Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Ophthalmology
Sample Name: Premature retina and vitreous

Description: Small office note on premature retina and vitreous.
(Medical Transcription Sample Report)

OCULAR FINDINGS: Anterior chamber space: Cornea, iris, lens, and pupils all unremarkable on gross examination in each eye.

Ocular adnexal spaces appear very good in each eye.

Cyclomydril x2 was used to dilate the pupil in each eye.

Medial spaces are clear and the periphery is still hazy in each eye.

Ocular disc space, normal size and shape with a pink color with clear margin in each eye.

Macular spaces are normal in appearance for the age in each eye.

Posterior pole. No dilated blood vessels seen in each eye.

Periphery: The peripheral retina is still hazy and retinopathy of prematurity cannot be ruled out at this time in each eye.

IMPRESSION: Premature retina and vitreous, each eye.

PLAN: Recheck in two weeks.


Keywords: ophthalmology, eye ocular, premature retina, pupils, periphery, premature, vitreous, retina, eye,
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