27-08-2016, 02:47 PM
1450017499-25866050848OPH31613.rtf (Size: 12.71 KB / Downloads: 4)
Ophthalmology FTT dictating you. But on the morning of 10 December 2015 fast-paced is Judy Webber, MRN 1092 8052 GP pays ocular 711 and chronic allergic eye disease with severe dry eyes and that acuity 6/12+2 in the right disc 79, left six managed to to 6 over five management and and another two is still responder management is number one. This is a preservative free drops once daily two. Monopost once daily the three Hylo-Tears to the fore referred a corneal clinic number five and review in your pocket one week. This is Mr Cox please dear Dr I saw Ms wet today in new blocked attacker pressure at with that and dexamethasone. She is feeling much better and 40. 32 eight hours a day.
Me today. Advised to continue her on the drops once a day to keep the eye under control but also the Monopost to see if this can help reduce her pressure. We will see her in one week's time for review pressure. And I also referred to the corneal clinic as I think she needs that as be considered especially simple. Left hospital with the Cox and very grateful if you could arrange an outpatient appointment for this lady to be seen in your corneal clinic and. She and has had eczema about nine years and dry for about three years of little help at one half years ago. She was seen
Ms Mead out. He first presented she had very dry cornea is very quick look a inflamed lid slightly voted punter and the lower lids hydraulic efficient skin her eyelid. She had been tried previously in the acute setting a number of medications including an optic ROM Catacrom Opatanol all of which simply made the swelling and pain worse. An she had also been tried on and Dropodex have FML and pad with all raised pressure significantly. And the steroids controlled her symptoms. And I stress or how she was on three times a day and to fusion every hour, but felt that this was doing a favour her symptoms. This is true that the tax incentives to see the pressure eyes. I would be as she went from 20 to 32 over the course of a week. Have this is on some 33 once daily.
Discussion with Ms Mead started her on Monopost once daily to control the pressure. We will continue seen her mislead clinic the pressures. She has is going acute however visual to you for specialist opinion is clearly. She is a chronic disease which is difficult to control. She be grateful for your advice. Many thanks yours sincerely and the letter patient is John MRN 2022 0162 letter to the GP pays 711. Bilateral right impending PVD and acuity six over six both eyes management discharge Pardiwala deduct I saw Mr Moresdale clinic at Hebe complaining of seen satellites Ms eyes. The fact is the complainer flashing lights the privileges right vision over two years. He tells me he looked sensible Internet last week and quote panicked" and are and therefore was referred urgently. And Harriet had no increases and not symptoms eye shadow is vision of floaters. On examination he has a vitreous debris nuclear licensing and but was well. Dilated had a completely normal in question are no holes or tears. Pressures are good in both eyes. Shiver negative.
I asked Mr more
to him that Jilly detaching his I can anytime pull a hole or at retina level explicitly boring symptoms. It is a stub of do straightaway. Otherwise, if things continue unchanged. We do not see him again routinely. The best financial sincerely and left and is Janice Jones and 102 8295. She will not have a letter because she is been admitted acutely today and since you have discharge summary
and Michael aside John Kelly, MRN 310 0860 a letter to the DPP deduct I was not mistaken
That he was referred from to the court also. His visual beauty 66 in the right so for the left. Of accessing two hourly for a week now and he desires's vision is still a little bit down that eye. Examination, he does not have capacity that right eye, though, and by fate and no overlying defect. The scarring process going on and is FML disagreement decreased 4 times a day. Was seen's time for follow-up. The best sincerely and the leftis Michael Bates, MRN 3100 8718 strategies GP pays ocular summary and never one and dramatically since number to access vision and explains loss, left eye and visual acuity is six over six in the right kidney for the left 6/12 and management and patient would like to be referred privately for further investigation dear Dr and I saw and this gentleman today in the urgent eye clinic after his optician found that he had visual loss to the left not be a pre-manufactured. Mr Baker tells me that he is otherwise fit, he is advised that and has no symptoms apart for the last five or six years has noticed gradually worsening vision in his left eye. There has been no acute appendicitis concern. He had no headaches, pain in the eye or other symptoms. He is also noted in the same period the his left eyelid. This is a bit more droopy and, which has not bothered him, particularly the centre, some photos the end of the day.
On examination he has no obvious ptosis both raptures about 8 mm is normal and lid excursion. The full document that was no diplopia. He has never complaint of diplopia. And he does have dramatically since was, left in the right eye wanted that course in the ptosis. I note that it is never factors right eye. He is an any other muscle weakness to happen every day. Worsening of the last 56 years or so.