C09988832 / invoice 10000

Eye discharges

Exam - Eye examination

History: Conjunctivitis
()

Ophthalmic Examination: 
OU: both eyes; OS: left eye; OD: right eye

Distant examination:
Eye lids: OS (); OD ()
Conjunctiva: OS (); OD ()
Eye lashes: OS (); OD ()

Vision test: OS (); OD ()
Reflexes: 
Pupillary Light Reflex: OS (); OD ()
Menace: OS (); OD ()
Dazzle: OS (); OD ()

Pupils: OS (); OD ()
Sclera/episclearal: OS (); OD ()
Cornea: OS (); OD ()
Anterior Chamber: OS (); OD ()

Intraocular Pressure: OS: () mmHg; OD: () mmHg
Fluorescein stain: OS (); OD ()
Schirmer tear test: OS (16); OD (15)

Mydriatic used: ()

Lens: OS (); OD ()
Fundus: OS (); OD ()
Prognosis: ()

Assessment:
Allergic conjunctivitis with spasmotic entropion OU

Plan:
Amacin BID to both eyes