Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Surgery
Sample Name: YAG Laser Capsulotomy - 1

Description: This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission.
(Medical Transcription Sample Report)

PREOPERATIVE DIAGNOSIS: Secondary capsular membrane, right eye.

POSTOPERATIVE DIAGNOSIS: Secondary capsular membrane, right eye.

PROCEDURE PERFORMED: YAG laser capsulotomy, right eye.

INDICATIONS: This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission.

PROCEDURE: The patient was seated at the YAG laser, the pupil having been dilated with 1% Mydriacyl, and Iopidine was instilled. The Abraham capsulotomy lens was then positioned and applications of laser energy in the pattern indicated on the outpatient note were applied. A total of millijoules was used in applications.

The patient tolerated the procedure well and will be followed up in the office.

Keywords: surgery, abraham capsulotomy, yag, yag laser capsulotomy, capsulotomy, laser, membrane, eye, capsular,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples