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Exam:
Visual Acuity (cc): OD: 20/70 OS: 20/20
IOP: OD: 62 OS: 11
Extraocular Movements: Intact
Pupils: Right pupil mildly dilated, sluggishly responsive to light. Left normal
Confrontational visual fields: Normal OU
Amsler Grid: OD: Blurred throughout OS: Normal
Slit Lamp: Lids and Lashes: Normal OU Conjunctiva/Sclera: Injected conjunctiva OD, Normal OS Cornea: Normal OS, OD demonstrates corneal edema Anterior Chamber – Shallow anterior chamber OD, normal depth OS, Iris: Iris appears pushed forward OD, normal OS Lens: Normal OU Anterior Vitreous – Normal OU Gonioscopy: Closed angle right eye, demonstrating iris bombe (bulging of the peripheral iris). Left eye demonstrates a narrow angle, but no apparent obstruction of the trabecular meshwork.
Dilated Fundus Examination: OD: Hazy view through edematous cornea, CDR (cup to disc ratio) 0.3, no AV nicking, macula normal, periphery normal with no signs of retinal breaks or detachments. OS: CDR0.3, no AV nicking, macula normal, periphery normal with no signs of retinal breaks or detachments.