BE Virtual
BE F2F
URC
Post Inj
MOCT
RETINA
Cataract
URC
Diagnosis
Eye(s):
Right Eye
Left Eye
Both Eyes
Systemic
Diagnosis:
Select Diagnosis
FB
Dry Eye
Papilloedema
No Papilloedema
Retinal Tear
Dry Age Related Macular Degeneration
Wet Age Related Macular Degeneration
Diabetic Macular Oedema
Branch Retinal Vein Occlusion
Central Retinal Vein Occlusion
Neovascular Glaucoma
Steroid Response
Primary Open Angle Glaucoma
Ocular Hypertension
Primary Angle Closure Glaucoma
Trabeculectomy
Cyclodiode Laser
Selective Laser Trabeculoplasty
Failed Trabeculectomy
MicroPulse Diode Laser
YAG Peripheral Iridotomy
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Treatment
Eye(s):
Right Eye
Left Eye
Both Eyes
Oral
Treatment Option:
Select Treatment Option
G CPL
OC CPL
Hyloforte
Thealoz duo
Cationorm
VisuXL
Evolve Revive
VisuXL Gel
Hylo Night
Acular
DEXA 2 hourly
DEXA PF 2 hourly
DEXA QDS
DEXA PF QDS
Monopost
Cosopt
Fixapost
Trusopt BD
Trusopt TDS
Alphagan BD
Alphagan TDS
Acetazolamide BD
Acetazolamide 250mg TDS
Acetazolamide QDS
Add Treatment
Findings
Vision
Right Eye: 6/
Left Eye: 6/
Intraocular Pressure
Right Eye:
Left Eye:
Impression
FB
Wet AMD
Info INJ WAMD
Ischaemic CRVO
CRVO
BRVO
BRVO Observe
No Papilloedema
Papilloedema
Vitreous Bleed
Vitreous Bleed
Vitreous Bleed
Vitreous Bleed
Plan
FB
Wet AMD
BRVO
CRVO
No Papilloedema
Papilloedema
Papilloedema
Papilloedema
Papilloedema
Papilloedema
Title:
Mr
Mrs
Ms
Miss
Gender:
Gentleman
Lady
Normal Eye:
BE
RE
LE
Affected Eye:
BE
RE
LE
Treat/Plan:
Vabysmo
Eylea
Lucentis
Ongavia
Ozurdex
IVTA
PRP
Focal
Retinopexy
LE
LE
Referral:
GP
Optician
Ward
A/E
Self Referral
Patient's Name:
Generate Letter
Letter: