl | Axis |
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IMP Information | ||||
6/4P | 6/4 | N/4P | N/4 | |
6/5P | 6/5 | N/5P | N/5 | |
6/6P | 6/6 | N/6P | N/6 | |
6/9P | 6/9 | N/9P | N/9 | |
6/12P | 6/12 | N/12P | N/12 | |
6/18P | 6/18 | N/18P | N/18 | |
6/24P | 6/24 | N/24P | N/24 | |
6/36P | 6/36 | N/36P | N/36 | |
6/60P | 6/60 | N/60P | N/60 | |
< 6/60 | CF | < N/60 | CF | |
HM+ | CF | HM+ | PI+,PR+4 | |
PI+,Pr.D | No PL | PI+,Pr.D | No PL | |
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N8 | NI | Patent | ||
Blocked | FC@1MT | FC@ | FC@1.5M | FC@2.5M |
FC@3MT | FAULTY PI | UN | HMCF | F.C@1/2M |
IOP Information Show / Hide | ||||
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Zeiger-Ausschlag Scala Reading | Augendruck- Pressure mmHg | |||
Tonometerstiftgewicht- Plunger Load | ||||
5,5 g | 7,5 g | 10,0 g | 15,0 g | |
Plain | Fogging | Err | Err[] | Ground | Same | ||
+0.00 | +0.25 | +0.50 | +0.75 | +1.00 | +1.25 | +1.50 | +1.75 |
+2.00 | +2.25 | +2.50 | +2.75 | +3.00 | +3.25 | +3.50 | +3.75 |
+4.00 | +4.25 | +4.50 | +4.75 | +5.00 | +5.25 | +5.50 | +5.75 |
+6.00 | +6.25 | +6.50 | +6.75 | +7.00 | +7.25 | +7.50 | +7.75 |
+8.00 | +8.25 | +8.50 | +8.75 | +9.00 | +9.25 | +9.50 | +9.75 |
+10.00 | +10.25 | +10.50 | +10.75 | +11.00 | +11.25 | +11.50 | +11.75 |
+12.00 | +12.25 | +12.50 | +12.75 | +13.00 | +13.25 | +13.50 | +13.75 |
+14.00 | +14.25 | +14.50 | +14.75 | +15.00 | +15.50 | +16.00 | +16.50 |
+17.00 | +17.50 | +18.00 | +18.50 | +19.00 | +19.50 | +20.00 | +20.50 |
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5 ° | 10 ° | 15 ° | 20 ° | 25 ° | 30 ° | 35 ° | 40 ° |
45 ° | 50 ° | 55 ° | 60 ° | 65 ° | 70 ° | 75 ° | 80 ° |
85 ° | 90 ° | 95 ° | 100 ° | 105 ° | 110 ° | 115 ° | 120 ° |
125 ° | 130 ° | 135 ° | 140 ° | 145 ° | 150 ° | 155 ° | 160 ° |
165 ° | 170 ° | 175 ° | 180 ° | ||||
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6/4 | 6/5 | 6/6P | 6/6 | 6/9P | 6/9 | 6/12P | 6/12 |
6/18P | 6/18 | 6/24P | 6/24 | 6/36P | 6/36 | 6/60P | 6/60 |
N/4 | N/5 | N/6P | N/6 | N/9P | N/9 | N/12P | N/12 |
N/18P | N/18 | N/24P | N/24 | N/36P | N/36 | N/60P | N/60 |
Plain | Fogging | Err | Err[] | Ground | Same | ||
0.00 | -0.25 | -0.50 | -0.75 | -1.00 | -1.25 | -1.50 | -1.75 |
-2.00 | -2.25 | -2.50 | -2.75 | -3.00 | -3.25 | -3.50 | -3.75 |
-4.00 | -4.25 | -4.50 | -4.75 | -5.00 | -5.25 | -5.50 | -5.75 |
-6.00 | -6.25 | -6.50 | -6.75 | -7.00 | -7.25 | -7.50 | -7.75 |
-8.00 | -8.25 | -8.50 | -8.75 | -9.00 | -9.25 | -9.50 | -9.75 |
-10.00 | -10.25 | -10.50 | -10.75 | -11.00 | -11.25 | -11.50 | -11.75 |
-12.00 | -12.25 | -12.50 | -12.75 | -13.00 | -13.25 | -13.50 | -13.75 |
-14.00 | -14.25 | -14.50 | -14.75 | -15.00 | -15.50 | -16.00 | -16.50 |
-17.00 | -17.50 | -18.00 | -18.50 | -19.00 | -19.50 | -20.00 | -20.50 |
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5 ° | 10 ° | 15 ° | 20 ° | 25 ° | 30 ° | 35 ° | 40 ° |
45 ° | 50 ° | 55 ° | 60 ° | 65 ° | 70 ° | 75 ° | 80 ° |
85 ° | 90 ° | 95 ° | 100 ° | 105 ° | 110 ° | 115 ° | 120 ° |
