IOL Post Operative Form - Cathedral Eye Clinic

IOL Post Operative Form

  • Date of Surgery

  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • Refraction and Vision

  • Unaided Dist VisionUnaided Near Vision & WDSphereCylinderAxisAddBCVAPHBCVA (N)
  • Unaided Dist VisionUnaided Near Vision & WDSphereCylinderAxisAddBCVAPHBCVA (N)
  • Unaided Dist VisionUnaided Near Vision & WDSphereCylinderAxisAddBCVAPHBCVA (N)
  • Examination Findings

  • Right

  • Left

  • *Check for PCO

    **Check for CMO