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Swansea

Bridgend

Post Operative Cataract Report - Optometrist

Personal details

Date of birth
Day
Month
Year

For example, 27 03 2007

Outcomes - Left Eye

Which eye?
Left
Right
Both
Left Eye - Compared to before surgery, what does the patient think of vision in operated eye?
Improved
No Change
Worse
Left Eye - Overall, how does the patient feel about the cataract operation?
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
If this is the first procedure, does the patient wish to be listed for the second eye?
Yes
No
Not applicable

Outcomes - Right Eye

Right Eye - Compared to before surgery, what does the patient think of vision in operated eye?
Improved
No change
Worse
Right Eye - Overall, how does the patient feel about the cataract operation?
Satisfied
Neither satisfied or disatisfied
Disatisfied

Optometrist Details

Hospital Number

Please enter the hospital number for the patient, this can be found on the paperwork the patient provides to you from Sana

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