CALL TODAY -  9848066604

Plot No: 01, HACP Colony, Karkhana Road, Vikrampuri Secunderabad - 09


Ph: +91 40 405246604, 9703236677
Mobile: +91 9848066604

Mon - sat 10:30 to 2:00 PM and 5:00PM to 9:00 PM Sunday 05:00 PM - 09:00 PM By Appointments

Dry Eye Management

Prescribe artificial tears, preferably preservative-free artificial tears, and a lubricating ointment. Mild dry eye disease can be treated with drops up to 4 times a day; more severe cases call for more aggressive treatment, such as drops 10-12 times a day.

Dry Eye Evaluation
First Name     
Phone   (
)   -
 
Last Name   
Email  
 How Often do you have ...?   Never   Sometimes   Frequently   Always   Score  
  Redness          
  Sandy or Gritty Sensation          
  Itching          
  Excess Watering          
  Burning          
  Excess Mucous          
  Blurred Vision          
  Are your eyes sensitive to ...?   Never   Sometimes   Frequently   Always   Score  
  Smoke          
  Light          
  Air Pollution          
  Wind          
  Heaters          
  Air Conditioning          
  Contact Lenses          
 How Often do you use ...?   Never   Sometimes   Frequently   Always   Score  
  Anti-Depressants          
  Redness Reducing Eye Drops          
  Decongestants          
  Antihistamines          
  Blood Pressure Medication          
  Artificial Tear Drops          
  Hormones          
  Oral Contraceptives          
  Diuretics          
  Ulcer Medication          
  Tranquilizers          
  Beta Blockers          
  Incontinence Therapies          
 Average daily computer time   0Hrs   1-2Hrs   2-4Hrs   Over 4 Hrs   Score  
  Hours          
  Have you ever been diagnosed with…?   Yes   No       Score  
  ; Thyroid Abnormalities      
  Rheumatoid Arthritis      
  Asthma      
  Diabetes      
  Glaucoma      
  Are you…?   Yes   No       Score  
  Over 45      
  Post-menopausal      
  Considering refractive surgery      
  Do you…?   Yes   No       Score  
  Experience Contact Lens discomfort      
  Get eyestrain      
  Blink your eyes excessively      
  As an Adult…?   Yes   No       Score  
  Have you had blemishes on your face?      
 
Plot No: 01, HACP Colony, Karkhana Road, Vikrampuri Secunderabad - 09

Ph: +91 40 405246604, 9703236677
Mobile: +91 9848066604
Phone: 9848066604

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