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General Data

CS
34/M
Sta. Cruz, Manila

Chief Complaint
Blurring of vision, left eye

History of Present Illness


2 weeks PTC
Patient noted blurring of vision,

Systemic Condition
Unremarkable

Physical Examination
Visual Acuity

OD

SC

PH

CC

Refraction
(BCVA)

CF at 3 ft.

NI

20/200

-16.50 SPH
20/80

NI

CF at 4 ft.

-16.50 SPH
20/63

OS EOM
HM; GLP
Full & equal

Slit Lamp
Clear cornea, adequate chamber

Funduscopy
OD: (+) ROR, CM, DDB, CDO4, (+) PPA, AV 2:3, (-) E/H, sigmoid retina
OS: (+) ROR, CM DDB, (+) PDA, AV2:3, (+) retinal detachment, total, macula, OU,
(-) E/H, sigmoid retina

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