Medical Informed Consents
ICs Under Category 'Eye and Ocular Adnexa'

Below you will find an alphabetical list of all the medical informed consents available in this category. Clicking the first informed consent of this list will show you the full text of that particular informed consent.

All other informed consents in this list are disabled, but would be available to be viewed and printed after purchasing the product.

 

Surgery

Aqueous Shunt to Extraocular Reservoir
Blepharoplasty, Lower Eyelid; CO2 (Carbon Dioxide) Laser, Left
Blepharoplasty, Lower Eyelid; CO2 (Carbon Dioxide) Laser, Right
Blepharoplasty, Lower Eyelid, Left
Blepharoplasty, Lower Eyelid, Right
Blepharoplasty, Upper Eyelid; CO2 (Carbon Dioxide) Laser, Left
Blepharoplasty, Upper Eyelid; CO2 (Carbon Dioxide) Laser, Right
Blepharoplasty, Upper Eyelid, Left
Blepharoplasty, Upper Eyelid, Right
Closure of the Lacrimal Punctum; By Laser Surgery
Closure of the Lacrimal Punctum; By Plug, Each
Closure of the Lacrimal Punctum; By Thermocauterization
Correction of Trichiasis; Epilation, by Forceps Only
Dacryocystorhinostomy, Left
Dacryocystorhinostomy, Right
Destruction of Extensive or Progressive Retinopathy, One or More Sessions; Photocoagulation (Laser)
Destruction of Localized Lesion of Choroid; Photocoagulation, One or More Sessions
Destruction of Localized Lesion of Retina; Photocoagulation
Discission of Secondary Membranous Cataract (Opacified Posterior Lens Capsule and/or Anterior Hyaloid); Laser Surgery
Endoscopic Dacryocystorhinostomy
Excision of Chalazion; Single, Left
Excision of Chalazion; Single, Right
Excision of Chalazions; Multiple, Different Lids
Excision of Chalazions; Multiple, Left Lid
Excision of Chalazions; Multiple, Right Lid
Excision of Lesion of Eyelid Without Closure or With Simple Direct Closure, Left
Excision of Lesion of Eyelid Without Closure or With Simple Direct Closure, Right
Excision of Pterygium; Without Graft, Left
Excision of Pterygium; Without Graft, Right
Extracapsular Cataract Removal with Insertion of Intraocular Lens Prosthesis, Manual Removal Technique, Left
Extracapsular Cataract Removal with Insertion of Intraocular Lens Prosthesis, Manual Removal Technique, Right
Extracapsular Cataract Removal with Insertion of Intraocular Lens Prosthesis, Phacoemulsification, Left
Extracapsular Cataract Removal with Insertion of Intraocular Lens Prosthesis, Phacoemulsification, Right
Fistulization of Sclera for Glaucoma; Trabeculectomy Ab Externo In Absence of Previous Surgery
Fistulization of Sclera for Glaucoma; Trabeculectomy Ab Externo With Scarring from Previous Ocular Surgery or Trauma
Injection of Therapeutic Agent into Tenon\'s Capsule, Left
Injection of Therapeutic Agent into Tenon\'s Capsule, Right
Insertion of Intraocular Lens Prosthesis (Secondary Implant), Not Associated With Concurrent Cataract Removal Right and Left
Keratoplasty (Corneal Transplant); Penetrating (Except in Aphakia)
Laser-Assisted In Situ Keratomileusis (LASIK), Left
Laser-Assisted In Situ Keratomileusis (LASIK), Right
Laser Dacryocystorhinostomy, Left
Laser Dacryocystorhinostomy, Right
Laser Thermal Keratoplasty (LTK), Left
Laser Thermal Keratoplasty (LTK), Right
Laser Trabeculoplasty, Left
Laser Trabeculoplasty, Right
Multiple Punctures of Anterior Cornea, Left
Multiple Punctures of Anterior Cornea, Right
Peripheral Laser Iridotomy, Left
Peripheral Laser Iridotomy, Right
Photorefractive Keratectomy (PRK), Left
Photorefractive Keratectomy (PRK), Right
Probing of Lacrimal Canaliculi
Prophylaxis of Retinal Detachment Without Drainage, by Photocoagulation (Laser or Xenon Arc), Left
Prophylaxis of Retinal Detachment Without Drainage, by Photocoagulation (Laser or Xenon Arc), Right
Radial Keratotomy, Left
Radial Keratotomy, Right
Removal of Foreign Body, External Eye; Conjuctival Embedded, Left
Removal of Foreign Body, External Eye; Conjuctival Embedded, Right
Removal of Foreign Body, External Eye; Conjuctival Superficial, Left
Removal of Foreign Body, External Eye; Conjuctival Superficial, Right
Removal of Foreign Body, External Eye; Corneal with Slit Lamp, Left
Removal of Foreign Body, External Eye; Corneal with Slit Lamp, Right
Repair of Blepharoptosis; (Tarso) Levator Resection or Advancement, External Approach, Left
Repair of Blepharoptosis; (Tarso) Levator Resection or Advancement, External Approach, Right
Repair of Ectropion; Blepharoplasty, Extensive, Left
Repair of Ectropion; Blepharoplasty, Extensive, Right
Repair of Entropion; Blepharoplasty, Extensive, Left
Repair of Entropion; Blepharoplasty, Extensive, Right
Revision of Aqueous Shunt to Extraocular Reservoir
Scraping of Cornea, Diagnostic, For Smear and/or Culture, Left
Scraping of Cornea, Diagnostic, For Smear and/or Culture, Right
Severing of Vitreous Strands, Vitreous Face Adhesions, Sheets, Membranes or Opacities, Laser Surgery
 

Medicine

External Ocular Photography with Interpretation and Report for Documentation of Medical Progress
Fluorescein Angiography with Interpretation and Report
Fundus Photography with Interpretation and Report
Gonioscopy
 

Medication

Latanoprost Opthalmic
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