BE Virtual
BE F2F
URC
Post Inj
MOCT
RETINA
Cataract
BE VIRTUAL
Diagnosis
Eye(s):
Right Eye
Left Eye
Both Eyes
Systemic
Diagnosis:
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Primary Open Angle Glaucoma
Ocular Hypertension
Normal Pressure Glaucoma
Glaucoma Suspect
Primary Angle Closure Suspect
Primary Angle Closure
Primary Angle Closure Glaucoma
Chronic Angle Closure Glaucoma
Pseudoexfoliation Glaucoma
Secondary Glaucoma
Neovascular Glaucoma
Steroid Response
Mixed Glaucoma
Trabeculectomy
Cyclodiode Laser
Selective Laser Trabeculoplasty
Failed Trabeculectomy
MicroPulse Diode Laser
YAG Peripheral Iridotomy
Phaco + MIGS
Dry Age Related Macular Degeneration
Wet Age Related Macular Degeneration
Diabetic Macular Oedema
Branch Retinal Vein Occlusion
Central Retinal Vein Occlusion
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Treatment
Eye(s):
Right Eye
Left Eye
Both Eyes
Oral
Treatment Option:
Select Treatment Option
G Monopost Once daily at Night
G Cosopt PF Twice daily
G Fixapost PF Once daily in Morning
G Trusopt PF x twice daily
G Trusopt PF Three times daily
G Alphagan twice daily
G Alphagan three times a day
Tab Acetazolamide 250mg PO Twice daily
Tab Acetazolamide 250mg PO three times a day
Tab Acetazolamide 250mg PO Four times a day
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Findings
Vision
Right Eye: 6/
Left Eye: 6/
Intraocular Pressure
Right Eye:
Left Eye:
Impression
Stable Visual fields
Text 2
Text 3
Text 4
Text 5
Plan
Custom Plan 1
Custom Plan 2
Custom Plan 3
Custom Plan 4
Custom Plan 5
Custom Plan 6
Title:
Mr
Mrs
Ms
Miss
Gender:
Gentleman
Lady
Patient's Name:
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Letter: