Namita Barman Ds

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Email: info@centreforsiqht.

net
Website: www.centreforsight.net

DISCHARGE SUMMARY
CATARACT SURGERY - CGHS
CENTRE FOR SIGHT
Every eye deserves the best

Name: MRD No:


Age/ Sex: DOA / DOS:
Consultant Name: DOD: /TIME
Anaesthetist Name: care
onoup
ACRIOL EC TORiC
MODEL : AS-6T CYL 2.0
POWER : +22.00 LOT : 2C1230
Diagnosis Significant Findings CPT.DIA : 6.00 MFG: 2024-09
GJ0224000004770270
Right Eye: LENGTH : 13.00 EXP . 2029-08

Left Eye:
Reason for Admission:
Drug Allergy:
Systemic Illness:
Surgical Procedure: e t o L P,cat oc 12c coZ1e
Post-operative Instructions:
1. MOXIFLOXACIN (MofoRX)eye drops 4 timesa day X7 days.
2. PREDNESOLONEACETATE(PredoRX)eye drops8 timesa day X2 days
6 timesa day X2 days
4 times a day continuefor 3 weeks & then taper. INVESTIGATION RESULTS
3. NEPAFENAC(CMERx)eye dropsthricea day X3 weeks.
Blood Sugar • ÉP-,S—
4. DORZOLAMIDEHYDROCHLORIDE2% (DorzoRx)eyedroptwicea day X5 days '$4
5. ACETAZOLAMIDE (Tab. Acetamide)250mg twicea day X2 days.
6. CIPROFLOXACIN HYDROCHLORIDE (Tab. Ciplox 500mg) / AMOXYCILLIN AND POTASSIUM
Urine •
CLAVULANATE TABS(Tab. Augmentin625mg) twicea day X 5 days. ECG
7. PARACETAMOL (Tab. Crocin 500mg) SOS (if pain). Others •

• ANTI OXIDANT CAPSULE (RetiRx ) once a day X2 months.


Y'• PGPG (SofiRx Ultra) eyedrops 4 timesa day X2 months.
• Eye pad at night for first 7 nights
• Protective sunglasses for 3 ys (indoors) & 3 weeks (outdoors).
• Remove bandage at DI.Debasie
• Use sterile eye wipes for eaning eyelids and eye lashes
BS, FAICO,PLVPEI
At Discharge: Vitals: BP mmHg, Pulse aeg. (WAAC)
No. 66643
Condition
Followup on at am/pm Doctor'sSignature, Name, Date & Time
NOTES:
Branch Address & Emergency Contact No.
• The surgery package includes post-op •s •geeks.
• EMERGENCY CARE:
On appearance of redness, pain, lid sweiling contact on emergency no.s S ENTRE FOR S/GH
• Post operative instructions given in the sheet should be followed strictly.
• Prevent any type of sudden ierks and injury to the operated eye.
• Continue your previous medical treatment (if any) for diabetes, BP, arthritis, asthma, thyroid etc.
*Pharmacistis supposed to supply by generic only. The physician is not responsiblefor the quality, efficacy or the side effects of
any generic supplied by the pharmacy.
**This is a suggested drug name and is not binding on the patient to use the particular brand prescribed above.
•o*** Vegetarian option for the same may be checked with pharmacist.

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