Back to chart · Eleanor Whitfield
follow-up encounter
complete LockedMarch 31, 2026 at 1:26 p.m. · Dr. Austin Ekeoba · 32 min
Encounter locked. The clinical record is immutable. Locked Apr 1, 2026 by Dr. Austin Ekeoba. New observations may be added as an addendum below.
Subjective
Chief complaint
Glaucoma follow-up; reports occasional halos at night.
HPI
78F with POAG OU on latanoprost. Adherent. No drops missed. Halos OD ×2 weeks, no pain, no vision loss.
Review of systems
Constitutional negative. Denies headache, eye pain, redness, photopsia, curtain.
Objective
VA (cc)
OD20/30
OS20/25
IOP (GAT) · 08:45
OD16 mmHg
OS14 mmHg
Pachymetry OD 528µm · OS 532µm
manifest refraction
OD -1.25 / -0.75 × 090
OS -1.00 / -0.50 × 088
PD dist 62
Slit lamp
LidsOD WNL / OS WNL
CorneaOD Clear / OS Clear
ACOD D&Q / OS D&Q
LensOD 1+ NS / OS 1+ NS
Fundus / DFE
Disc OD C/D 0.65 · Stable. Mild rim thinning inferior.
Disc OS C/D 0.55 · Stable.
Assessment & Plan
Assessment
- •POAG OU — stable on latanoprost
- •Cataract OU — early NS, monitoring
Plan
- •Continue latanoprost qhs OU
- •OCT RNFL today
- •VF 24-2 in 3 months
- •RTC 4 months
Addendums
1- Dr. Austin EkeobaApr 2, 2026, 1:26 p.m.Reviewed OCT RNFL: stable vs 2025-08. No change to plan.