Clone of Genesis ACO Diabetic Outreach | Key-Whitman Eye Center Logo
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  • Current Meds/Freq:

    1. Lubricants                   
    2. Antibiotic
    3. Steroid
    4. NSAID Combo gtts      
    5. Other      
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  • Tonometry
    OD      mmHg @     
    OS      mmHg @   

  • Manifest Refraction
    OD     x20/           
    OS      x20/         

  • Slit Lamp Exam
    AdnexaAC      Conjuctiva   CorneaIris      Lens

  • Meds:

    1. None                   
    2. Antibiotic
    3. Combo (PGN)
    4. NSAID gtts      
    5. Lubricants   
    6. Pred Forte      
  • Clear
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  • Should be Empty: