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VAsc 20/20 OD; 20/50 PH NI OS
Pupils: ERRL, no APD
EOM: Intact OU
CVF: Intact OU T(p): 13 OD; 15 OS
External: No periorbital edema or erythema, no ecchymosis, no lesions OU.
SLE: L/L: No upper or lower lid swelling or lesions OU. Fornices evaluated and no foreign bodies noted OU. C/S: White and Quiet OD 1+ conjunctival injection, no fluorescein staining OS. K: Normal OD 2 mm by 2 mm corneal epithelial defect with fluorescein OS AC: D &Q OU I: Flat and Round OU. L: Pseudophakic OU. No evidence of lens dislocation OS.
DFE: C/D: 0.2 OU Arteries/Veins/ Macula/Periphery WNL OU. No retinal detachment OS.