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 Add Diagnosis

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: