HPI Generator
It appears that this browser is not Google Chrome. Please use Google Chrome for the best functionality.
Name:
Gender:
Appointment Type:
Age:
Referring Provider:
Reason for Visit:
Surgery Date:
Unspecified
Unspecified
Surgery:
For:
Laterality:
Has anything changed with vision?
Severity OD:
Duration OD:
Context OD:
Severity OS:
Duration OS:
Context OS:
Quality OD:
Quality OS:
Vision Complaint Text:
Surgery:
For:
Laterality:
Comfort:
Did the patient position
as instructed?
Were
and
drops instilled in the operative eye?
Postoperative drops were not instilled because
Custom Response:
Were the routine postoperative instructions given to the patient?
Alphagan:
-----
-----
Azopt:
-----
-----
Betimol:
-----
-----
brimonidine:
-----
-----
Combigan:
-----
-----
Cosopt:
-----
-----
dorzolamide:
-----
-----
dorzolamide-timolol:
-----
-----
latanoprost:
-----
-----
Lumigan:
-----
-----
Rhopressa:
-----
-----
Rocklatan:
-----
-----
Simbrinza:
-----
-----
timolol:
-----
-----
Travatan Z:
-----
-----
Vyzulta:
-----
-----
Zioptan:
-----
-----
Durezol:
-----
-----
Maxitrol:
-----
-----
prednisolone:
-----
-----
bromfenac:
-----
-----
diclofenac:
-----
-----
Ilevro:
-----
-----
Prolensa:
-----
-----
ofloxacin:
-----
-----
moxifloxacin:
-----
-----
polymyxin:
-----
-----
Vigamox:
-----
-----
Does the patient have glare with driving?
Is the patient taking AREDS-2 vitamins?
first question