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Abbreviations Commonly Used in Ophthalmology

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 toyear, and there are dozens more which we use less used automated Humphrey visualLPIL aser peripeheral iridectomyfieldsLP, LPOL ight perception, light perception onlyA/C or ACAnterior chamberLRLateral rectusACGA ngle closure glaucomaMManifest (non-cyclopleged) refractionALPCA rgon laser photocoagulation (often forM&NMydriacyl & Neosynephrine mixture useddiabetic macular edemafor pupil dilationALTA rgon laser trabeculoplasty (for glaucoma)NLPNo light perceptionAMDAge-related macular degenerationNS or NSCN uclear sclerotic cataractAPDA fferent pupillary defectNVDN eovascularization of the discBCCB asal cell cancerNVE Neovascularization of the retina elsewhereBDRB ackground diabetic retinopathy(outside the disc)BRVOB ranch retinal vein occlusionNVIN eovascularization of irisc or cc)

SLE Slit lamp exam Corneas clear TΑ = applanation tonometric IOP AC’s clear and deep Anterior chamber Gonio 4+ open OU Gonioscopic exam M&N OU @0947 Mydriacyl and neosynephrine put in at 0947 Lenses and vitreous clear (90D) C/D: 0.32 / 0.8 x 0.9 (The cup-to-disc ratio, horizontal and vertical) (90D = 90 diopter lens used with the slit lamp)

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Transcription of Abbreviations Commonly Used in Ophthalmology

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 toyear, and there are dozens more which we use less used automated Humphrey visualLPIL aser peripeheral iridectomyfieldsLP, LPOL ight perception, light perception onlyA/C or ACAnterior chamberLRLateral rectusACGA ngle closure glaucomaMManifest (non-cyclopleged) refractionALPCA rgon laser photocoagulation (often forM&NMydriacyl & Neosynephrine mixture useddiabetic macular edemafor pupil dilationALTA rgon laser trabeculoplasty (for glaucoma)NLPNo light perceptionAMDAge-related macular degenerationNS or NSCN uclear sclerotic cataractAPDA fferent pupillary defectNVDN eovascularization of the discBCCB asal cell cancerNVE Neovascularization of the retina elsewhereBDRB ackground diabetic retinopathy(outside the disc)BRVOB ranch retinal vein occlusionNVIN eovascularization of irisc or ccWith refractive correctionOD, OS, OURight eye, left eye, both eyesC/DCup-to-disc ratio of the optic nerveOHTO cular hypertensionCFCount fingers visual acuityP1, P2, P4 Pilocarpine (with concentration))

2 CL, HCContact lenses, hardPCPosterior chamber or posterior capsuleSCL, EWSCLSoft and extended wearPDPrism dioptersCMEC ystoid macular edemaPE, PHACOP hacoemulsificationCRAOC entral retinal artery occlusionPEEP unctate epithelial erosionsCRVOC entral retinal vein occlusionPEGP unctate epithelial granularityCSR or CSCRC entral serous chorioretinopathyPEKP unctate epithelial keratitis or keratopathyCVFC onfrontation visual fieldPERLP upils equal and reactive to lightcylCylinder (in refraction)PF, PA 1%Pred Forte eye drops, prednisolone acetateDDiopterPHPinholeDCRD acryocystorhinostomyPI 1/8 Phospholine Iodine 1/8%DVDD issociated vertical deviation (a form ofPKP or PKPenetrating keratoplasty (cornea transplant))

3 StrabismusPOAGP rimary open angle glaucomaDVSD uctions, versions, saccadesPOHSP resumed ocular histoplasmosis syndromeDWSCLD aily wear contact lensesPPDRPre-proliferative diabetic retinopathyECCE c IOLE xtracapsular cataract extraction withPRPPan-retinal photocoagulationintraocular lens implantationPSC Posterior subcapsular cataractEOGE lectrooculogramPVDP osterior vitreous detachmentERGE lectroretinogramRDRetinal detachmentEOME xtraocular muscleROPR etinopathy of prematurityERMEpi-retinal membraneRPRetinitis pigmentosaET, E(T), E, E Esotropia, intermittent esotropia, esophoria,RPER etinal pigment epitheliumand esophoria at nears or scWithout refractive correctionEUAExam under anesthesiaSLE or SLXSlit lamp examHMHand motion visionSPKS uperficial punctate keratitis (Thygeson orICCEI ntracapsular cataract extractionkeratopathyIF 1%Inflamase Forte 1%SRSuperior rectusIKInterstitial keratitisSRN, SRNVMS ubretinal neovascular membraneIOInferior obliqueTaApplanation tonometryIOLI ntraocular lensT , T Timoptic (with concentrations))

4 IOPI ntraocular pressureVaVisual acuityIRInferior rectusVFVisual fieldKKeratometer reading (measures the curvaturevitVitreousof the cornea), or abbreviation for corneaVTXV itrectomyKCSK eratoconjunctivitis siccaW4 DWorth 4-dot test (in strabismus)KPKeratitic precipitateXT, X(T)Exotropia, intermittent exotropiaL HoT, R HoTLeft Hypotropia, right hypotropiaX, X exophoria, exophoria at nearLHT, RHTLeft hypertropia and right hypertropiaYAGN eodymium-yttrium aluminum garnet laserLOCL axative of choice Prism diopterSample Ophthalmology Clinic NoteThe following is a sample clinic note, which you should use as a template for your patient evaluations duringthis rotation.

5 We do not intend it to be complete, but to serve as an example of a typical chart entry. Try to doas much of the exam as you can when you screen patients for your resident. Please note there are manystandard Abbreviations and conventions used in Ophthalmology , for instance the OD is always above the OS innoting V, IOP, :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 detachment, glaucoma, etc.)PMH Meds (ocular and non-ocular)AllergiesExam:D Va 20/30 or 20/15 Distance visual acuity; be sure to use best correction with to 20/20 OD Pinhole used over glasses if vision less than 20/20 External nl Lids, orbit, resistance to retropulsion, s nl Extraocular motions normalCVF s OD: full Confrontation visual fields OS: superior arcuate scotomaPupils: 6/2+ Pupils are 6mm OU, with 2+ reactivity OD and 1+ OS.

6 6/1+ left APD APD = afferent pupillary defectTA: 14/34 @0935 SLESlit lamp examCorneas clearT = applanation tonometric IOPAC s clear and deepAnterior chamberGonio 4+ open OUGonioscopic examM&N OU @0947 Mydriacyl and neosynephrine put in at 0947 Lenses and vitreous clear(90D) C/D: / x (The cup-to-disc ratio, horizontal and vertical)(90D = 90 diopter lens used with the slit lamp)Macula and vessels normal OUIndirect normal OUAssessment:A) Open angle glaucoma OS (assessment)Plan:P) 30/2 HVF(P = Plan, HVF = Humphrey Visual Field)Stereo disc photosBetagan 1 drop OS bidF/U 1 wk for IOP check, then 3 mo.


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