SCLs Charts

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A&P - Macular Hole (acute) MKS

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Edu pt on condition and exam findings and explained reason for reduced vision is due to the macular hole. Due to the acute nature of the condition, recommended surgical referral for vitrectomy. Emphasized to pt that delay in surgical repair could result in reduced success in hole closure and visual benefit/recovery. Informed pt that vision does not typically return to "normal" even after hole closure. Edu pt that there is a remote chance of spontaneous macular hole closure if surgery is not performed. Expected visual outcome s/p surgical repair was also discussed and the pt understands that even with a successful surgery, residual visual blur and metamorphosis may persist. Edu pt on statistically a 10-15% chance of a macular hole developing in the fellow eye.
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A&P - General for all appointments

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Released new spec rx today.   RTC in 1 yr for CEE, unless symptoms arise sooner.  Edu pt on risk of retinal detachments, holes, breaks, and tears. Edu pt on signs/symptoms of retinal detachment including but not limited to sudden onset and/or increase in frequency of floaters and flashes & curtaining/reduction in vision. Edu pt to RTC asap if such symptoms arise for an immediate fundus evaluation. Released new spec rx today. RTC in 1 yr for CEE, unless symptoms arise sooner.  Edu pt and parent on risk of retinal detachments, holes, breaks, and tears. Edu pt and parent on signs/symptoms of retinal detachment including but not limited to sudden onset and/or increase in frequency of floaters and flashes & curtaining/reduction in vision. Edu pt and parent to RTC asap if such symptoms arise for an immediate fundus evaluation.  Edu pt on exam findings. Advised pt on risk of vision loss associated with glaucoma & need for treatment compliance.  Afte...
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