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  • Pre-& Post-Operative Refractive Surgery Information: K Card

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    bebbuwebbu
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    This document is a form for ophthalmologists to provide information to patients who have undergone refractive surgery about their pre-operative and post-operative refraction and keratometry readings to assist with future cataract surgery planning. The form includes fields for patient name, refractive surgery date, surgeon details, pre-operative refraction and keratometry readings for both eyes, intended refractive correction, and post-operative refraction.

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    Kcard

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    Kcard

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    This document is a form for ophthalmologists to provide information to patients who have undergone refractive surgery about their pre-operative and post-operative refraction and keratometry readings to assist with future cataract surgery planning. The form includes fields for patient name, refractive surgery date, surgeon details, pre-operative refraction and keratometry readings for both eyes, intended refractive correction, and post-operative refraction.

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    © All Rights Reserved
    Descărcați ca PDF, TXT sau citiți online pe Scribd
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    3 vizualizări1 pagină

    Pre-& Post-Operative Refractive Surgery Information: K Card

    Încărcat de

    bebbuwebbu
    This document is a form for ophthalmologists to provide information to patients who have undergone refractive surgery about their pre-operative and post-operative refraction and keratometry readings to assist with future cataract surgery planning. The form includes fields for patient name, refractive surgery date, surgeon details, pre-operative refraction and keratometry readings for both eyes, intended refractive correction, and post-operative refraction.

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca PDF, TXT sau citiți online pe Scribd
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    din 1

    K Card

    Pre- & Post-operative


    Refractive Surgery Information

    Please complete this form and give it to your patients for their use in the event of future cataract surgery.

    Patient name:

    Date of surgery or retreatment:

    Refractive surgeon name:

    Surgeon phone:

    Date of pre-operative readings:

    Right eye pre-operative refraction: sphere cylinder axis

    at vertex distance mm

    Left eye pre-operative refraction: sphere cylinder axis

    at vertex distance mm

    Right eye pre-operative keratometry: (D) K1 (D) K2

    Left eye pre-operative keratometry: (D) K1 (D) K2

    Intended refractive correction: right eye left eye

    Right eye post-operative refraction: sphere cylinder axis

    Left eye post-operative refraction: sphere cylinder axis

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