School Excuse Note Dilation (Female & Male)
MALE SCHOOL EXCUSE WITH DILATION:
A&P - Macular Hole (acute) MKS
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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