comprehensive encounter

complete Locked

January 14, 2026 at 1:40 p.m. · Dr. Austin Ekeoba · 38 min

Encounter locked. The clinical record is immutable. Locked Jan 15, 2026 by Dr. Austin Ekeoba. New observations may be added as an addendum below.

Subjective

Chief complaint

Routine comprehensive — getting headaches at computer.

HPI

32M software engineer, high myope. 14h/d screen use, daily disposables.

VA (cc)

OD20/20

OS20/20

IOP (NCT) · 11:20

OD14 mmHg

OS13 mmHg

manifest refraction

OD -5.75 / -1.25 × 175

OS -5.50 / -1.00 × 005

PD dist 64

Assessment

Plan