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1、Abbreviations Commonly Used in OphthalmologyThis is a brief list of some of the abbreviations used on clinic notes. Many of these abbreviations change from year to year, and there are dozens more which we use less often.30-2Commonly used automated Humphrey visualLPILaser peripeheral iridectomyfields
2、LP, LPOLight perception, light perception onlyA/C or ACAnterior chamberLRLateral rectusACGAngle closure glaucomaMManifest (non-cyclopleged) refractionALPCArgon laser photocoagulation (often forM&NMydriacyl & Neosynephrine mixture useddiabetic macular edemafor pupil dilationALTArgon laser trabeculopl
3、asty (for glaucoma)NLPNo light perceptionAMDAge-related macular degenerationNS or NSCNuclear sclerotic cataractAPDAfferent pupillary defectNVDNeovascularization of the discBCCBasal cell cancerNVENeovascularization of the retina elsewhereBDRBackground diabetic retinopathy(outside the disc)BRVOBranch
4、retinal vein occlusionNVINeovascularization of irisc or ccWith refractive correctionOD, OS, OURight eye, left eye, both eyesC/DCup-to-disc ratio of the optic nerveOHTOcular hypertensionCFCount fingers visual acuityP1, P2, P4Pilocarpine (with concentration)CL, HCContact lenses, hardPCPosterior chambe
5、r or posterior capsuleSCL, EWSCLSoft and extended wearPDPrism dioptersCMECystoid macular edemaPE, PHACOPhacoemulsificationCRAOCentral retinal artery occlusionPEEPunctate epithelial erosionsCRVOCentral retinal vein occlusionPEGPunctate epithelial granularityCSR or CSCRCentral serous chorioretinopathy
6、PEKPunctate epithelial keratitis or keratopathyCVFConfrontation visual fieldPERLPupils equal and reactive to lightcylCylinder (in refraction)PF, PA 1%Pred Forte eye drops, prednisolone acetateDDiopterPHPinholeDCRDacryocystorhinostomyPI 1/8Phospholine Iodine 1/8%DVDDissociated vertical deviation (a f
7、orm ofPKP or PKPenetrating keratoplasty (cornea transplant)strabismusPOAGPrimary open angle glaucomaDVSDuctions, versions, saccadesPOHSPresumed ocular histoplasmosis syndromeDWSCLDaily wear contact lensesPPDRPre-proliferative diabetic retinopathyECCE c IOLExtracapsular cataract extraction withPRPPan
8、-retinal photocoagulationintraocular lens implantationPSCPosterior subcapsular cataractEOGElectrooculogramPVDPosterior vitreous detachmentERGElectroretinogramRDRetinal detachmentEOMExtraocular muscleROPRetinopathy of prematurityERMEpi-retinal membraneRPRetinitis pigmentosaET, E(T), E, EEsotropia, in
9、termittent esotropia, esophoria,RPERetinal pigment epitheliumand esophoria at nears or scWithout refractive correctionEUAExam under anesthesiaSLE or SLXSlit lamp examHMHand motion visionSPKSuperficial punctate keratitis (Thygeson orICCEIntracapsular cataract extractionkeratopathyIF 1%Inflamase Forte
10、 1%SRSuperior rectusIKInterstitial keratitisSRN, SRNVMSubretinal neovascular membraneIOInferior obliqueTaApplanation tonometryIOLIntraocular lensT , T Timoptic (with concentrations)IOPIntraocular pressureVaVisual acuityIRInferior rectusVFVisual fieldKKeratometer reading (measures the curvaturevitVit
11、reousof the cornea), or abbreviation for corneaVTXVitrectomyKCSKeratoconjunctivitis siccaW4DWorth 4-dot test (in strabismus)KPKeratitic precipitateXT, X(T)Exotropia, intermittent exotropiaL HoT, R HoTLeft Hypotropia, right hypotropiaX, Xexophoria, exophoria at nearLHT, RHTLeft hypertropia and right
12、hypertropiaYAGNeodymium-yttrium aluminum garnet laserLOCLaxative of choicePrism diopterSLE Corneas clearACs clear and deep Gonio 4+ open OU M&N OU 0947 Lenses and vitreous clearSample Ophthalmology Clinic NoteThe following is a sample clinic note, which you should use as a template for your patient
13、evaluations during this rotation. We do not intend it to be complete, but to serve as an example of a typical chart entry. Try to do as much of the exam as you can when you screen patients for your resident. Please note there are many standard abbreviations and conventions used in ophthalmology, for
14、 instance the OD is always above the OS in noting V, IOP, etc.History:Age, sex, raceChief complaintHistory of complaint (nature, duration, symptoms, etc.)Pertinent positives and negativesPOHx (Past ocular history, including operations and laser treatment)FOHx (Family history of eye disease: retina d
15、etachment, glaucoma, etc.)PMH Meds (ocular and non-ocular)AllergiesExam:D Va 20/30 or 20/15Distance visual acuity; be sure to use best correction with glasses.PH to 20/20 ODPinhole used over glasses if vision less than 20/20External nlLids, orbit, resistance to retropulsion, etc.EOMs nlExtraocular m
16、otions normalCVFs OD: fullConfrontation visual fieldsOS: superior arcuate scotomaPupils: 6/2+Pupils are 6mm OU, with 2+ reactivity OD and 1+ OS.6/1+ left APDAPD = afferent pupillary defectTA: 14/34 0935Slit lamp examT = applanation tonometric IOPAnterior chamber Gonioscopic examMydriacyl and neosynephrine put in at 0947 (90D) C/D: 0.32 / 0.8 x 0.9(The cup-to-disc ratio, horizontal and vertical)(90D = 90 diop
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