125 ° | 130 ° | 135 ° | 140 ° | 145 ° | 150 ° | 155 ° | 160 ° |
165 ° | 170 ° | 175 ° | 180 ° | ||||
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6/4 | 6/5 | 6/6P | 6/6 | 6/9P | 6/9 | 6/12P | 6/12 |
6/18P | 6/18 | 6/24P | 6/24 | 6/36P | 6/36 | 6/60P | 6/60 |
Diagnosis Description | R | L | B |
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Accomodative Esotropia | ||||
Acute Stye | ||||
Amblyopia | ||||
Anisometropic Amblyopia | ||||
Aphakia | ||||
ARMD | ||||
Bell'S Palsy | ||||
Blepharitis | ||||
Brown Nuclear Cataract Grade-3 | ||||
Cataract | ||||
Cataract Hypermature | ||||
Cataract Immature | ||||
Cataract Mature | ||||
Cataract Pre. Op. | ||||
Cataract-GA | ||||
Cataract-RR | ||||
GLASSES | ||||
Chalazion | ||||
Chemical Injury | ||||
Chorio Retinitis Macular |
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AMINOGLYCOSIDES | |
ANTIGLAUCOMA | |
ANTIMALARIALS | |
ATROPINE | |
FLUOROQUINOLONES | |
HOMATROPINE | |
IODINE | |
MYDRIATICS | |
CYCLOPENTOLATE | |
DUST | |
EGG |
Medicine Description | |
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ACULAR EYEDROPS |
. | Instruction Description | R | L | B | Duration | Qty | |
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0-0-1 |
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Instruction Description | R | L | Duration | |
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0-0-1 |
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VA | |
NEAR VA WITH PG | |
VISION WITH PG | |
PH | |
VA WITH CONTACT LENS | |
LEA VISION | |
OPHTHALMIC STATUS | |
LIDS | |
CONJUNCTIVA | |
SCLERA | |
CORNEA | |
ANTERIOR CHAMBER | |
ANGLE | |
IRIS | |
PUPIL | |
LENS | |
IOP-AT | |
IOP-NCT | |
TONOPEN IOP | |
VITREOUS |
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R | L | B |
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Complaints Description | R | L | B |
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COLORED HALOES |
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Systemic Illness Description |
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Advice Description | R | L | L |
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Sr. No | Reg. No | Patient Name | Mobile No | Date | Status | Referred By |
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Sr. | Patient Details | Contact Lense | Glass RX |
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Sr. No | Apo. No | Date | Name | Mobile No | Complain | Edit |
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Right Eye | Left Eye | |
K1 Reading | ||
K1-Axis | ||
K2 Reading | ||
K2-Axis | ||
Axial Length |
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Right Eye | Left Eye | |
Lens Type | ||
Lens Constant | ||
IOL Power | ||
Pre-oP Refraction | ||
Incosion Degree | ||
Incision Type | ||
Post-Op Refraction |
Sr. No | Patient Details | Keratometer Reading | IOL Section |
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SNo | Pay By | Amt |
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