Optometry Note Full Consult

**Presenting Complaint** - Blurry vision in the left eye, onset 2 weeks ago, worsening over time. - Reports occasional headaches, especially after reading. **Hobbies/Work/School** - Works as a software engineer, spends significant time on computers. **Systems Review** - Nil HA, Dry, Red, Itchy, Dip, Flash/Floaters **General Health** - Patient is a non-smoker and denies any significant medical history. No known allergies. **Past Ocular History** - No prior ocular surgeries or treatments. **Family Ocular** - Mother has glaucoma. **Anterior Assessment** Lids/Lashes/Conj/Cornea/Iris/Lens: OU: Clear, no abnormalities. VH: OU: Deep and quiet. AC: OU: Clear and quiet. **Posterior Assessment** ONH c/d: OD: 0.3, healthy NRR, well-defined margins. OS: 0.3, healthy NRR, well-defined margins. Mac: OU: Flat and healthy. BVs: OU: Normal. Mid-periphery: OU: Normal. **Dispensing Options** - Discussed SVD and MF options. **Binocular Vision Assessment** - Cover test: Orthophoric at distance and near. - NPC: 6cm. **Contact Lens Assessment** - Not applicable. **Visual Fields** - Automated perimetry: Full. **OCT** - RNFL: Normal. - GCC: Normal. - Mac radial: Normal. **IOP** - OD: 14 mmHg. - OS: 15 mmHg. **Advice & Management** 1. Rx: New glasses for computer use. 2. Advised on proper ergonomics. 3. RTC in 1 year. **Other** - Patient was educated on the importance of regular eye exams. Date: 1 November 2024