Professional Documents
Culture Documents
CS
34/M
Sta. Cruz, Manila
Chief Complaint
Blurring of vision, left eye
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