LEE: > 2 yr
RFV: REE
DV ok, NV ok
No H/as, No dip, No pain
OH: No HES
GH: Good, No meds
FH: None
Occupation:
Driver, VDU 0/24, non smoker
Hobbies:
-----------ADVICE------------------------
Advised must wear Rx when driving
Advised to see GP re BP and blood sugar check
Advised to see GP re chol check
-----------HANDOVER-----------------
------VARIFOCALS--------
Change in Rx
varifocals
Advised of early Cataracts
Change in Rx
First time varifocals
Advised of early Cataracts
-----SINGLE VISION------
Change in Rx
SV dist and near
Advised of early Cataracts
Change in Rx
SV near
AR coat
Change in Rx
SV Dist
AR coat
Change in Rx
SV dist and near
tried varis in past didn't get along with them
-------BIFOCALS---------
Change in Rx
Bifocals
Advised of early Cataracts
Small Rx px feels makes significant improvement
SV partial use for concentrated tasks
---------HEADACHES------------
Fields
to see GP if H/as continue
---------DRY EYES------------------
Blephaclean oid, Hot compresses oid, Hycosan qid
Blephaclean oid, Hycosan extra qid
Blephaclean oid, Hycosan extra qid, Lacrilube at night
--------------AMD---------------------
dry AMD to return immediately if reduced VA or Metamorphopsia
Diet and UV
see notes on other visit today
Advised to allow time for adaptation
------------CONTACT LENS FIT-----------
Order trials
Fit and VA and teach needed on collection
followed by 1/52 follow up
lens condition: clear R+L
TBUT 7 secs R+L
advised no sleeping/swimming/showering/tap water
go through do's and don'ts - sign compliance
1/52 follow up
Hot compresses oid, Hycosan qid
---------- FIT AND VA CHECK----------------
comfort and vision ok
Good movement on blink and lateral gazes
Good recovery push up
Central complete corneal coverage
Central - no rotation
cornea: no staining
cornea: clear no staining
advised no sleeping/swimming/showering/tap water
go through do's and don'ts - sign compliance
------------CONTACT LENS AC --------------------
Routine AC
comfort and vision ok
WT 7/7 14/24 max 16/24 today 8/24
no problems
Advised to return if any problems
See notes on other visit created today