Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Ophthalmology

Ophthalmology is the branch of medicine which deals with the anatomy, physiology and diseases of the eye.

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Cataract - Second Opinion
The patient seeks evaluation for a second opinion concerning cataract extraction.

Cataract Extraction
Cataract extraction with lens implantation, right eye. The lens was inspected and found to be free of defects, folded, and easily inserted into the capsular bag, and unfolded.

Cataract Extraction - 1
Extracapsular cataract extraction with posterior chamber intraocular lens placement by phacoemulsification. A peribulbar block was given to the eye using 8 cc of a mixture of 0.5% Marcaine without epinephrine mixed with Wydase plus one-half of 2% lidocaine without epinephrine.

Cataract Extraction - 2
Extracapsular cataract extraction with phacoemulsification and implantation of a posterior chamber intraocular lens, left eye.

Cataract Extraction & Vitrectomy
Cataract to right eye. Cataract extraction with intraocular lens implant of the right eye, anterior vitrectomy of the right eye.

Cataract Extraction Followup
Patient follows up for cataract extraction with lens implant 2 weeks ago. Recovering well from her cataract operation in the right eye with residual corneal swelling, which should resolve in the next 2 to 3 weeks.

Cataract Surgery
Normal cataract surgery.

Clear Corneal Temporal Incision
Clear corneal temporal incision (no stitches). A lid speculum was placed in the fissure of the right eye.

A sample note on Conjunctivitis (Pink Eye).

Connective Tissue Disorder
She is sent for evaluation of ocular manifestations of systemic connective tissue disorders. Denies any eye problems and history includes myopia with astigmatism.

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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